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Ankle Pain

Insertional Achilles Tendonitis Advice

Minute Read


Posted 9 months ago


Last updated: 03/12/2022


by James McCormack

How do you treat Insertional Achilles Tendonitis?

The most effective form of treatment for Insertional Achilles Tendonitis is graded strengthening exercises under the guidance of a Physical Therapist. It may be complemented by other forms of treatment such as massage, anti-inflammatories, heel raises and insoles.

Strengthening exercises should be progressively difficult and while some pain during the exercise protocol is acceptable, this pain should subside within 24 hours.

How long does Insertional Achilles Tendonitis last?

On average, it takes 6-12 weeks to recover from Insertional Achilles Tendonitis. In the acute phases, it may be too painful to do anything apart from the rehabilitation exercises set by your Physical Therapist however as you move into week 2-6 you can slowly reintroduce some previous exercises such as running.

As the tendon becomes stronger between weeks 6-12, you should be able to increase your general activity levels without fluctuations in Achilles Tendon pain.

Are compression socks good for Insertional Achilles Tendonitis?

Compression socks are commonly used by long-distance runners to reduce calf pain when running and to help with recovery post-exercise. The theory is that the compression reduces lactic formation but there is limited evidence for this and unfortunately there is no current evidence to suggest that compression socks are good for Insertional Achilles Tendonitis.

Should you stretch Insertional Achilles Tendonitis?

The Achilles Tendon attaches the calf muscle group to the heel bone. As it wraps around the back of the heel bone there is a compression point between the tendon and the bone. When stretching the Achilles Tendon, it compresses it against the heel bone, resulting in greater pain. Therefore, it is not recommended to stretch Insertional Achilles Tendonitis.

How common is Insertional Achilles Tendonitis?

A study by Waldecker et al, 2012. of 1394 people in the general public, Achilles Tendonitis was found in 5.6% of the population while 4% of those had Insertional Achilles Tendonitis. In the sporting population, Achilles Tendonitis was found in 9% of recreational runners.

Can I run with Insertional Achilles Tendonitis?

If you are able to walk pain-free, you can continue running with Insertional Achilles Tendonitis. It is okay to have some pain in your Achilles Tendon while running once this pain subsides within 24 hours of your run. If it doesn’t, consider a shorter distance or slower speed on your next run.

Physiotherapy with James McCormack

This is not medical advice. We recommend a consultation with a medical professional such as James McCormack. He offers Online Physiotherapy Appointments for £45.

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