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Do I Have an Achilles Tendonitis Injury?

Achilles Tendonitis Injury

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With Acute Achilles Tendonitis Injury you often feel all or most of the following things:-

  • sharp nagging pain above heel
  • ‘first step’ pain in the morning or after sitting for a while
  • walking downstairs first thing in morning
  • increase in pain by walking up stairs or uphill
  • localised painful swelling in your tendon (watch video)




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With Chronic Achilles Tendonitis Injury / Achilles Tendinopathy the symptoms may start off more gradually and include:-

  • aching pain in tendon over a few weeks
  • pain with any exercise (may settle when warmed up but becomes constant
  • painful tendon when walking uphill or up stairs
  • ‘first step’ pain and stiffness in the morning or after rest
  • possible lumps in the tendon (watch video)
  • painful to squeeze tendon
  • swelling or thickening in the tendon
  • possible ‘creaking’ (crepitus) when you move the ankle and feel the tendon


If you have most of these symptoms then you almost certainly have Achilles Tendonitis Injury / Tendinopathy.
There are a few other problems such as sciatica and local nerve irritation that may give you similar pain but you will not get the localised swelling in the tendon.

There is one other type of Achilles Tendinosis that does not produce a thickened Achilles Tendon

Insertional Achilles Tendonitis / Tendinosis

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This type of Achilles problem classically :-

  • affects older (50 years+) athletes
  • sufferers tend also to be overweight
  • pain is right down where the Achilles attaches to the heel
  • pain is localised to the outer attachment of the Achilles
  • pain starts gradually after / during exercise
  • pain can become fairly constant and is made worse by any activity
  • can be local swelling around the top of the heel bone
  • possible ‘creaking’ (crepitus) around back of ankle when you move it

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6 Responses to “Do I Have an Achilles Tendonitis Injury?”

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