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Achilles Tendinopathy Treatment At The South London Foot Clinic

Achilles tendinopathy is a common overuse injury that causes pain, stiffness, and swelling in the Achilles tendon – the strong cord that connects your calf muscles to your heel bone. It typically develops gradually and can affect runners, athletes, and anyone who is active or on their feet for extended periods.

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How Does Achilles Tendinopathy Start?

Achilles tendinopathy often begins when the tendon is overloaded – either suddenly or over time. Common causes include:

  • A sharp increase in physical activity
  • Direct trauma or injury
  • Inadequate footwear or worn-out shoes
  • Tight or weak calf muscles
  • Flat feet or high arches
  • Poor running or walking biomechanics
  • Lack of recovery time or rest
  • Previous injury causing weakness or poor biomechanics

These factors place repeated stress on the tendon, leading to microtears and degeneration.

The Importance of an Accurate Diagnosis

Diagnostic Ultrasound Scan

An ultrasound scan is a crucial step in confirming the diagnosis of Achilles tendinopathy. It allows our podiatrists to visualise the tendon in real time, identifying:

  • Thickening or degeneration of the tendon
  • Presence of inflammation or tears
  • Tendon structure and blood flow
  • Differentiation between mid-portion and insertional tendinopathy

This detailed insight ensures we deliver the most appropriate and effective treatment for your specific condition, and helps rule out other causes of Achilles heel pain such as bursitis or partial ruptures.

Why Gait Analysis Matters

Gait and Biomechanics

How you walk and run can significantly affect tendon loading. Faulty biomechanics—such as overpronation, leg length discrepancies, or poor alignment—can put excessive strain on the Achilles tendon.

Our clinic offers advanced gait analysis using pressure plates and motion tracking to assess how your body moves. Identifying and correcting these imbalances is essential in both treating Achilles tendinopathy and preventing recurrence.

How Long Does Achilles Tendinopathy Take to Heal?

Recovery timelines vary depending on severity and how long the symptoms have been present:

  • Mild cases may improve in 6–8 weeks
  • Moderate to chronic cases may require 3–6 months or more of structured rehabilitation

With a targeted treatment plan and close monitoring, we aim for long-term recovery—not just symptom relief.

Why Choose The South London Foot Clinic?

Clinician performing shockwave therapy on the knee

The Latest Treatment Technology with Swiss PiezoClastŸ & DolorClastŸ Shockwave Therapy Units

The South London Foot Clinic has invested in the most advanced and reliable shockwave units, providing innovative and effective treatment for tendinopathies and soft tissue injuries such as:

  • Plantar Fasciitis
  • Achilles tendonitis
  • Knee Bursitis
  • Retro-calcaneal bursitis
  • Patella Tendinopathy
  • Hip pain (greater trochanteric bursitis)

Custom Orthotics

Here at SLC we carry out a comprehensive analysis and examination of the way your walk and the biomechanics of your feet. This detailed information is used to prescribe custom orthotics for you. Orthotics look very much like insoles but they are in fact medical devices, a bit like prescription glasses, that help to improve the mechanics of tissues and joints in your feet.

Custom Orthotics will:

  • Assist to correct any imbalance whilst promoting the natural movement patterns of your feet.
  • Relieve foot pain which puts a strain on other areas of your body.
  • Provide longer-lasting, more reliable support than standard orthotics.
  • Last much longer than conventional orthotics.
Person standing next to custom made orthotics
Clinician performing ultrasound guided injection therapy in between the toes

Injection Therapy

Ultrasound-guided injections (such as high volume or corticosteroids) can help reduce inflammation and stimulate tissue repair when other treatments aren’t enough.

Exercise & Rehab Programmes

Structured, progressive loading exercises are essential for tendon healing. We guide you through safe and effective rehabilitation tailored to your needs.

Clinician performing foot examination
Clinician performing fascial manipulation on a patient's ankle

Fascial Manipulation

A hands-on therapy technique (STECCO) that targets the connective tissue around the tendon to improve mobility, reduce pain, and restore function.

Book Your Achilles Tendon Assessment in South London

Don’t let Achilles tendon pain stop you from doing the things you love. Early assessment and targeted treatment are key to a full and lasting recovery.

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Request A Consultation

One of our highly knowledgable team will be in touch to discuss your specific problem.

Where to find us

Conveniently located in Honor Oak, we have easy transport links nearby, with Honor Oak Park Station on our doorstep.
With FREE PARKING.

Opening Hours:

Here are our opening hours. We look forward to seeing you in the clinic.

Monday 09:00 - 16:00
Tuesday 10:00 - 16:00
Wednesday 10:00 - 16:00
Thursday 10:00 - 18:00
Friday Closed

☎ Tel: 0203 9181 322