Achilles Tendonitis Management & Therapy in Singapore

Achilles tendonitis is a common condition causing pain and inflammation along the Achilles tendon, which connects your calf muscles to your heel bone. Often an overuse injury, it commonly affects athletes and active individuals in Singapore that are engaged in repetitive stress activities. The tendon becomes inflamed from excessive strain, leading to discomfort.

Effective Achilles tendonitis management involves understanding its causes, symptoms and diagnosis. At UFIT Podiatry, our Achilles tendonitis specialist team adopts a personalised approach to provide relief, and to promote recovery through focused therapy and non-invasive methods.

Symptoms of Achilles Tendonitis

The symptoms of Achilles tendonitis can vary in intensity and may develop gradually. Some common signs include:

Pain and Stiffness

Individuals often experience pain along the Achilles tendon or at the back of the heel, which is typically worse upon waking in the morning or after periods of inactivity. This discomfort tends to lessen with mild activity but can return with increased strain.

Swelling

Noticeable swelling along the Achilles tendon is a common symptom, particularly becoming more pronounced after physical activity or exercise. This swelling indicates inflammation and can be accompanied by warmth to the touch.

Tenderness

The affected Achilles tendon usually feels tender to the touch, especially when gently squeezed. This localised tenderness is a key indicator of inflammation within the tendon.

Thickening of the Tendon

Over time, or in more chronic cases of Achilles tendonitis, the tendon itself may begin to feel thicker or appear visibly enlarged compared to the unaffected side. This thickening is a result of scar tissue formation and ongoing inflammation.

Limited Range of Motion

One might experience difficulty flexing the foot upwards (dorsiflexion) or pointing the toes downwards due to pain or stiffness in the Achilles tendon. This reduced range of motion can impact walking, running and other daily activities.

Crepitus

A distinct creaking, crackling or grating sensation (known as crepitus) may be felt or heard when moving the ankle or palpating the Achilles tendon. This sound often indicates friction or irregularity within the inflamed tendon sheath.

Noticeable Lump Development

In more advanced or chronic cases of Achilles tendonitis, a visible or palpable lump may develop along the affected Achilles tendon. This lump is usually a localised thickening due to degeneration or scar tissue accumulation within the tendon fibres.

Overuse Repetitive stress from activities like running, jumping or intense exercise is a primary cause, leading to cumulative micro-tears within the Achilles tendon. This consistent strain, without adequate rest, can overwhelm the tendon's ability to repair itself, initiating inflammation and pain.

Sudden Increase in Activity Rapidly increasing the intensity, duration or frequency of physical activity places sudden, excessive demands on the Achilles tendon. This abrupt change can overwhelm the tendon's capacity, making it vulnerable to inflammation and the onset of Achilles tendonitis.

Tight Calf Muscles Tight calf muscles significantly limit ankle flexibility and increase the mechanical load on the Achilles tendon during movement. This constant tension puts additional strain directly on the tendon, making it more susceptible to irritation and the development of Achilles tendonitis.

Improper Footwear Wearing shoes that lack adequate support, cushioning or are simply worn out can compromise the natural biomechanics of your foot and ankle. Such footwear can lead to abnormal forces being transmitted through the foot, placing undue stress on the Achilles tendon and contributing to Achilles tendonitis.

Biomechanical Issues Underlying foot mechanics, such as flat feet, excessive overpronation (inward rolling of the foot) or unusually high arches, can alter how weight is distributed during movement. These imbalances create abnormal stresses and increased tension on the Achilles tendon, making individuals more prone to Achilles tendonitis.

Age The natural aging process contributes to the development of Achilles tendonitis as tendons progressively lose their inherent elasticity, flexibility and strength over time. This factor also makes the Achilles tendon more susceptible to injury from everyday activities or exercise, even without significant trauma.

Medical Conditions Certain medical conditions can contribute to tendon degeneration and increase the risk of Achilles tendonitis. For example, conditions like obesity, which adds excess load, and diabetes or high blood pressure, which can affect blood flow and tissue health, may predispose individuals to tendon issues.

Our Approach to Achilles Tendonitis Therapy

At UFIT Podiatry, a personalised and comprehensive approach is adopted to manage Achilles tendonitis, focusing on relieving symptoms, promoting healing and preventing recurrence. Our management strategy includes:

Step 1: Thorough Assessment

A detailed initial assessment is conducted to understand the patient’s condition, lifestyle, and any contributing factors. This involves a physical examination, gait analysis, and a review of their medical history.

Step 2: Customised Management PlansBased on the assessment, a tailored management plan is developed. This may include a combination of conservative measures and physical therapy.

Step 3: Advanced Therapies

UFIT Podiatry offers advanced therapeutic options such as Radial Shockwave Therapy and Focal Shockwave Therapy to accelerate healing. These cutting-edge modalities precisely deliver energy to the affected Achilles tendon, stimulating blood flow and tissue regeneration to effectively manage chronic pain and promote faster recovery.

Step 5: Education and PreventionPatients are educated on proper footwear, foot care and exercises to prevent the recurrence of Achilles tendonitis and maintain tendon health. This proactive approach helps to prevent future issues and manage existing conditions effectively.

UFIT Podiatry 3D printing custom insoles

Step 4: Custom OrthoticsCustom orthotic devices are designed and fitted to provide optimal support, correct foot mechanics and reduce strain on the Achilles tendon. These orthotics are created based on precise measurements and are tailored to the patient’s specific needs.

Step 6: Follow-Up CareRegular follow-up appointments are scheduled to monitor progress, adjust treatment plans as necessary and ensure long-term recovery and management. UFIT Podiatry emphasises continuous care to help patients achieve and maintain tendon health.

Achilles tendonitis, though often painful and limiting, can be effectively managed with a combination of appropriate treatments and preventive measures. By understanding the causes, symptoms, and available treatment options, individuals can take proactive steps towards relief and improved tendon health. At UFIT Podiatry, a patient-centered approach ensures that those suffering from Achilles tendonitis receive the best possible care, tailored to their unique needs. Through comprehensive assessments, advanced therapies, and personalized treatment plans, UFIT Podiatry helps patients overcome the challenges of Achilles tendonitis and achieve long-lasting comfort and mobility.

Our Approach to Achilles Tendonitis Therapy

Step 1: Thorough Assessment

Step 2: Customised Management PlansBased on the assessment, a tailored management plan is developed. This may include a combination of conservative measures and physical therapy.

Step 3: Advanced Therapies

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We recognise the interconnectedness of musculoskeletal health, so we assess your entire body, not just your feet. We also focus on vital health indicators impacting your lower limbs, like circulation, nerve function and alignment.

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Lewis Nurney

Lewis is a highly experienced podiatrist with over 5 years of practice in Singapore, bringing his expertise to UFIT's comprehensive Circle of Care. As Head of Podiatry at UFIT Club Street, he specialises in sports podiatry, innovative orthotics for adults and children (including 3D-printed custom insoles, Paediatric AFOs and SMOs for pediatric flat feet), and minimally invasive procedures.

A first-class honours graduate from the University of Huddersfield (UK), Lewis holds dual certifications in Extracorporeal Shockwave Therapy (ESWT), Diagnostic Ultrasound and Running Gait analysis. Previously with East Coast Podiatry, he now provides patient-centred care at UFIT, specialising in non-surgical management of conditions like Foot Pain, Plantar Fasciitis and Achilles Tendinopathy in both children and adults, ultimately focused on alleviating discomfort and restoring optimal foot function.

Elliot Yeldham

Elliott is a dedicated podiatrist with over 7 years of healthcare experience, gained in both the UK's National Health Service (NHS) and private practice. He holds an Honours degree in Podiatry from Cardiff Metropolitan University (Wales), and brings a wealth of expertise to Singapore.

Specialising in Musculoskeletal (MSK) podiatry, Elliott's interests include sport podiatry and the management of gait abnormalities in both adults and children. He is also recognised for his skill and patient-focused approach in minimally invasive procedures for ingrown toenails and wart removal. Committed to a patient-centred and multidisciplinary model, Elliott actively stays informed of the latest healthcare advancements through clinical research and international conferences.

Frequently Asked Questions About Achilles Tendonitis

Can Achilles tendonitis heal on its own? While mild cases might see some improvement with rest, Achilles tendonitis rarely resolves completely without proper intervention. For effective Achilles tendonitis management, consulting a specialist is crucial to prevent the condition from worsening or becoming chronic.

How long does it take to recover from Achilles tendonitis? Recovery time from Achilles tendonitis varies significantly depending on the severity and individual factors. Mild cases may improve in a few weeks with consistent therapy, while chronic or severe conditions can take several months of dedicated physical therapy and rehabilitation.

Can I still exercise or walk with Achilles tendonitis? It's generally not advisable to continue high-impact exercise or extensive walking with Achilles tendonitis, as this can exacerbate the condition and delay healing. An Achilles tendonitis specialist can provide guidance on modified activities and an appropriate management plan to support your recovery without further strain.

How can I prevent Achilles tendonitis from recurring? Preventing recurrent Achilles tendonitis involves a multi-faceted approach, including proper warm-ups, appropriate footwear and gradual increases in activity levels. Consistent stretching and strengthening exercises, often guided by physical therapy, are also key components to a long-term prevention strategy.

Does age increase the risk of developing Achilles tendonitis? Yes, age can increase the risk of developing Achilles tendonitis as tendons naturally lose some elasticity over time, making them more susceptible to injury. However, with the appropriate precautions and effective management, individuals of all ages can continue to enjoy comfortable movement and activity.

What are the long-term effects of untreated Achilles tendonitis?

Untreated Achilles tendonitis can lead to chronic pain, significant functional limitation and even tendon ruptures in severe cases. This underscores why early and effective Achilles tendonitis management with a dedicated podiatry specialist is vital to prevent lasting complications.

Is surgery required for Achilles tendonitis? Surgery is rarely required for Achilles tendonitis, and is typically considered only as a last resort for chronic or severe cases. Most individuals find significant relief and recover effectively through non-invasive physical therapy and other conservative approaches.

Can tight calf muscles contribute to Achilles tendonitis? Yes, tight calf muscles are a very common contributing factor to Achilles tendonitis as they place increased strain on the Achilles tendon. Incorporating regular calf stretches and flexibility exercises into your routine is a crucial part of both preventing and managing Achilles tendonitis.

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Achilles Tendonitis Therapy

What is Achilles Tendonitis?

Symptoms of Achilles Tendonitis

Pain and Stiffness

Swelling

Tenderness

Thickening of the Tendon

Limited Range of Motion

Crepitus

Noticeable Lump Development

Causes of Achilles Tendonitis

Achilles Tendonitis Management and Prevention Tips

Rest, Ice, Compression, Elevation (R.I.C.E.) for Acute Injuries

Podiatry Therapies for Accelerated Healing

Foot Orthotics for Improved Alignment

Eccentric Stretching for Calf Muscles

Regular Stretching for Flexibility

Warm-up and Cool-down Exercises

Wear Appropriate Footwear

Address Recurring Issues Promptly

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Our Approach to Achilles Tendonitis Therapy

Our Approach to Achilles Tendonitis Therapy

What to expect on your first visit

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Meet Our Podiatry Team

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Frequently Asked Questions About Achilles Tendonitis

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