Runner on a trail, a common activity behind Achilles tendon pain

Achilles Tendon Pain Treatment in Saanichton

Achilles pain usually builds slowly: stiffness at the back of the heel first thing in the morning that eases as you warm up, then gradually lasts longer. It’s common in runners, people who’ve increased their walking or hiking, and anyone over 40 who’s active. The good news is that it responds well to the right loading program, and shockwave therapy can help stubborn cases.

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Signs of Achilles tendinopathy

  • Pain and stiffness in the Achilles tendon or where it attaches to the heel
  • Stiffness first thing in the morning or after sitting
  • Pain at the start of a run that eases, then returns afterwards
  • A thickened or tender area on the tendon

How we treat Achilles pain

  • Progressive tendon loading: calf raises and strength work that build the tendon’s capacity. This is the core of treatment.
  • Shockwave therapy: well supported for Achilles tendinopathy that hasn’t settled with exercise alone.
  • Training and footwear advice: adjusting running volume, hills and speed work so you can often keep training.
  • Soft tissue therapy and ankle mobility for tight calves and stiff ankles.
  • Return to running with our athletic therapist.

When it’s urgent

If you felt a sudden snap or a kick at the back of the ankle, can’t rise onto your toes, or have a gap in the tendon, see a doctor or go to urgent care the same day. These are signs of an Achilles rupture, which needs prompt medical treatment.

Frequently Asked Questions

Should I stop running?

Not always. Many runners can keep training at a reduced load if pain stays mild during the run and settles by the next morning. We’ll give you clear limits.

How long does Achilles tendinopathy take to get better?

Usually three to six months of consistent loading for full recovery, though most people notice improvement within the first six to eight weeks.

Is it the same as plantar fasciitis?

No, but they’re related and sometimes happen together. Plantar fasciitis causes pain under the heel and arch. See plantar fasciitis treatment.

Read our guide to running injuries and load management.

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Open 6 days a week, 8:00am – 6:00pm. Direct billing to most extended health plans, ICBC and WorkSafeBC.

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