Item added to basket

product name

FREE DELIVERY ON ORDERS OVER £60*
100% SECURE SHOPPING
Credit Cards
Trustpilot
EXCELLENT REVIEWS
Basket total £ 0.00
  • product added £ 0.00
checkout

SUPPORTS

ICE PACKS

REHAB

Achilles Paratendinopathy Explained

Anatomy of achilles tendon Achilles Paratendinopathy is a common cause of Achilles pain, although lower Calf and heel pain is often reported with this condition. Achilles Paratendinopathy is commonly referred to as Achilles Tendonitis. The Achilles Tendon is situated above the heel and forms the lower part of the calf muscles. It is a continuation of the Gastrocnemius and Soleus muscles and attaches to the heel bone. It is the strongest tendon in the human body and its function is to transmit the force of the muscles to produce the push off during walking and running. The Achilles Tendon is surrounded by a fibrous sheath or 'paratendon', which is the structure affected by Achilles Paratendinopathy. Of all Achilles region pain it has been estimated that 50 - 60% is caused by Achilles Paratendinopathy.

Achilles Paratendinopathy is characterised by inflammation of the Paratendon. It can be due to a number of causes, but direct trauma can be implicated in this condition. The other major cause of inflammation of the Achilles Paratendon is training error. A sudden increase in training intensity, duration or frequency can overload the tendon and cause an inflammatory response within the sheath. Achilles Tendonitis or Achilles Paratendinopathy is common in middle distance and long distance runners, as well as those involved in contact sports, particularly soccer.

Other errors include running on hard or uneven surfaces and wearing incorrect or inadequate footwear. These may be exacerbated by biomechanical factors. The Achilles Tendon does not attach to the heel bone in a straight line but spirals downwards - this is to generate more muscle force. If the person has flat feet the tendon whips round and the tendon sheath tends to get inflamed on the inside, or medial, aspect. Other biomechanical problems can cause a similar effect - namely weak Calf muscles, tight Calf muscles or a stiff ankle joint.

Achilles Paratendinopathy Signs & Symptoms

In the case of a severe episode of Achilles Paratendinopathy, there is Achilles tendon pain which is made worse by activity. The Achilles pain will become severe if the person tries to continue to run and, if the Achilles Tendon is extremely inflamed, it will feel worse when walking around. Often the Achilles Tendon feels very stiff first thing in the morning.

The appearance of the Achilles Tendon region becomes thickened, compared to the unaffected side, and will also be tender to touch. A rough, grating sound can often be experienced when the person moves their ankle up and down. This is known as 'crepitus' and is caused by the formation of fibrous tissue within the Achilles Paratendon in the latter stages of the inflammatory process.

Crucially, the differentiating feature of Achilles Paratendinopathy compared to Achilles Tendinopathy is that the painful area stays in the same place when the ankle is moved up and down. This is because the Achilles Tendon moves during ankle movement, but the Achilles Paratendon doesn't move.

Achilles Paratendinopathy Treatment

In the early, painful stage of the injury it is important the follow the PRICE protocol - protection, rest, ice, compression and elevation (never apply ice directly to the skin). Ice Packs for a period of twenty minutes every couple of hours may help with the pain but pain-relieving medication may also be necessary. The Aircast Ankle Cryo/Cuff is the most effective method of providing ice therapy, whilst protecting the injured tissues from further damage, and is the professional's choice. It can provide continuous ice cold water and compression for up to 8 hours to significantly reduce pain and swelling.

It is also important to rest the affected Achilles Paratendon from sporting activity until this acute pain resolves. Non impact exercises, such as pool running with a Buoyancy Belt, can be useful to maintain fitness without putting strain on the Achilles Tendon. If the pain is severe Non-Steroidal Anti-Inflammatory Drugs ( NSAIDs) may be prescribed by a GP or Topical Anti Inflammatory Gel may be helpful. Electrotherapy treatments such as ultrasound and pulsed short wave diathermy may be given by a Chartered Physiotherapist as these have the effect of accelerating the inflammatory reaction and speeding the healing process.

An Achilles Strap can effectively relieve the symptoms of Achilles Paratendinopathy. By providing gentle compression an Achilles Strap reduces stress on the Achilles Tendon. Once the inflammation has settled, a Physiotherapist may begin to stretch and strengthen the Calf muscles. If the ankle or joints of the foot are stiff the Physiotherapist can mobilise them to restore the normal range of movement. These measures have the effect of taking the excessive load off the tendon and normalising the biomechanics of the lower leg.

Achilles Paratendinopathy Prevention

Research has suggested that the risk of a recurrence of the injury may be reduced by following a programme that incorporates eccentric muscle work. Eccentric muscle work refers to a muscle that lengthens whilst contracting - a contraction that occurs during movements such as landing and decelerating. Maximum tension is generated in the muscle during the eccentric contraction and this causes the tendon to adapt and get stronger.

An eccentric strengthening programme forms the basis of the rehabilitation exercises detailed for this injury, and can also help with injury prevention.

Training errors must be avoided and the intensity, duration and frequency of training should be carefully monitored and gradually progressed, with no sudden increases. Muscle strength and flexibility should be maintained through regular strengthening and stretching sessions. The training surface should be appropriate to the sport and it is important to wear the correct footwear. Shock Absorbing Insoles can reduce the stress on the Achilles Tendon region when running.

We'd like to thank Professor Nicola Maffulli for his contribution to this article.
An update on tendinopathies by Professor Nicola Maffulli




Ultimate Performance Achilles Tendon Support - Ankle Brace with Compression Strap - Achilles Tendonitis

£19.49 inc VAT

Using a combination of compression and added stability this easy to wear ankle support relieves and heals the symptoms of achilles tendonitis.
More Details

Ultimate Performance Achilles Tendon Support - Ankle Brace with Compression Strap - Achilles Tendonitis has a rating of 5.0 stars from 6 reviews (6 reviews)

In Stock

Quantity

PhysioRoom Instant Ice Pack - Mouldable Pouch for Pain Relief of Sports Injuries - Single Use

From £0.75 inc VAT     1+ £1.99 each
    6+ £1.69 each (Save 15%)
  12+ £1.19 each (Save 40%)
  24+ £0.95 each (Save 52%)
  50+ £0.75 each (Save 62%)

A mouldable pack that becomes an instant, single use ice pack, without the need for refrigeration.
More Details

PhysioRoom Instant Ice Pack - Mouldable Pouch for Pain Relief of Sports Injuries - Single Use has a rating of 5.0 stars from 22 reviews (22 reviews)

In Stock

Quantity

Physicool Cooling Bandage - 10cm x 2m - Cold Therapy Bandage - Pain Relief for Sports Injury - Reusable

£10.00 inc VAT

Physicool is an innovative and uniquely designed reusable strapping that combines the healing characteristics of cold therapy with the support qualities of a compression bandage. Differing from the more traditional treatments currently available, Physicool works by drawing heat away from the body to provide an instant long-lasting cooling effect which can be utilised for extended periods.
More Details

Physicool Cooling Bandage - 10cm x 2m - Cold Therapy Bandage - Pain Relief for Sports Injury - Reusable has a rating of 5.0 stars from 7 reviews (7 reviews)

In Stock

Quantity

Physicool Cooling Bandage + Bottle of Recharging Coolant - Injury Pain Relief - Reduce Swelling & Inflammation

£14.99 inc VAT

The Physicool combination pack supplies you with one specially formulated cooling bandage and one bottle of recharging coolant which will rejuvenate and refresh the dressing. Small and compact this kit is ideal for wrist, elbow and ankle injuries providing between 2-3 hours of cold therapy and compression.
More Details

Physicool Cooling Bandage + Bottle of Recharging Coolant - Injury Pain Relief - Reduce Swelling & Inflammation has a rating of 5.0 stars from 6 reviews (6 reviews)

In Stock

Quantity

Physicool Cooling Bandage - 12cm x 3m - Cold Therapy Bandage - Pain Relief for Sports Injury - Reusable

£13.00 inc VAT

Physicool is a new and unique way to instantly apply cold therapy whilst on the move, this portable and reusable compression bandage is applied quickly and easily allowing the healing process to begin immediately. By taking heat away from the body Pysicool have developed a product which differs from move traditional methods meaning it can be used for longer periods.
More Details

Physicool Cooling Bandage - 12cm x 3m - Cold Therapy Bandage - Pain Relief for Sports Injury - Reusable has a rating of 5.0 stars from 13 reviews (13 reviews)

In Stock

Quantity

Empi Direct TENS

£54.99 inc VAT

The Empi Direct TENS machine (transcutaneous electrical nerve stimulator) is a compact dual channel handheld device which utilises a range of nerve stimulation programmes to aid in the treatment and management of chronic and acute conditions.
More Details

Empi Direct TENS has a rating of 5.0 stars from 1 reviews (1 review)

In Stock

Quantity

Bauerfeind AchilloTrain Achilles Tendon Support - Ankle Support for Pain Relief - Removable Cushion

£120.00 inc VAT

An active support for the relief of Achilles tendon pain and following Achilles tendon ruptures.
More Details

Bauerfeind AchilloTrain Achilles Tendon Support - Ankle Support for Pain Relief - Removable Cushion has a rating of 4.0 stars from 2 reviews (2 reviews)

Delivered in 3 days

Quantity

Bauerfeind AchilloTrain Achilles Tendon Support - Ankle Support for Pain Relief - Removable Cushion

£120.00 inc VAT

An active support, with a high-reaching friction insert, for the relief of Achilles tendon pain and following Achilles tendon operations.
More Details

Bauerfeind AchilloTrain Achilles Tendon Support - Ankle Support for Pain Relief - Removable Cushion has a rating of 5.0 stars from 8 reviews (8 reviews)

Delivered in 3 days

Quantity

Ultimate Performance Plantar Fasciitis Sock - Heel Pain Support & Relief - Injury Recovery, Rehab

£23.50 inc VAT

The plantar fasciitis sock from Ultimate Performance is a knee high sock that's been designed to be worn overnight to reduce and relieve the effects of plantar fasciitis. Providing a comfortable fit that won't affect sleep, this sock can also be used to reduce the symptoms of, as well as in conjunction with other remedies for Achilles tendonitis.
More Details

Ultimate Performance Plantar Fasciitis Sock - Heel Pain Support & Relief - Injury Recovery, Rehab has a rating of 3.5 stars from 4 reviews (4 reviews)

In Stock

Quantity

Noene 4mm Shock Absorbing Heel Pads

£9.49 inc VAT Was £11.71 Save £2.22 (19% OFF)

Durable 4mm shock absorbing heel pads, with excellent 36 month life expectancy. Designed to wear under existing insole.
More Details

Noene 4mm Shock Absorbing Heel Pads has a rating of 4.5 stars from 2 reviews (2 reviews)

In Stock

Quantity

Mueller Arch Support Foot Strap - Plantar Fasciitis Foot Support - Foot Pain Relief

£12.98 inc VAT

An arch support designed to relieve foot pain caused by plantar fasciitis.
More Details

Mueller Arch Support Foot Strap - Plantar Fasciitis Foot Support - Foot Pain Relief has a rating of 4.0 stars from 7 reviews (7 reviews)

In Stock

Quantity

Spenco RX Heel Cushions

£7.99 inc VAT


More Details

Spenco RX Heel Cushions has a rating of 3.0 stars from 2 reviews (2 reviews)

Selected options in stock

Quantity

PhysioRoom EVA 3/4 Length Insoles

£1.98 inc VAT

The EVA 3/4 length insoles provide firm arch support, and have been specifically designed for flat, low or fallen arches.
More Details

PhysioRoom EVA 3/4 Length Insoles has a rating of 5.0 stars from 6 reviews (6 reviews)

In Stock

Quantity

PhysioRoom Gel Heel Cup Pair

£2.99 inc VAT

Featuring a dual layer construction and shock absorbing properties, these durable heel cups provide superior support and all-day comfort for your feet.
More Details

PhysioRoom Gel Heel Cup Pair has a rating of 5.0 stars from 29 reviews (29 reviews)

In Stock

Quantity

PhysioRoom Resistance Exercise Band

£3.24 inc VAT

Latex Bands provide light, medium to heavy resistance during training exercises and are designed for increasing strengthening exercises during rehab and sports training. 99.99% free from latex allergens.
More Details

PhysioRoom Resistance Exercise Band has a rating of 5.0 stars from 11 reviews (11 reviews)

In Stock

Quantity

PhysioRoom Water Floatation Belt

£11.99 inc VAT

The Water Floatation Belt is ideal for early non weight bearing cardiovascular training as its design allows the user to run in the pool without putting stress through their injury. It is perfect following injuries such as fractures and stress fractures, knee ligament injuries, sprained ankle or swollen ankle, as well as following knee surgery and ankle surgery once the wounds are sufficiently healed.
More Details

PhysioRoom Water Floatation Belt has a rating of 5.0 stars from 13 reviews (13 reviews)

In Stock

Quantity

PhysioRoom Resistance Band Exercise Loop

£1.49 inc VAT

These multi-coloured tubes provide four levels of resistance, ideal for progressing strengthening exercises.
More Details

PhysioRoom Resistance Band Exercise Loop has a rating of 5.0 stars from 28 reviews (28 reviews)

In Stock

Quantity

PhysioRoom Exercise Band Loop (medium) - Pack of 5

£6.84 inc VAT

These red coloured tubes provide medium resistance, ideal for progressing strengthening exercises.
More Details

PhysioRoom Exercise Band Loop (medium) - Pack of 5 has a rating of 5.0 stars from 1 reviews (1 review)

In Stock

Quantity

PhysioRoom The PhysioRoom Rehab and Fitness Exercise Pack

£49.56 inc VAT

The ultimate rehab and fitness kit, also perfect for yoga and pilates. Everything you will need for exercise or rehab following a sporting injury, for use at home.
More Details

In Stock

Quantity

PhysioRoom 5.5m x 15cm Resistance Band Box - Choose between 5 Levels Of Resistance

£6.98 inc VAT

Latex Bands provide light, medium to heavy resistance during training exercises and are designed for increasing strengthening exercises during rehab and sports training.
More Details

PhysioRoom 5.5m x 15cm Resistance Band Box - Choose between 5 Levels Of Resistance has a rating of 5.0 stars from 25 reviews (25 reviews)

In Stock

Quantity

PhysioRoom Ankle and Wrist Weights x2 1 Pound

£6.48 inc VAT

The PhysioRoom.com Ankle and Wrist Weights each weigh one pound and feature a soft, terrycloth fabric on the inside to ensure a very comfortable fit.
More Details

PhysioRoom Ankle and Wrist Weights x2 1 Pound has a rating of 5.0 stars from 5 reviews (5 reviews)

In Stock

Quantity

PhysioRoom Elite Water Swimming Aid Noodles x3 (Red, Green and Blue)

£12.67 inc VAT

The Elite Water Swimming Aid Noodles are made from lightweight, buoyant foam and are ideal for using as floating and buoyancy devices. The water noodles are also ideal for rehabilitation exercises.
More Details

In Stock

Quantity

PhysioRoom Elite Water Swimming Aid Noodles x6 (x2 of each colour)

£17.14 inc VAT

The pack of six swimming aid noodles feature a variety of colours including x2 red, x2 green and x2 blue and are made from buoyant and lightweight foam.
More Details

PhysioRoom Elite Water Swimming Aid Noodles x6 (x2 of each colour) has a rating of 5.0 stars from 1 reviews (1 review)

In Stock

Quantity

PhysioRoom Elite Water Swimming Aid Noodles x9 (x3 of each colour)

£25.70 inc VAT

The water noodles can be used as floating and buoyancy aids and are also ideal for rehab and therapy exercises.
More Details

In Stock

Quantity

PhysioRoom Elite Water Swimming Aid Noodles x18 (x6 of each colour)

£51.41 inc VAT

The foam water noodles are ideal for rehabilitation and therapy exercises and also great for kids to use too.
More Details

In Stock

Quantity

PhysioRoom 5.5mx15cm Resistance Bands All Strengths 5 Boxes

£43.85 inc VAT

This resistance exercise band pack features five boxes each of which has varying levels of resistance. Each latex band measures 5.5mx15cm and can be cut accordingly to suit your preference. Latex bands provide light, medium to heavy resistance during exercise and are specifically designed to increase strength during rehab and sports training.
More Details

PhysioRoom 5.5mx15cm Resistance Bands All Strengths 5 Boxes has a rating of 5.0 stars from 2 reviews (2 reviews)

In Stock

Quantity

Meridius Spoband Elastic Resistance Band

£6.32 inc VAT

The Meridius Spoband is a long-lasting resistance band with a difference. This elasticated resistance band can be used for muscle toning, posture correction, weight loss, exercise, rehabilitation and popular activities like yoga and pilates.
More Details

Selected options in stock

Quantity

Meridius Spoband Elastic Resistance Band - Orange - 100x2.5cm

£13.95 inc VAT

Meridius Spoband is a long-lasting resistance band with a difference. This elasticated resistance band can be used for muscle toning, posture correction, weight loss, exercise, rehabilitation and popular activities like yoga and pilates.
More Details

In Stock

Quantity

PhysioRoom Reusable Hot & Cold Gel Pack (Large) - Heat & Ice Therapy, Injury Pain Relief - Reduce Swelling

From £1.49 inc VAT     1+ £4.49 each
    6+ £3.99 each (Save 11%)
  12+ £2.99 each (Save 33%)
  24+ £1.99 each (Save 56%)
  48+ £1.49 each (Save 67%)

Reusable, 25cm x 17cm (10" x 7") mouldable gel pack that can be used as either a cold pack or hot pack.
More Details

PhysioRoom Reusable Hot & Cold Gel Pack (Large) - Heat & Ice Therapy, Injury Pain Relief - Reduce Swelling has a rating of 4.5 stars from 12 reviews (12 reviews)

In Stock

Quantity

Aircast Ankle Cryo Cuff & Cooler - Reusable Cryotherapy Cuff - Reduce Ankle Pain, Swelling & Inflammation

£91.99 inc VAT

Ultimate ankle ice therapy; provides 6 hours continuous cold and compression to minimise bleeding, swelling and pain.
More Details

Aircast Ankle Cryo Cuff & Cooler - Reusable Cryotherapy Cuff - Reduce Ankle Pain, Swelling & Inflammation has a rating of 5.0 stars from 1 reviews (1 review)

In Stock

Quantity

Aircast Plantar Fasciitis AirHeel - Foot Pain Support & Plantar Fasciitis Relief - Heel Support

£34.98 inc VAT Was £36.00 Save £1.02 (3% OFF)

Fantastic! Our best selling heel support for heel pain and Plantar Fasciitis. Lightweight and comfortable with two AirCells for heel pain relief.
More Details

Aircast Plantar Fasciitis AirHeel - Foot Pain Support & Plantar Fasciitis Relief - Heel Support has a rating of 4.5 stars from 24 reviews (24 reviews)

In Stock

Quantity




Calf & Shin Injuries