Physiotherapy

Physiotherapy

Achilles Tendinopathy BPPV (Benign Paroxysmal Positional Vertigo) Dizziness After Stroke Falls and Balance Issues Hip Surgery Rehabilitation Knee Osteoarthritis (Acute Phase) Knee Surgery Rehabilitation Lateral Ankle Sprain Low Back Pain (Non-specific) Lower Limb Fracture (Hip, Knee, Ankle) Meniscus Injury Neck Pain (Non-specific) Paediatrics: Gross Motor Delay Parkinson’s Disease Rehabilitation Patellofemoral Pain Syndrome Plagiocephaly and Torticollis Plantar Fasciitis Rehabilitation post ACL Reconstruction Rotator Cuff Tear (Conservative) Rotator Cuff Tendinopathy Shoulder Surgery Rehabilitation Stroke Rehabilitation and Recovery Upper Limb Fracture (Wrist, Arm, Shoulder) Vestibular Neuritis

Achilles Tendinopathy

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What to Expect When You Visit Us for Achilles Tendinopathy

When you visit us for Achilles tendon pain, we assess your loading patterns, strength, and activity levels. Treatment focuses on progressive loading exercises to strengthen the tendon and reduce pain.

Time to Initial Symptom Relief

1–2 wks typical

Start Median: 4 months Favourable outcome
100% 75% 50% 25% 0%
0mo1.5mo3mo4.5mo6mo

Results Comparison

Physio Recovery Rate

With TCM 70% – 85%
No Treatment / Spontaneous <5%
How Does the Treatment Work? ⓘ
Manual Therapy Deep calf muscle release.
Exercise Rehab HSR (heavy slow resistance) & eccentric loading.

Sustained Relief (%)

3 / 6 / 12 months
3 months 85%
6 months 78%
12 months 72%

Factors Influencing Recovery Speed

↑ What can speed recovery

Heavy Slow Resistance

• The Achilles usually responds well to progressive calf strengthening. • Tissue capacity improves when loading is gradual and regular.

Activity Modification

• Adjusting hills, sprinting and jumping load helps symptoms settle. • Smart training edits keep progress moving.

↓ What slows down recovery

Under-Recovery Between Sessions

• Repeated overload without recovery can keep the tendon reactive. • The result is often a stop-start rehab pattern.

Ignoring Morning Stiffness Trends

• Morning pain is a useful load marker. • If ignored, training often overshoots tolerance.

What does the Evidence say?
Exercise therapy, particularly loading programs, is considered the gold standard for Achilles tendinopathy (Malliaras et al., 2013). References Malliaras, P., Barton, C. J., Reeves, N. D., & Langberg, H. (2013). Achilles tendinopathy loading programs. British Journal of Sports Medicine, 47(4), 207–214.

How do we estimate outcomes?

We combine insights from published research, our own experience and that of our peers, along with typical treatment timelines and conservative modelling assumptions, to map out common trajectories. The ranges presented reflect our experience only.

Important Disclaimer

This tool is intended for visualisation and general educational purposes only, to help clients gain a broad understanding of some common conditions managed by our practitioners. It is based on practitioner experience and selected published research. It does not account for individual circumstances, including your specific condition, medical history, medications, or other personal factors. Health conditions are complex, and outcomes can vary significantly between individuals. Our treatments are not a substitute for medical care provided by your healthcare professional. You should always follow the advice and treatment plan recommended by your medical practitioner, and consult them directly for guidance specific to your situation.