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Achilles pain and exercise: what should I discuss at assessment?
Pain or stiffness behind the heel can occur with Achilles tendinopathy, but an assessment is needed to identify the problem. A sudden injury requires a different approach from a gradually developing ache.
What pattern is useful to describe?
Tell us whether the pain began suddenly or gradually, where it hurts and how exercise or rest affects it. Mention increases in walking, running, hills or training.
Should I stop all exercise?
For diagnosed tendinopathy, suitable alternative activity may accompany reduced aggravating activity. Avoid unadapted programmes, particularly for pain at the heel attachment.
What does rehabilitation involve?
We’ll discuss progressive strengthening and activity changes around your goals and response, with review rather than a fixed timetable. Shockwave may suit some persistent symptoms after assessment.
When should I seek urgent help?
A snap or pop with difficulty walking or pushing off needs urgent assessment for possible rupture. Don’t wait for routine rehabilitation. Gradual symptoms can be assessed at an appointment.
Unsure how to return to your usual activity?
Tell us which activities you miss and which exercises you have tried.
Sources and clinical guidance
These sources support the general information above. Individual assessment may lead to different advice.
Sources checked 8 September 2026.