Achilles tendonitis or tendinopathy is a painful condition which can affect different parts of
the achilles tendon. The term ‘tendonitis’ is used when the issue is more acute and there is
inflammation of the tendon whereas ‘tendinopathy’ or ‘tendinosis’ refers to more chronic,
degenerative changes within the tendon structure.
In addition, you can have ‘insertional’ achilles pain, which is felt right at the back of the heel
where the tendon inserts into the bone or ‘mid portion’ pain which affects the area higher
up the tendon (midway between the heel and where the tendon and muscle join).
The treatments for insertional and mid portion tendon issues are different. Furthermore,
there are differences in treatment interventions for tendinitis and tendinopathies. This
means it’s important that you get a proper diagnosis to ensure you receive appropriate
Depending on what your Podiatrist finds during their assessment and the
subsequent diagnosis, treatment options can include insoles, heel lifts in your shoes,
exercises and activity modification. In our clinic, we have an MLSⓇ laser which can be a very
helpful addition to your treatment plan.
MLS laser helps to reduce pain, swelling and inflammation as well as accelerating your
bodies own natural healing process. The MLS laser delivers two wavelengths, 808nm and
905nm in a synchronised manner. Because the stronger 905nm wavelength is nanopulsed
(this means it pulses on and off rapidly), any risk of thermal damage to your tissue is
removed and the laser is completely safe to use. The 808nm wavelength targets tissue
repair and regeneration and the 905nm wavelength has an analgesic effect and targets pain
This means laser treatment could help to quickly calm down pain and get you better faster.
It can be used on any type of achilles tendon issues and is completely painless which means
it’s a pleasant treatment to receive. There is also no need to change your activity levels after
treatment unless activity modification has been recommended as part of your treatment
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