Achilles Tendon & Ankle Issues

Achilles tendon issues, ankle instability and sprains

What is it?

Achilles tendon and ankle complaints are common in athletes and active people. The Achilles tendon is the strongest tendon in the body but is also susceptible to overloading. The ankle is a frequently injured joint, especially in sports. At Physical Studio we have extensive experience treating these complaints.

Achilles tendon inflammation (tendinopathy) often arises from too rapid training progression or insufficient recovery. Ankle complaints range from acute sprains to chronic instability. Both types of complaints require a targeted approach to fully recover and prevent relapse.

Our therapists use ultrasound to assess the Achilles tendon in detail and determine the severity of any injury. With a biomechanical analysis of your gait pattern, we identify risk factors for relapse.

Common causes

Achilles tendinopathy (overuse)
Achilles tendon rupture (tear)
Ankle sprain (lateral ligament injury)
Chronic ankle instability
Peroneal tendinopathy
Ankle impingement
Heel spur and plantar fasciitis

How we diagnose

Ultrasound is an indispensable diagnostic tool for Achilles tendon and ankle complaints. We assess the structure and thickness of the Achilles tendon, the condition of the ankle ligaments and any fluid accumulation. Clinical tests for ankle stability and a biomechanical analysis of your gait pattern complete the diagnostic picture. With VALD Force Decks we objectively measure strength and jumping ability.

Treatment approach

Treatment of Achilles tendon and ankle complaints at Physical Studio is based on the latest scientific evidence. For Achilles tendinopathy, a progressive loading programme is central, where the tendon is gradually built up with specific exercises. For ankle injuries, we focus on restoring stability, proprioception and strength. Our integrated approach combines physiotherapy with personal training for optimal recovery.

Expected recovery

An ankle sprain typically recovers within 4-6 weeks, but stability training takes longer. Achilles tendinopathy requires an 8-12 week programme with gradual load increase. An Achilles tendon rupture (conservatively treated) needs a rehabilitation period of 4-6 months.

When to seek help

Seek help if you have Achilles tendon pain that does not improve after a week of rest, if your ankle repeatedly sprains, if you heard or felt a snap in the Achilles tendon, or if you have difficulty walking after an ankle injury. Early treatment prevents chronic complaints.

Frequently asked questions

How long does recovery from Achilles tendinopathy take?

Achilles tendinopathy typically requires an 8-12 week treatment programme. Most important is a gradual build-up of load with specific exercises. With the right approach, results are often very good.

Should I wear a brace after an ankle sprain?

In the acute phase a brace can be useful. After that, it is important to actively train the ankle. We guide you with an exercise programme focused on restoring stability and strength.

Can I run with Achilles tendon complaints?

That depends on the severity of your complaints. In some cases you can continue running in a modified way. We create a loading schedule that is tailored to your recovery and sports goals.

How do I prevent repeated ankle sprains?

By working on ankle stability, proprioception and calf muscle strength. We offer a preventive training programme that significantly reduces the risk of repeated sprains.

Is a heel spur the cause of my heel pain?

A heel spur is not always the cause of heel pain. Often plantar fasciitis (inflammation of the plantar fascia) is the actual cause. We make an accurate diagnosis and treat the underlying cause.

Related conditions

Back Pain

Lower back pain, herniated disc, and other back conditions

Neck Pain

Neck pain caused by strain or poor posture, whiplash, or radiating symptoms.

Shoulder Pain

Frozen shoulder, impingement and rotator cuff issues

Knee Pain

ACL injuries, meniscus and patellofemoral conditions

Does this sound familiar? Book an appointment.

Our physiotherapists are happy to help you with a personalized treatment plan.

Book an appointment +31 20 782 82 82