The Achilles tendon is located behind the ankle and above the heel and serves as the connection between the calf muscles (gastrocnemius, soleus and plantaris) to the heel bone (calcaneus). During walking, running or jumping the achilles tendon main role is to absorb, store and use energy to act in a spring like manner to propel the body forwards. An imbalance in this storing/recovering system can lead to the tendon becoming overloaded or worse a tear which can be partial or full. An irritation of the achilles tendon can happen due to overloading, repetitive strain, or even a trauma. The most common context leading to achilles tendon pain is running. Multiple factors can cause these symptoms that include returning to activity after a period of inactivity, imbalances of posture during activity further up the leg (kinetic chain), poor shoe wear support or restricted foot mobility. Typical symptoms include swelling, redness of the area or even a sensation of heat can be felt. The achilles becomes painful on walking, running or hopping and a common characteristic is stiffness in the mornings that can be relieved with rest. The treatment options vary according to the individual, a physiotherapist can help advise the correct exercises and management for your injury. Shockwave therapy has been shown to have excellent results in the resolution of Achilles tendinopathy issues and is something we use here at Flex physio.