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Achilles Tendinopathy (or tendonitis) & Peroneal Tendinopathy

Information from the Buxton Osteopathy Clinic

Achilles Tendinopathy (or tendonitis) & Peroneal Tendinopathy



For Achilles and Peroneal Tendinopathy we use gold standard  Shockwave Therapy which is one of the most advanced non-surgical and non-invasive treatment available for a wide range of stubborn conditions that are difficult to treat using a conventional treatment approach.  Shockwave Therapy will preclude the need for steroid injections and invasive surgeries and enable rapid relief from your pain.

The Achilles tendon is the largest tendon in the human body and has the same tensile strength as mild steel. Despite these amazing facts it can still be compromised by any activity that involves repeated running, jumping or frequent sudden accelerations or decelerations (i.e. most sports!).

The actual condition itself is thought to be caused by repeated micro-traumas caused by overuse injury. Other issues that are likely to exacerbate the condition include inappropriate foot wear, sudden changes in intensity in training, training on gradients and/or poor flexibility.

Shockwave Therapy is one of the most widely researched rehabilitation modalities, with increasing numbers of scientific studies added each year. The majority of research validates the effectiveness of extracorporeal shockwave, and shows successful treatment rates of up to 90%! 

After only 3 or 4 treatments with shock wave, most patients report a significant reduction of pain and regaining of normal function.

Shockwave Therapy is so effective it is now recommended by the National Institute for Health and Clinical Excellence (NICE). NICE is an independent body set up in 1999 in order to provide the best evidence based guidance and advice based on research and evidence about which treatments are most effective.


Typical Symptoms; A worsening pain on the outside of your ankle that is evident particularly during or after activity. The ankle will also feel unstable and weak.

The two peroneal tendons are located on the outside of your lower leg and enable you to turn your foot outwards (this helps provide stability when you are standing). These two tendons then descend very closely around the outside ankle and attach underneath your foot.

Damage to these tendons can occur traumatically (acute) or through repetitive strain (chronic). The condition is often typically characterised by someone involved in a sport that would generate high demand on the ankles. This scenario would be likely to cause structural changes in the tendons as a response to high loading. This would cause a thickening in the tendon in an attempt to manage the increased demand. Depending on the stage of the tendinopathy, these changes are reversible and often respond well to treatment. Additional causative factors are;

•Sudden increase in activity (running or jumping)

•Inappropriate or unsupportive footwear

•Poor lower limb biomechanics

•Incomplete rehabilitation following an acute ankle injury

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Please note: Under current legislation issued by the Advertising Standards Agency we cannot state that we treat a condition unless there is robust scientific evidence to support any given claim.

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