Achilles tendon complaints are quite common. In most cases, it is a form of tendinopathy, a condition of the (Achilles) tendon which involves inflammation, irritation, or damage to the tendon. Tendinopathy is most often a form of overuse.
Complaints and Symptoms
The complaints with your tendon have developed gradually and have become progressively worse. The pain is located about 5 to 7 centimeters above the heel bone and can pinpointed. In addition to pain, there may also be a stiff feeling in the morning and after periods of rest. A slight swelling of the Achilles tendon may also be noticeable.
Causes
It is not just one factor that causes Achilles tendon problems; it is usually a combination of several factors. Factors that can play a role include reduced blood flow to the tendon, decreased muscle strength and flexibility in the calf muscles, foot alignment issues, leg length differences, and pelvic misalignment. Other contributing factors can include changes in training intensity, poor running technique, changing surfaces, and inadequate footwear.
Treatment
The treatment for Achilles tendon problems may include physical therapy, anti-inflammatory medications, orthotics, and adjustments to your sport level. The physical therapist can help guide you through this process, and together with them, you can create a plan to resume your activities.

Have a question?
Check our FAQ – you’ll quickly find answers to the most frequently asked questions.
In principle, you can go to the physiotherapist for all types of pain in the movable parts of the body. Depending on whether the pain is in the muscles, ligaments, and tendons, or in the harder parts of the body such as your spine or joints, it determines which therapist you should visit.
Read moreIf you have a complaint related to the musculoskeletal system that you believe a physiotherapist can help with, in most cases, you do not need a referral for physiotherapy. This applies regardless of whether the complaint concerns your muscles, joints, tendons, or ligaments.
Exceptions for a Physiotherapy Referral
Of course, there are exceptions where a referral for physiotherapy will required. This concerns chronic conditions that listed by the government. This list has created because chronic conditions often (partially) covered by the basic insurance.
When You’re Uncertain Whether You Need a Referral for Physiotherapy
If you are not sure whether you need a referral, the physiotherapist or our central office can always provide you with more information. Additionally, your health insurance policy will indicate whether a referral from your general practitioner or medical specialist is necessary for physiotherapy.
The cost of physiotherapy depends on how you are insured. If you are not insured for physiotherapy, you can view the rates in our pricing overview at the bottom of this page.
If you have additional insurance, it will always used first. If it fully used up or the coverage is insufficient, you will receive an invoice for your treatments.
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