Achilles tendonitis treatment in Dublin
Achilles tendonitis is pain in the Achilles tendon, the thick tendon that joins your calf muscles to your heel bone. It usually happens when the tendon is asked to take more load than it's ready for, most often with running, more walking, or a change in activity. At Foot Focus in Finglas and Mount Merrion, our CORU-registered podiatrists build strength through your foot and make it more robust, so the pain is less likely to come back, and give you the tools to keep the pain at bay.

Does this sound like you?
- Pain or stiffness at the back of your heel or ankle first thing in the morning
- It's sore at the start of a run or walk, eases as you warm up, then aches afterwards
- The tendon feels tender, thickened or sore to squeeze
- Stairs, hills or going up onto your toes hurt
- You rested it and it felt better, then it came straight back when you started again
- You're worried about damaging it, or that you won't get back to your sport

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What causes it
Your Achilles tendon works like a spring. It stores and releases energy every time you push off, and it takes several times your body weight when you run or climb stairs. Pain starts when the load on it is more than it can cope with, day after day.
Sometimes that's because the load went up: a jump in running, more hills or speed work, a new sport, a lot more walking, or a change of footwear. Sometimes it's because the tendon's capacity is down: weak calf muscles, a stiff ankle, time off followed by a quick return, or the way your foot moves when you walk.
For most people it's a mix of both. Rest on its own settles the pain but doesn't make the tendon any stronger, which is why it so often comes back. That's why we assess before we treat.
Load goes up
- More running or walking
- A new job on your feet
- Harder floors
- Worn-out shoes
- Weight gain
Capacity comes down
- Weak foot or lower leg muscles
- Tight calves
- A stiff ankle
- How your foot moves when you walk
- Changes in the structure of your foot
- Some medical conditions
- Stress
- Poor sleep
- Age
Why Dublin patients choose Foot Focus
- All our podiatrists are CORU-registered and members of the Society of Chiropodists and Podiatrists of Ireland
- Founded by brothers Stephen and Mark Ryan, first-class honours podiatry graduates practising since 2011, and open as Foot Focus since 2016
- Rated 4.9 out of 5 from 397 Google reviews
- More than 100,000 appointments in our Dublin clinics, and over 1,500 most months
- Dublin's largest podiatry team in private practice
- Two clinics: Finglas (Dublin 11), for Glasnevin, Santry, Cabra and Blanchardstown, and Mount Merrion, close to Stillorgan, Blackrock and Sandyford
- No GP referral needed: book directly online or by phone
- Open Monday to Friday, 8am to 6pm, at both clinics
The Foot Focus method for Achilles tendonitis
We don't chase symptoms. We find the cause and treat it.
Most Achilles treatment is aimed at pain relief. Rest, ice and stretching can settle things for a while. But the pain usually starts because the tendon is being overloaded, often because the calf and tendon aren't strong enough for what you're asking of them. If that isn't fixed, the pain tends to come back as soon as you get going again.
It starts with an assessment


Your history
When it started, what sets it off and what you've already tried.

Muscle and joint testing
We check how well your foot and ankle move, and take baseline strength measurements to see where your foot isn't supporting you as it should.


Biomechanical assessment with Footscan®
If your pain has been there for more than six weeks, we also carry out a biomechanical assessment. You walk across our pressure plate. It records thousands of data points showing how force travels through your foot. Where force builds up over an area that tested weak is usually where the pain is coming from.
Put together, these tell us why you have pain and what it will take to get you back to the things you enjoy doing.
The Foot Focus 4 Steps to Recovery
Step 1: Settle the pain
Once we know the cause, the first job is to calm things down so rehab can start. We use padding and strapping to take load off the sore area, Class 4 Remy laser therapy to ease pain and help the tissue cope with load, and footwear advice. These help, but they aren't the fix. They buy the window for the real work.

Step 2: Build strength, mobility and flexibility
Your rehab programme is built around your assessment results, your activity level and your goal, so no two are the same. The exercises are progressive. We start at a level your foot can manage and step them up as you get stronger.

Step 3: Return to normal activity
With the pain down and your strength up, we bring you back to your activity gradually and stay with you while you do it. There can be good weeks and bad weeks. What matters is that the overall trend is heading the right way.

Step 4: Stay strong and prevent re-injury
You finish with the knowledge and the exercises to keep your foot strong on your own, which lowers the chance of the problem coming back.

Start with an assessment
Frequently asked questions
Can Achilles tendonitis be cured, or does it always come back?
Yes, it can. How quickly depends on how long you've had it and what recovery looks like to you, whether that's walking without stiffness or getting back to running. We agree on a goal with you at the start and build your rehab around it. Achilles tendonitis comes back when the calf and tendon lose the strength they need for what you're asking of it. So you finish with a simple exercise routine and the know-how to keep your foot strong, long after you've stopped coming to see us.
How long does Achilles tendonitis take to heal?
Most patients feel some relief in the first two or three sessions. That's step one of our method, and it's what lets us get on with the real work of strengthening the foot. Full recovery depends on three things: how long you've had the pain, how strong and mobile your foot is now, and what you're aiming to get back to. If it started a few weeks ago and your goal is to walk around the block without pain, that's usually a matter of weeks. If you've had it for months, can barely walk, and want to run a 10K, expect a few months of steady work. After your assessment we'll give you an honest estimate for your case.
Can you fix Achilles tendonitis in a week?
Honestly, no. If you've had it for more than a month, it's very unlikely to be gone in a week, whatever a video or an insole advert promises. Anything that's been building for months has usually left the foot weaker than it should be, and strength doesn't come back in seven days. If it only started in the last few days, it's a different story, and getting it looked at early is the quickest route back. Either way, a week is enough to get the pain settling and a plan in place.
Do the exercises and stretches on YouTube work?
Some of them, for some people. Exercises are the core of how Achilles tendonitis gets better, but only if they're the right ones for what's causing yours. A generic calf stretch or heel drop might be exactly what one person needs and a waste of time for the next. That's why we assess first: to find the cause, measure where your foot is starting from, and then give you exercises that match. If you've been doing the online ones for a few weeks and nothing's shifted, that's usually the sign they're not the ones you need.
Do I need insoles or orthotics?
Not necessarily. An orthotic doesn't fix anything on its own. It moves pressure from one part of your foot to another, so it only helps if the part taking the new load is strong enough to cope. That's why we work on making your foot as strong and mobile as possible first, and add orthotics only if the assessment shows you need them. When they are the right call, ours are 3D-printed from your own pressure scan rather than picked off a shelf. If you've already bought insoles in a shop, bring them to your assessment.
Do I need an MRI or a scan?
Usually not. Most Achilles pain can be diagnosed from your history and a hands-on assessment, and a scan on its own doesn't tell us how strong your calf and tendon are or what's overloading them. If your assessment suggests a tear, or anything else a scan would change, we'll tell you and point you to the right person. If you've already had a scan, bring the report along.
Can I keep walking or running with Achilles tendonitis?
In most cases, yes. Stopping altogether tends to leave the foot weaker, which is the opposite of what you want. What we do is bring the load down to a level your foot can handle: shorter distances, strapping to support the sore area, maybe a change of footwear, and Class 4 laser to take the edge off the pain. Then we build the distance back up as you get stronger. How much you can safely do depends on your assessment, so book that first if you're in pain now and unsure.
Why is it worst first thing in the morning?
Because tissue that's been overloaded stiffens up when it rests. While you're on your feet during the day it's being loaded and warmed up with every step. Overnight there's no weight on it, it cools and tightens, and your first steps in the morning ask it to take your full body weight all at once. That's the sharp pain or stiffness. After a few minutes of moving it eases. The same thing happens when you stand up after sitting for a while.
Do you offer shockwave therapy or steroid injections?
No. Both can ease the pain for a while, and for some people that's useful. But neither one changes why the area was overloaded in the first place, so on their own the pain tends to come back. Our approach is to settle the pain with strapping and Class 4 laser, then fix the cause by building strength. If your case is one where an injection is worth considering, we'll tell you and point you to the right person.
Should I see a physio or a podiatrist for Achilles pain?
For Achilles pain, a podiatrist. Physios treat the whole body, and a good one will help. But feet are all we do, all day, every day, and Achilles pain is one of the most common things we see. That means we've got the kit for it, like pressure plate analysis and Class 4 laser, and we've seen every version of it walk through the door.
How much does an assessment cost, and is it covered by health insurance?
If you've been in pain for under 6 weeks, a podiatry assessment is €90: muscle, joint and strength testing to find the cause, then a plan to get you back to what you love. If it's been over 6 weeks, a full biomechanical assessment with our Footscan pressure plate is €169. Most Irish health insurance plans that include podiatry will cover some or all of it. Check your policy or ask your insurer, and we'll give you a receipt to claim with.
Do I need a GP referral?
No. You can book directly with any of our clinics, online or by phone, and you'll be seen by a CORU-registered podiatrist.
References
- Tendonitis - NHS
This page is for general information and does not replace individual clinical assessment. If symptoms persist, book an appointment with a CORU-registered podiatrist.
Watch: Achilles tendonitis explained by our podiatrists
Short videos from our own clinicians.

Lower Limb Assessment & Injury Rehab
Samuel Eloy Gutiérrez-Torre details targeted loading protocols for active foot and ankle recovery.

What Does a Biomechanical Assessment Involve?
Detailed breakdown of pressure-plate scanning, joint range of motion, and load analysis.
Ready to stop working around the pain?
Leave your number and one of our team will ring you back, usually within one working day. They'll listen to what's going on, answer your questions and find you a time in Finglas or Mount Merrion. There's no pressure to book.
Would rather talk now? (01) 556 3662

