Insertional Achilles Tendinitis Treatment And Shockwave Therapy
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Insertional Achilles Tendinitis Treatment: How Shockwave Therapy and Evidence-Based Physical Therapy Can Help You Heal

Insertional Achilles tendinitis is a painful condition where the Achilles tendon attaches to the heel bone. This problem often develops in runners, active adults, and anyone exposed to repetitive stress on the tendon. Symptoms may include heel pain, swelling, stiffness, and difficulty walking, especially in the morning or after physical activity.

If left untreated, insertional Achilles tendinitis can become chronic, limiting your mobility and keeping you from the activities you love. Fortunately, effective and evidence-based treatment options exist—and two of the most powerful are shockwave therapy and specialized physical therapy.


Why Insertional Achilles Tendinitis Happens

Unlike mid-portion Achilles tendinitis, insertional tendinitis occurs where the tendon attaches to the calcaneus (heel bone). Repetitive stress, poor biomechanics, tight calf muscles, or a sudden increase in activity can overload the tendon and cause micro-tears and inflammation. Over time, degenerative changes may occur, making healing more difficult.


Shockwave Therapy for Insertional Achilles Tendinitis

Shockwave therapy (extracorporeal shockwave therapy, or ESWT) is one of the most effective, research-backed treatments for chronic Achilles tendinitis.

How it works:

  • Delivers acoustic energy waves to the injured tendon

  • Stimulates blood flow and new cell growth

  • Breaks up scar tissue and calcifications

  • Reduces pain while enhancing the body’s natural healing response

What the research says:

Clinical studies show that shockwave therapy is a safe and effective treatment for insertional Achilles tendinopathy, especially when traditional treatments like rest, ice, or medication haven’t worked. Many patients report significant pain reduction and improved function after just a few sessions.


Evidence-Based Physical Therapy Treatments

At Pursuit Physical Therapy, we don’t just treat the symptoms—we address the root cause of your tendon pain with a personalized, evidence-based plan. Common treatments may include:

  • Eccentric Strengthening Exercises
    Research shows eccentric heel-lowering exercises are one of the most effective interventions for Achilles tendinopathy. These exercises strengthen the tendon while promoting remodeling and reducing pain.

  • Manual Therapy
    Hands-on treatment can improve ankle mobility, decrease muscle tightness, and reduce stress on the tendon.

  • Load Management
    We help you gradually return to activity with a structured plan that prevents re-injury and ensures long-term healing.

  • Gait and Running Analysis
    Biomechanical issues, such as overpronation or poor running form, often contribute to Achilles pain. Correcting these mechanics is key to long-term success.

  • Adjunct Treatments
    Modalities such as dry needling, taping, and mobility training may also be included depending on your individual needs.


Why Choose Pursuit Physical Therapy?

At Pursuit Physical Therapy in Orlando, FL, we combine the latest technology like shockwave therapy with evidence-based rehabilitation to give you the best chance at full recovery. Our goal is not just to reduce your pain, but to help you return to running, sports, and an active lifestyle—pain free.


Don’t let Achilles pain hold you back.
Call Pursuit Physical Therapy today to schedule your evaluation and learn how shockwave therapy and personalized treatment can help you finally get lasting relief.

📞 Call Now: 407-494-8835
🌐 Visit: https://pursuittherapy.com/orlando-shockwave-therapy