Stiff Achilles Tendon in the Morning? What It Means
If you're experiencing stiff achilles in the morning, you're not alone. This is one of the most common complaints we see at Lower Limb Clinic, and it's often a sign of Achilles Tendinopathy or Tight Calf Muscles. The good news? With proper diagnosis and treatment, most patients experience significant improvement within 6-12 weeks with proper management.
Common Causes of Stiff Achilles in the Morning
Achilles Tendinopathy
Morning stiffness lasting more than a few minutes is a hallmark of tendon problems. The tendon becomes stiff overnight and needs time to 'warm up'.
Who typically experiences this: Runners, middle-aged adults, those with tight calves.
Tight Calf Muscles
Shortened calf muscles create constant tension on the Achilles, leading to morning stiffness even without tendon damage.
Who typically experiences this: Those who wear heels regularly, people with sedentary jobs, those who don't stretch.
Without proper assessment, it's impossible to know exactly what's causing your stiff achilles in the morning. What works for Achilles Tendinopathy may not help—or could worsen—Tight Calf Muscles.
When Should You Seek Professional Help?
You should book an assessment if:
- Morning stiffness lasts more than 30 minutes
- Stiffness is accompanied by pain
- You notice thickening or swelling
- The problem is getting worse
"Most patients we see have tried various home remedies before booking. You're not wasting our time—persistent symptoms warrant professional assessment."
Our Diagnostic Approach
At your initial consultation, we'll:
Take a detailed history
Understanding when your stiff achilles in the morning started, what makes it better or worse, and your activity levels.
Physical examination
Hands-on assessment of your foot, ankle, and lower limb.
Biomechanical assessment
Evaluating how you stand and walk, identifying any contributing factors.
Gait analysis (if indicated)
Video and pressure plate analysis to understand your movement patterns.
We'll explain our findings clearly and discuss all treatment options before recommending a plan.
How We Treat Stiff Achilles in the Morning
Depending on your diagnosis, treatment may include:
Ultrasound assessment
Evaluate tendon structure
Eccentric loading programme
Progressive strengthening to improve tendon health
Calf stretching protocol
Specific stretches to reduce tension
Night splints
Maintain gentle stretch overnight
"We don't believe in one-size-fits-all treatment. Your plan will be tailored to your specific diagnosis, lifestyle, and goals."
"I'd been suffering with stiff achilles in the morning for months before finally coming to Lower Limb Clinic. Within weeks of starting treatment, the improvement was remarkable. Wish I'd come sooner!"
— Verified Patient Review
Common Questions About Stiff Achilles in the Morning
Ready to Find Out What's Causing Your Stiff Achilles in the Morning?
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