Specialist Treatment for Persistent Achilles Tendon Pain
- Discussion of your symptoms, activity levels, and goals.
- Hands-on assessment of the Achilles tendon and ankle.
- Ultrasound scan to assess tendon structure and surrounding tissues.
- Ultrasound-guided high volume injection with saline, local anaesthetic, and optional steroid.
- Clear explanation throughout the appointment.
- A written report with tailored aftercare and rehabilitation advice.
What to expect
The procedure is performed under real-time ultrasound guidance to ensure accuracy, comfort, and safe delivery of the injection. Most patients tolerate the procedure well, with local anaesthetic minimising discomfort during the injection. Your clinician will provide clear guidance on activity levels and rehabilitation following treatment.
Who is this suitable for?
This treatment is suitable for patients with ongoing mid-portion Achilles tendon pain that has not settled with exercise-based rehabilitation, particularly if pain is limiting walking, running, or sports participation. It is not usually used for acute injuries.
What results can I expect?
High volume injections aim to reduce pain and tendon irritation, allowing rehabilitation exercises to be progressed more comfortably. Improvement is often gradual, and the best results are seen when the injection is combined with an appropriate loading and exercise programme.
Learn more
For a full guide on how high volume injections work, what to expect, and how they can help with Achilles tendon pain and movement, read our article: High Volume Saline Injection for Mid-Portion Achilles Tendinopathy: What to Expect and How It Helps.Â
Our aim is to provide clear answers, carefully selected treatment, and a calm, supportive experience, helping you move forward with greater comfort and confidence.