The pain is usually felt more to the inside of the tendon itself – not next to the bone. Tendons are generally sore to poke so compare it with the other leg to see if you have found the right part. There may be a spot of thicker, fibrous tissue.
These types of Achilles issues can be due to tearing or over-loading of the tendon. It is usually a chronic build up of little strain on little strain, rather than a sudden tear.
Physiotherapy will determine the extent of the issues but also identify the reasons why you have overloaded the tendon. You will be given work to strengthen the calf and Achilles with specific regimes which have excellent research behind them, as well as additional work to change your biomechanics.
We also use manual techniques and shockwave therapy (Extra Corporal Shock Wave Therapy) to promote tendon repair. The combination has been shown to provide the best and most permanent solution to the problem.