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St Peters Podiatry

Achilles pain has a well-established treatment pathway with good outcomes — and one of the highest rates of people abandoning it early because progress feels slow.

Podiatry for St Peters patients at Hyper Health Marrickville

Podiatry at Hyper Health is delivered by Ray Nguyen, whose practice centres on thorough gait analysis and lower-limb assessment. Ray holds a Bachelor of Health Science and a Master of Podiatric Medicine, and has worked across hospitals, aged care and multidisciplinary allied health settings. Appointments for St Peters patients are seen at our Marrickville clinic at Shop 1/20-22 Station St, open seven days. Because we also have chiropractors, physiotherapists and massage therapists on site, problems that turn out to sit above the foot do not require a separate referral and a three-week wait — we can bring a colleague in directly. What an initial appointment involves: - A history covering your symptoms, footwear, activity and any relevant medical conditions - A physical assessment of joint range, strength, skin and circulation - Gait analysis, walking and running where relevant - A working diagnosis explained in plain terms, and what it means for you - A treatment plan with a realistic timeframe, and the cost of anything recommended stated up front We are registered for private health rebates with HICAPS on site, and we see NDIS participants — see our NDIS podiatry page for how that works.

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Tendons need load, not rest

Achilles tendinopathy is a failure of the tendon to adapt to the load being placed on it. Complete rest reduces pain in the short term and reduces the tendon’s capacity at the same time, which is why the pain returns as soon as activity resumes. The evidence strongly supports progressive loading: isometric holds for pain relief early, then heavy slow resistance work to drive tendon remodelling. It is not fast. Meaningful change takes twelve weeks or more, and the programme has to progress as capacity improves. We also distinguish midportion from insertional tendinopathy, because the loading positions differ and the wrong programme aggravates the insertional variety.

The things that quietly prolong it

Limited ankle dorsiflexion, a sudden change in training surface or footwear drop, and certain antibiotics all contribute and are all frequently overlooked. So does compressing the tendon against the heel bone with the wrong shoe — a common and easily fixed problem in insertional cases.

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Call 0406 602 097Book at Marrickville