Overview

Achilles strapping is used for managing Achilles tendon pain.

Why you should have Achilles strapping

Your Achilles tendon might have become damaged or irritated by repeated overloading of the tendon. You do not have to use Achilles strapping to get better, but it can help by restricting movement of the tendon, and reduce discomfort when you are on your feet for long periods of time. This can make the healing process quicker. 

Risks of Achilles strapping

The main risk related to strapping is an allergic reaction to the zinc oxide tape.

If you develop a rash or if your skin becomes itchy, remove the plaster immediately.

This treatment may not be suitable if you have: 

• fragile skin
• poor blood supply
• rashes
• skin ulcers
• swollen legs

You can speak to your podiatrist about this. 

Other treatment options

Achilles strapping is used as part of a treatment plan with a range of other interventions including:

• foot insoles (orthoses)
• exercises
• footwear changes

Shockwave therapy or a surgery could be used for chronic cases of Achilles tendinopathy that do not respond to other treatments.

What you will need to apply Achilles strapping

You will need a roll of 2.5cm-wide zinc oxide tape. Your podiatrist will supply a small amount for you to use at home but you might want to buy more. This is available online or at pharmacies. 

When you should apply strapping

The strapping will have an effect for up to 3 days. It is best to take it off at night and re-apply it in the morning to give your skin a chance to recover.

How to apply the strapping

It is easier to stop the tape twisting by unrolling it as you apply it, rather than cutting off a strip.

Step 1

Make sure your foot is at a 90 degree angle to your leg (not pointed up or down) and not twisted.

Starting at the inner calf, move downward diagonally and loop around the heel. Then roll the tape up diagonally to secure at the outer calf.

Step 2

Repeat step 1 an additional 3 times (4 layers in total), placing the tape slightly lower down the calf each time, and overlapping the strips.

Step 3

Place a strip from the inner side of the calf to the outer side of the calf. Cover the tape that is already in place. Repeat this 7 more times (8 strips in total). The last strip of tape should be placed just beneath the heel.

How to remove the strapping

When removing the tape, pull it off slowly. If it is difficult to remove, soak your foot in water for 10 minutes. The strapping will become ineffective and unhygienic if it becomes wet (for example, when showering).

Follow-up appointment

Usually, the podiatrist will book a follow-up appointment. At this appointment you will discuss how effective the strapping and any other treatments have been. We might give you a long-term treatment plan.

If your pain levels and range of movement are improving, you might not need a follow-up appointment. 

More information and support

The Royal College of Podiatry have information for patients about different types of foot conditions.

https://rcpod.org.uk/