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To protect you, your family and the staff of RNOH Private Care, we now have the facilities to offer video consultations. Your consultant will tell you if your appointment is to be carried out in this way and their practice secretary will provide you with all of the information you need to do this.

If you are asked to attend RNOH Private Care outpatient centre for your appointment, please ensure that you read the information below and follow any social distancing instructions when you arrive at the hospital:


If you have symptoms of coronavirus infection (COVID-19), however mild, do not leave your home for 7 days from when your symptoms started. The symptoms are:

  • new continuous cough and/or
  • high temperature

You do not need to call NHS 111 to go into self-isolation. If your symptoms worsen during home isolation or are no better after 7 days, contact NHS 111 online. If you have no internet access, call NHS 111. For a medical emergency dial 999. You can find the latest information and advice at www.gov.uk/coronavirus.


  • wash your hands with soap and water often – alcohol gel is effective against respiratory viruses
  • cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze
  • put used tissues in the bin immediately
  • try to avoid close contact with people who are unwell


  • touch your eyes, nose or mouth if your hands are not clean

Achilles tendon problems or Achilles tendonitis is an injury caused by the tendon that runs down the lower back of the leg when it becomes inflamed. Typically this is caused when we push our bodies too hard or fail to warm-up properly before some form of exercise - running or football for example.


More Information

The symptoms of Achilles tendonitis may present as: -

  • Pain in a tendon which gets worse when you move
  • Difficulty moving the tendon
  • Feeling a grating or crackling sensation when you move the tendon
  • Swelling, sometimes with heat or redness
  • A lump along the tendon

Non-surgical treatments for Achilles tendonitis

You can treat mild tendon injuries yourself and should feel better within 2 to 3 weeks.

Follow the 4 steps known as RICE therapy for 2 to 3 days to help bring down swelling and support the injury:

  1. Rest – stop the exercise or activities that caused the injury until you feel better
  2. Ice – put an ice pack (you could use a bag of frozen peas wrapped in a tea towel) on the injury for up to 20 minutes every 2 to 3 hours
  3. Compress – wrap a bandage around the injury to support it
  4. Elevate – if possible, keep the injured area raised on a pillow when sitting or lying down

If your symptoms persist you can visit your local pharmacist or GP who can examine your symptoms further.

Surgical Treatments for Achille Tendonitis

The majority of patients with achilles tendon inflammation settle with rest, stretching and physiotherapy. For those that don’t, surgery can be of benefit. this may be to help stretch the tightness of the tendon or calf complex, to clean up the tendon, or even to transfer a different tendon to replace the achilles tendon. this would be carefully assessed by your surgeon.

Normally you will know immediately if you have strained or torn the tendon.

In the case of a strained tendon, if no improvement is made in the first 2-3 weeks of self-treatment, your GP will listen to you and physically examine the tendon. From this, they will normally be able to start treatment. If further investigation is required such as blood tests or imaging, then the results of these will lead to a diagnosis and treatment plan that may or may not require a specialist consultant.

If you have torn the tendon you should immediately go to casualty.

The cause of Achilles tendon problemstends to occur in middle age through overexertion during exercise. However, other conditions such as a high or low-arched foot can contribute towards the stress on the Achilles tendon as well as some medical conditions.

As we age we all become less flexible and the Achilles tendon is no exception developing small degenerative tears. The body attempts to repair these, but with the blood supply to the lower part being weak, tears may not fully heal. Over time and if you have a physical lifestyle, you may begin to present symptoms

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