First Aid For Achilles Injuries

Cold therapy to the achilles tendon

If you have just injured your Achilles tendon, or have a long term chronic Achilles tendon injury then both should be treated initially with the P.R.I.C.E. principles (protection, rest, ice, compression, and elevation).

Please note, we always recommend seeking professional advice. If you suspect you have an Achilles tendon rupture then seek emergency medical advice as soon as possible.


  • Stop training or playing immediately to protect your Achilles from further damage.
  • Putting as little weight as possible on your foot is vital to stop the injury getting worse.
  • Use an Achilles tendon taping technique to reduce the strain on your tendon.


  • Resting is important to ease Achilles pain and help recovery.
  • This may mean complete rest, especially in the case of an Achilles tendon rupture, or it may simply mean modifying your training activities.
  • Stopping activities like running and jumping will allow your Achilles to recover quicker. Continuing to train, even if the pain doesn’t feel that bad, can cause more serious damage.
  • Use a heel pad in your shoes. This raises the heel and temporarily shortens your Achilles tendon, therefore reducing the ‘stretch’ on it an helping to heal. Make sure you put them in both shoes and only for a few days.


  • Apply ice or cold therapy to reduce any pain and any inflammation.
  • Ice the area for 10 minutes every hour initially for the first 24 to 48 hours, reducing frequency to 3 or 4 times a day over the next few days.
  • Do not apply ice directly to the skin.
  • Wrap ice in a wet tea towel or use a commercially available cold pack instead.


  • The use of compression support or compression bandages on the ankle and foot can help reduce swelling.


  • Elevating the ankle and Achilles above heart level whenever possible can help reduce any symptoms of swelling.

For more long-term and chronic Achilles tendon pain, applying heat for 10 minutes every couple of hours instead of ice may be more beneficial. read more on heat treatment and when to use it.

This article has been written with reference to the bibliography.
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