Medication, usually anti-inflammatory medication, is an important treatment for Achilles tendon pain. It is not the only treatment. Many people benefit from physical therapy modalities, such as TENS units and ultrasound. Others benefit from the use of cold-laser therapy, such as the K-laser. Still others improve after using extra-corporeal shockwave therapy (ESWT).

It is also vitally important to address the mechanical causes of the Achilles tendon pain and inflammation. Without focusing on the biomechanical causes of the stress on the Achilles tendon, the pain and inflammation is likely to come back with time. The most common way of treating the mechanical causes of Achilles tendon pain is using a custom foot orthotic.