DVA Claims › Conditions › Achilles Tendinopathy

Making a DVA Claim for Achilles Tendinopathy

Achilles tendinopathy is degeneration and pain in the tendon running from the calf to the heel. In veterans it comes from the same source as most lower-limb injury: sustained running, marching and load carriage, frequently in boots and on hard surfaces.

It is a condition that builds slowly, and most veterans push through the early stage without seeking treatment. By the time it is formally diagnosed, the tendon is usually thickened and the problem chronic.

Why it shows up in veterans

Repetitive loading is the mechanism: PT runs, pack marches, obstacle courses and the sudden increases in training volume that accompany courses and pre-deployment work-ups. Boots with limited heel support and hard surfaces compound it, and rest is rarely available.

What the Statement of Principles requires

DVA measures every claim against a Statement of Principles (SoP) — a legally binding instrument setting out the only factors that can connect a condition to service. These are the pathways that most often apply, in plain language; the full instrument is linked below.

Repetitive or sustained loading of the tendon

Sustained physical activity loading the Achilles tendon in the period before onset — the running and marching volume that service demands.

Specified drug treatments

The SoP recognises fluoroquinolone antibiotics, glucocorticoid treatment and injections in or around the tendon as factors, each within defined periods before onset or worsening.

Body mass index and metabolic factors

A BMI of 30 or greater at onset or worsening is a listed factor, as are several metabolic and inflammatory conditions.

Inability to obtain appropriate clinical management

Where the demands of service prevented the rest and rehabilitation the tendon needed.

This is the plain-English version. Read every factor of the Achilles tendinopathy Statement of Principles exactly as the Repatriation Medical Authority wrote it.

How DVA approaches the impairment assessment

Rating turns on pain, function and what you can no longer do — walking distance, stairs, standing tolerance and capacity for exercise. Ultrasound or MRI confirming tendon thickening or partial tearing supports both the diagnosis and its chronicity, and a documented history of failed conservative management strengthens the picture considerably.

The evidence that decides it

Most initial liability decisions currently take DVA around 145 days on average, and roughly a third of that is the Department waiting on information. Lodging complete is the single biggest thing within your control.

  • Ultrasound or MRI showing tendinopathic change or partial tearing
  • Podiatry, physiotherapy or orthopaedic reports confirming the diagnosis
  • Service records establishing running and load-carriage volume
  • Treatment history showing the failure of conservative management

Questions veterans ask about Achilles Tendinopathy

I ruptured my Achilles after discharge. Is it still claimable?

Potentially. Rupture on a tendon already degenerated by service loading can be claimed, and the pre-existing tendinopathy is the link. The service-era evidence matters more than the date of rupture.

Does surgery change the claim?

No, but it changes the impairment assessment. Post-surgical function, residual weakness and any restriction on activity are what get rated.

Related conditions

Altered gait from a painful Achilles commonly loads other structures, and those conditions are separately claimable.

Ready to look into a Achilles Tendinopathy claim?

Book a no-obligation consult and we will go through whether your circumstances meet the SoP factors, what evidence would strengthen your case, and what to expect next.

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This page is general information, not medical, legal, or financial advice. Statement of Principles factors, thresholds, and program details are current as at the update date above but can change — always confirm against your own determination letter and the current SoP instrument. For medical concerns, speak with a qualified health professional; for legal advice, a solicitor experienced in military compensation law.

Presumptive liability · from 1 July 2026

Achilles tendinopathy may be accepted without proving the link to service

Achilles tendinopathy is listed in Part 2 of the determination as attributable to defence service, provided the criteria below are met.

  • Qualifying service: for more than 28 days; and excluding the first 28 days of defence service.
    Onset: during the qualifying service, or within 4 weeks after the last day of that service.

A diagnosis is still required, and the presumption may not apply where there is clear evidence of a cause other than service. "Onset" means when an injury was sustained, or when all the signs and symptoms of a disease were first present — not the date of diagnosis. Applies to claims made on or after 1 July 2026.

How presumptive liability works →

Evidence for this condition

The SoP factors, and what the report looks like

Every claim for this condition is decided against a Statement of Principles. Read the factors it has to satisfy, then read a Diagnostic Assessment written for it.

Dr Thomas Perkins, Veterans Health Centre

Reviewed by Dr Thomas Perkins

Founding doctor, Veterans Health Centre · former RAAF aviation medical officer · 13 years working exclusively with ADF members and veterans. Full profile →