Achilles tendon treatment using scar tissue mobilization and massage. Achilles tendonitis or Achilles tendinopathy / tendinosis (degeneration of the tendon) can often occur after an injury or because of overuse. Keep in mind this is not an inflammation of the tendon and there are little to no inflammatory cells present. It’s wear and tear with excessive thickening and weakness of the tendon. A common problem for runners and is often due to poor foot mechanics, weak foot muscles and weakness of hip muscles. This is a two person technique to break down scar tissue or adhesion which often form with chronic overuse injury to the achilles tendon.