An Achilles sleeve and a heel lift can both be used for conservative support, but they work in very different ways.
A sleeve provides compression around the ankle and tendon. A heel lift raises the heel inside the shoe and can temporarily reduce strain on the Achilles during walking.
What does an Achilles sleeve do?
A sleeve fits around the ankle and lower leg to provide compression, warmth and a feeling of support.
What does a heel lift do?
A heel lift sits under the heel inside footwear. By raising the heel slightly, it can reduce the amount of stretch placed through the Achilles during some activities.
Quick comparison
| Feature | Achilles sleeve | Heel lift |
|---|---|---|
| Main effect | Compression/support around the tendon | Heel elevation and temporary offloading |
| Visible outside shoe | Usually yes | No |
| Changes shoe height | No | Yes |
| Footwear space needed | Room around ankle | Extra depth at heel |
Which is better for compression?
A sleeve is the more relevant option when the main aim is close-fitting compression and local support.
Which is better for reducing tendon strain?
A heel lift is specifically intended to alter heel position and can reduce load through the tendon temporarily.
Can you use both?
Some people may use both if they remain comfortable and the footwear accommodates them, but more support is not automatically better.
Do either replace rehabilitation?
No. NHS Achilles tendinopathy guidance emphasises progressive strengthening as the main route to rebuilding tendon capacity.
Choose by the job you want the product to do. Compression and heel elevation are not the same thing.
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