Today the Achilles tendinopathies can be diagnosed early by means of sonography, which is non invasive, easy to perform, practically ubiquitous, economic, precise, repeatable, specific and sensitive. The aim of the present study was to evaluate sonographic findings in the painful Achilles tendon.The present hospital based prospective observational study was performed at CU Shah and Medical College, Surendranagar. 50 patients from March-2022 to July- 2022 were studied for pain in lower leg region. This study shows the lesions in the Achilles tendon and the peritendinous structures noted on clinical examination of the patients reviewed were better characterized with the use of ultrasound(Phillips Affinity 70G).Assessment of painful condition in the Achilles tendon patients with radiographic finding features in ultrasonography and classification of various pathology will help in further management. Ultrasound imaging has proven to be an important tool that can help in localizing more precisely the source of symptoms in the hind foot and posterior ankle.