Achilles Tendonitis Exercises: Evidence-Based Rehab Exercises for Achilles Tendinopathy

Blog 112 – Achilles Tendonitis Exercises: Evidence-Based Rehab Exercises for Achilles Tendinopathy

You’re taking the first step toward managing your Achilles tendinopathy by exploring evidence-based exercises. By including eccentric exercises, like heel drops, into your routine, you’ll encourage tendon remodelling and enhance strength.

However, progressing slowly and maintaining the correct form is crucial to preventing the condition from worsening.  As you start, you’ll probably wonder which exercises to focus on and how to customise your routine to meet your needs.

The answers lie in understanding the details of Achilles tendinopathy and the importance of isometric therapy exercises, stretching routines, and expert advice in achieving top-notch tendon health.

Key Takeaways

Understanding Achilles Tendinopathy

While often referred to as a singular condition, Achilles tendinopathy encompasses a range of disorders that affect the Achilles tendon, including midportion, insertional, and proximal tendinopathy.

Achilles Tendon issues are just one of several reasons you may be experiencing heel pain. This is why it is so important you work with an experienced heel pain Podiatrist that can accurately diagnose the root cause of your heel pain so an effective treatment plan can be put in place.

You may be experiencing symptoms of Achilles tendinopathy, such as focal pain, swelling, and stiffness in the calf, which can result from repetitive microtrauma.

The most common type, midportion Achilles tendinopathy, accounts for approximately 55-60% of Achilles tendon issues. Understanding the specific type of tendinopathy you’re dealing with is essential, as different types require different treatment approaches.

To manage Achilles tendinopathy, you must focus on exercises targeting the affected tendon. Strengthening exercises, such as heel raises and therapy exercises, can help alleviate symptoms and improve tendon strength. Targeted exercises, designed explicitly for Achilles tendinopathy, can help you achieve the best results.

Effective Eccentric Exercises

As you develop a treatment plan to manage Achilles tendinopathy, incorporating exercises that target the affected tendon becomes a pivotal focus.

Eccentric exercises, such as heel drops, are fundamental to Achilles tendinopathy rehab. These exercises involve lengthening the muscle-tendon unit under load, promoting tendon remodelling, and improving tolerance to load over time. Research supports the effectiveness of eccentric exercises in improving tendon strength and reducing pain.

Below is a very useful video tutorial from Sport Rehab Guide on how to safely and effectively perform the heel drop exercise:

Eccentric heel drops are commonly prescribed in Achilles tendinopathy rehab due to their ability to target the Achilles tendon specifically and promote tendon adaptation.

Incorporating Isometric Therapy Exercises

Several key components make up an all-encompassing rehabilitation program for Achilles tendinopathy, and isometric therapy exercises are one of them.  These exercises involve holding a muscle contraction without changing its length, which can benefit Achilles tendinopathy as they can load the tendon without movement.

Exercise Description Duration
Wall Push-Up
Stand with feet shoulder-width apart, hands on a wall at shoulder height. Slowly lower the body towards the wall, keeping elbows close to the body.
3 x 10-15 seconds sets
Calf Raise Hold
Stand on a step or platform; raise your heels as high as possible. Hold it for a specified duration.
3 x 10-15 seconds sets
Toe Spread Hold
Sit on the floor with legs straight out in front of you. Spread toes as far apart as possible. Hold it for a specified duration.
3 x 10-15 seconds sets
Ankle Extension Hold
Sit on the floor with legs straight out in front of you. Lift toes up toward the shin. Hold it for a specified duration.
3 x 10-15 seconds sets

Incorporating isometric exercises into your Achilles tendon rehabilitation program can improve tendon strength and reduce pain.  Remember to start slowly and progress gradually to avoid exacerbating the condition.

Achilles Tendinitis Tendon Stretching

Tendon stretches are a crucial component of any rehabilitation program for Achilles tendinopathy.  You’ll benefit from incorporating stretches that target the Achilles tendon, such as the calf stretch, to improve flexibility and reduce tension in the tendon. By stretching the Achilles tendon, you can enhance the range of motion and decrease the risk of further injury.

We are a big fan of Dr. Jo’s video tutorials – they are clear, easy to follow and entertaining.  Please check out her video below on several helpful Achilles tendon stretches:

Dynamic stretches, such as ankle circles or heel drops, are advantageous for warming the Achilles tendon before activity. When performing stretches, hold them for 15 to 30 seconds without bouncing to prevent potential strains. Regular stretching can help maintain the health and function of the Achilles tendon.

As you incorporate stretches into your rehabilitation program, focus on controlled movements and gentle tension.  Avoid pushing past pain or discomfort, as this can worsen the condition.

By committing to a consistent stretching routine, you’ll be better equipped to manage Achilles tendinopathy and maintain tendon health. Listen to your body and adjust your stretching routine to achieve optimal outcomes.

Tips for Maintaining Tendon Health

Regular maintenance of your Achilles tendon requires a balanced approach to activity and rest. You’ll need to incorporate specific strategies that promote tendon health while avoiding excessive strain that could lead to injury.

Activity Benefit
Gradual Loading
It strengthens tendon fibres gradually
Dynamic Warm-Up
Enhances blood flow and tissue elasticity
Recovery Periods
Facilitates proper tissue adaptation
Movement Variation
Averts repetitive stress patterns

Your tendon’s health depends on consistent attention to exercise progression and load management. When engaging in physical activity, start with a thorough warmup to prepare your Achilles tendon for increased demands. Monitor your body’s response to exercise, and don’t ignore early warning signs of discomfort.

You can give yourself an Achilles tendon massage to help improve blood flow and recovery time, or even better, having someone else do it!

You’ll want to vary your activities to prevent overuse patterns while maintaining strength and flexibility. If you’re increasing your exercise intensity, follow the 10% rule—don’t increase your total weekly activity by more than 10% at a time. 

Remember that tendon adaptation takes time, so patience with progression is crucial. Incorporate rest days between high-impact activities to allow your tendon to recover and strengthen properly.

When to Seek Professional Help

Beyond the initial stages of Achilles tendonitis, if pain and symptoms persist despite your best efforts to manage them through rest and home treatments, it’s crucial to seek professional help.

An experienced Achilles Tendonitis Podiatrist can diagnose adequately, develop a personalized treatment plan, and help you progress to more advanced exercises tailored to your needs. By seeking professional help, you can ensure a more effective and efficient recovery from Achilles tendonitis.

In Closing...

Integrating evidence-based exercises such as eccentric heel drops, isometric therapy, and tendon stretches into your routine can significantly aid in the recovery from Achilles tendinopathy.

It’s crucial to approach these exercises with patience and consistency. If progress feels slow or pain persists, seeking professional guidance is essential.

For personalised rehab plans and expert advice, contact Bellevue Podiatry to ensure a comprehensive and safe recovery.

You don’t need to put up with Achilles Tendinitis any longer.  Our team of experienced Podiatrists have the education and experience to get you moving pain free again.  Take control today by booking in online or call us today on (03) 8104 9270 to get this issue sorted once and for all.

Picture of Bellevue Podiatry Achilles Tendon Treatment

Bellevue Podiatry Achilles Tendon Treatment

Bellevue Podiatry has been serving the people of Rosanna and its surrounding suburbs for over 10 years. We have the experienced and education to effectively treat any lower limb condition or injury that requires expert podiatry care.

Article References:

If you would like a deeper understanding of the content discussed in this article, please click on the links below:

  1. MyHealth Alberta: https://myhealth.alberta.ca/Health/Aftercareinformation/pages/conditions.aspx?hwid=ad1461

  2. Healthline: https://www.healthline.com/health/achilles-tendon-stretch

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