Achilles Tendinopathy
Achilles tendinopathy presents with pain and stiffness in the Achilles tendon, often worse with running or jumping.
Ankle - PathologyBiomechanical Mechanism
Excessive load, limited ankle dorsiflexion, and calf weakness contribute to tendon overload.
Clinical Rationale
Tendon adaptation responds to progressive loading. Managing volume and mobility reduces irritation.
Practical Solution
Use eccentric loading and gradual progression while reducing provocative volume.
Common Compensations
- Reduced push-off
- Altered gait
- Overpronation
Correctives
- Eccentric calf loading
- Ankle mobility drills
- Load management
- Progressive return to impact
Progression
- 1Level 1: Isometrics
- 2Level 2: Eccentrics
- 3Level 3: Heavy slow resistance
- 4Level 4: Plyometric return
Regression
- Reduce load
- Shorten ROM
- Avoid plyometrics
Red Flags
- Sudden sharp pain
- Significant swelling
- Loss of function
Differential Diagnosis
Tendon ruptureRetrocalcaneal bursitisStress fracture
Related Assessments
single leg heel raise test assessmentknee to wall assessment
Related Exercises
eccentric calf raiseswall ankle mob
