Achilles Tendinopathy
Morning stiffness and repeated pain in the tendon above the heel at the start of or after running.
Understanding Achilles Tendinopathy
Pain and tendon changes can develop when the Achilles tendon does not adapt to repeated running load. Exercise selection may differ depending on whether pain is at the heel insertion or higher in the tendon.
Treatment Direction
Adjust Running Intensity
Reduce hills and sprinting, and use comfortable flat running or lower-impact exercise.
Identify Tendon Location
Examination and ultrasound when needed distinguish insertional from mid-portion tendon problems.
Build Calf Strength
Progress heel-raise range and resistance according to the pain location and recovery stage.
Return-to-Running Criteria
When to Seek Evaluation Promptly
A sudden pop, inability to raise the heel, or a palpable gap in the tendon requires assessment for an Achilles rupture first.
Do not put off persistent pain. Have it checked.
Our staff can guide you during clinic hours. Call us if you have questions before your visit.