Exercises for Achilles Tendinitis: Eccentric Loading & More

Watch: Achilles Tendonitis & Back of Heel Pain [BEST Home Treatments 2024!] — MichiganFootDoctors YouTube

Achilles Tendinitis Exercise Protocol

Quick Answer: The Alfredson protocol: eccentric heel drops 3×15 reps with bent knee + 3×15 with straight knee, twice daily for 12 weeks. Pain during exercise is OK. Stop if severely worse next day.

Why Eccentrics Work

Eccentric loading remodels the tendon collagen, reducing tendinopathy. Has the strongest evidence of any treatment.

FAQ

Should it hurt during exercise?

Mild pain is OK and even therapeutic. Severe pain or worsening symptoms = stop and see us.

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Frequently Asked Questions

When should I see a podiatrist?

If symptoms persist past 2 weeks, affect your normal activity, or are accompanied by red-flag symptoms (warmth, redness, swelling, inability to bear weight).

What does treatment cost?

Most diagnostic visits and conservative treatments are covered by Medicare and major insurers. Out-of-pocket costs vary by your specific plan.

How quickly can I get an appointment?

Most non-urgent cases see us within 5 business days. Urgent cases (sudden pain, possible fracture) typically same or next business day.

Balance Foot & Ankle surgeons are affiliated with Trinity Health Michigan, Corewell Health, and Henry Ford Health — three of Michigan’s largest health systems.