Achilles Tendinopathy
Ankle - Pathology
Achilles tendinopathy presents with pain and stiffness in the Achilles tendon, often worse with running or jumping.
Biomechanical 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
- Level 1: Isometrics
- Level 2: Eccentrics
- Level 3: Heavy slow resistance
- Level 4: Plyometric return
Regression
- Reduce load
- Shorten ROM
- Avoid plyometrics
Red Flags
- Sudden sharp pain
- Significant swelling
- Loss of function
Differential Diagnosis
- Tendon rupture
- Retrocalcaneal bursitis
- Stress fracture
Related Patterns
- limited ankle dorsiflexion
- overpronation
Related Exercises
- eccentric calf raises
- wall ankle mob
Related Assessments
- single leg heel raise test assessment
- knee to wall assessment