Achilles Tendinopathy

Uses

How it works

Benefits

Dosage & preparation

Preparation

Risks & contraindications

Background

Evidence quality

Highlighted claims

• Achilles tendon terminology evolved from tendonitis to tendinosis to tendinopathy, with the current term reflecting an uncertain or mixed mechanism including inflammation and degenerative change. — Movement Debrief on Rehab Training, Achilles Tendinopathy, and Manual Therapy
• A more plantar-flexed and inverted foot position creates a more concentric Achilles orientation, while dorsiflexion and eversion places it on greater stretch. — Movement Debrief on Rehab Training, Achilles Tendinopathy, and Manual Therapy
• For insertional Achilles tendinopathy, the heel raise should not go past neutral early because doing so places excessive stress on the insertional area. — Movement Debrief on Rehab Training, Achilles Tendinopathy, and Manual Therapy
• Isometric plantar flexion can be useful in the very early phase of Achilles tendinopathy, particularly for short-term pain reduction. — Movement Debrief on Rehab Training, Achilles Tendinopathy, and Manual Therapy
• After tolerating isometrics for several days, heel raises using a slow concentric-eccentric tempo can rebuild dynamic tendon loading tolerance. — Movement Debrief on Rehab Training, Achilles Tendinopathy, and Manual Therapy
• A practical isometric dosage for Achilles tendinopathy is six rounds of ten-second pain-free hard holds. — Movement Debrief on Rehab Training, Achilles Tendinopathy, and Manual Therapy
• Transverse friction massage lacks strong research support for Achilles tendinopathy. — Movement Debrief on Rehab Training, Achilles Tendinopathy, and Manual Therapy
• Heel wedges are less preferred but can reduce Achilles load in the short term, and are more appropriate for an everted foot than for an inverted one. — Movement Debrief on Rehab Training, Achilles Tendinopathy, and Manual Therapy