Foot & Ankle Condition

Achilles Tendinitis & Tendinopathy

Progressive loading is the proven treatment for Achilles tendinopathy.

Achilles tendon pain is most often a tendinopathy — degenerative changes in the tendon — rather than acute inflammation. The strongest evidence supports progressive eccentric and heavy slow resistance loading. Rest alone rarely fixes it.

Understanding

What is Achilles Tendinitis?

Two main patterns: insertional Achilles tendinopathy (at the heel attachment) and mid-substance tendinopathy (2–6 cm above the heel). Each has slightly different loading prescriptions, but progressive resistance is the common thread.

Our PT Approach

How we treat Achilles Tendinitis

Evidence-based treatment progressed at your pace, with the goal of durable improvement — not just short-term symptom relief.

Heavy slow resistance or eccentric calf protocols
Manual therapy for ankle joint and soft tissue
Training load modification during recovery
Footwear and heel-lift considerations
Progressive return-to-running for runners

Typical Recovery Timeline

Most tendinopathies respond meaningfully in 8–12 weeks of consistent loading work.

Achilles Tendinitis — FAQs

Should I rest or load the tendon?

Load it — progressively. Rest alone doesn't reverse tendinopathy. Calibrated loading does.

Get expert PT for Achilles Tendinitis

One-on-one care with a doctor of physical therapy. Same-week new patient slots typically available.