See where Achilles tendon pain occurs and how a progressive loading plan can help rebuild calf strength and activity tolerance.
What is it?
The Achilles tendon connects the calf muscles to the heel. Tendinopathy can cause pain and stiffness with loading. Pain in the tendon midportion differs from pain at its heel attachment, and the exercise approach may need to differ too.
- Stiff first steps or morning pain
- Pain with running or jumping
- Tenderness along the tendon
Assessment and possible contributors
Activity changes and a previous tendon problem are relevant, although risk factors are not fully understood. Assessment combines pain location, load-related symptoms and examination. Bursal irritation, rupture and other causes of heel pain may need different care. Imaging is considered for uncertainty or an unexpected course, not automatically for every case. Assessment guidance
How physiotherapy may help
Locate the problem
Check whether symptoms involve the midportion, attachment or another condition.
Load progressively
Build calf strength with a programme matched to symptoms and ability.
Restore activity
Adjust running and jumping, then increase their demands in planned stages.
Everyday approach
Complete rest is usually not the long-term answer for tendinopathy. Keep suitable activities while adjusting the most provocative loads. Do not begin deep heel drops off a step without checking whether they suit your presentation.
What to keep in mind
Tendon-loading exercise is central to rehabilitation. Improvement takes time and no treatment guarantees recovery. Pain at the heel attachment may need exercises that avoid lowering the heel too far at first.
General educational information, not a diagnosis or personal treatment plan. For an emergency in Australia, call 000.
Sources and further reading
Selected guidance and research; this brief guide is not an exhaustive evidence review.