Achilles Tendinitis - Exercises to Heal and Strengthen Your Tendon

Sdílet
Vložit
  • čas přidán 15. 06. 2024
  • Today's video covers the primary exercises we use in physical therapy to treat achilles tendinitis or tendinopathy. Not only do these exercises work to reduce pain, but they will also strengthen the tendon and the two calf muscles (gastrocnemius and soleus).
    Achilles tendinopathy describes a condition in which the tendon that connects the calf muscles to the heel bone (calcaneus) becomes irritated, resulting in pain and limited function.
    Achilles tendinopathy can be subdivided into two categories based on the location of symptoms. These two subdivisions include mid-substance and insertional variations. Pain associated with mid-substance tendinopathy is experienced several centimeters above the heel bone, whereas, insertional pain is experienced at the calcaneus.
    The management of both types is very similar where appropriate loading, through the use of calf raises, serves as the intervention of choice. The major difference when implementing the calf raise is that individuals with insertional tendinopathy will initiate calf raises on the ground and only progress to a raised surface when tendon irritation has reduced.
    So, based on this information here is the progression:
    1. Isometric Holds - raise up on both legs, shift body weight over to the painful side and hold for 30-45 seconds. Perform 4-5 repetitions daily.
    2. Eccentric Contractions - raise up on both legs and slowly lower down on the painful side. Perform 3 sets of 15 slow repetitions every other day. Insertional cases should stay on the ground during this phase.
    3. Full Calf Raise - perform the full calf raise on the painful side. 3 sets of 15 reps every other day.
    For the soleus calf raise, aim to complete 3 sets of 15 repetitions.
    Reference: Malliaras P, et al. Achilles and patellar tendinopathy loading programmes : a systematic review comparing clinical outcomes and identifying potential mechanisms for effectiveness. Sports Med. 2013.
    *My new book contains comprehensive rehab programs for the 50 most common injuries and pain issues, including one for achilles tendinopathy. Click the link below to learn more and order a copy! a.co/d/1q3BjgP

Komentáře • 525

  • @RehabScience
    @RehabScience  Před měsícem +6

    My new book contains comprehensive rehab programs for the 50 most common injuries and pain issues, including one for achilles tendinopathy. Click the link below to learn more. a.co/d/1q3BjgP

  • @Mike-ks6qu
    @Mike-ks6qu Před rokem +223

    Just wanted to post an update after following these exercises for around 2 months. I'm pain free for once and running everyday again. Thank you so much! I do these every other day, and calf wall stretch for 1 minute twice a day, and bent knee soleas stretch 1 minute twice a day. I can even Sprint and jump rope again. I thought I was screwed for life from these achilles issues but no longer. Thanks again, the exercises work no bullshit. Subbed. 🤙

    • @RehabScience
      @RehabScience  Před rokem +9

      That’s so awesome to hear! Thanks for the update!

    • @HoneeyBee3
      @HoneeyBee3 Před rokem +3

      Ahhh! I literally just asked for an update on your old comment LOL! Thank you for updating!! So it's seems it's something you have to strengthen, like a muscle almost, and rest won't help it much. Thank you again for updating!!

    • @clarasmom9440
      @clarasmom9440 Před rokem

      Why do you have to do any of these exercises - but particularly the soleus exercise - on a step? You don't seem to lower your heel below your toes at all. Maybe I'm missing some subtly 🤷🏼‍♀️

    • @RehabScience
      @RehabScience  Před rokem +5

      @@clarasmom9440 The step allows the ankle to move farther into dorsiflexion, which helps optimize tendon capacity. You can definitely let the heel drop farther than what I demonstrated here depending your symptoms and what your tendon will tolerate.

    • @mom_of_an_ahgase
      @mom_of_an_ahgase Před 10 měsíci +1

      @RehabScience i have a painful bump on the lower part. I'll try these exercises. Will the bump go away? Well, as long as the pain will go, that'd be fine for me. I don't want to have surgery. My doctor also suggested PRP( it's Plasma something...injection) Can you please discuss something about it? Thank you

  • @CJ-co2op
    @CJ-co2op Před 9 měsíci +55

    I’m a podiatrist and the advice given in this video is evidence based and typically successful for many of my patients. Well done!

    • @RehabScience
      @RehabScience  Před 9 měsíci +1

      Thank you for the comment!

    • @Jason-tz7ir
      @Jason-tz7ir Před 3 měsíci +1

      A podiatrist would know all this... As I'm also a podiatrist... I'm genuinely worried about your patients.

    • @ethio1931
      @ethio1931 Před 3 měsíci +1

      @@Jason-tz7irfor what?

    • @almightyminataur4000
      @almightyminataur4000 Před 2 měsíci

      Maybe they just wanted to see if the video was correct or not. Ya never know​@@Jason-tz7ir

  • @nemonemo6285
    @nemonemo6285 Před rokem +5

    Perfect. Thank you, especially for the info on isometrics, that is significant info for any injury !!!!

  • @GeorgeLista
    @GeorgeLista Před rokem +20

    Hard to find quality info on insertional problems, this was great to see. Thank you.

  • @claudinepillay-smith831
    @claudinepillay-smith831 Před 5 měsíci +1

    Thank you so much for all this info

  • @bev9708
    @bev9708 Před rokem +3

    THANK YOU so much!!!! This is greatly appreciated!!! 🙏🏻🙏🏻

  • @user-xg6bu2fb5i
    @user-xg6bu2fb5i Před 4 měsíci +6

    Finally someone talking about the second one. I have that and no vedio cleared this. Thanks a lot😊

  • @l4dos917
    @l4dos917 Před 2 lety +2

    Great video with good explanations.

    • @RehabScience
      @RehabScience  Před 2 lety

      Thank you! Glad to hear the video was helpful!

  • @Mike-ks6qu
    @Mike-ks6qu Před rokem +173

    Literally can't get rid of this. Even if I stop all running it hurts months afterwards first thing in the morning. So frustrating. I've tried so many exercises, never seems to heal or help relieve pain. Give this a shot I suppose. Thx for the video

    • @kevinperkins8472
      @kevinperkins8472 Před rokem +5

      Mike did it help?

    • @markNL5
      @markNL5 Před rokem +8

      Have you tried doing loading excersizes? I fixed my last time really quick by doing weighted calf raises and other weighted excersizes. I used a barbell, put as much weight on it so i could still hold it. And than do the raises. Just make sure not to have to much pain while doing the workout and do them slow. And ofcourse don't do this with a tear.

    • @j_igbo_404
      @j_igbo_404 Před rokem +2

      Any updates

    • @Mike-ks6qu
      @Mike-ks6qu Před rokem +121

      @@kevinperkins8472 I'm achilles pain free!! I'm back to running 3-5 miles everyday and sprinting twice a week even before I lift weights. I do these exercises every other day, no exceptions, and I also do the wall stretch (calf) for a whole minute twice a day, and the soleas bent knee stretch 1 minute twice a day. I'm finally pain free. So these exercises coupled with those 2 stretches and perhaps more depending on your needs can definitely work! It's the only approach that helped me.

    • @ferrytodd1758
      @ferrytodd1758 Před rokem +5

      Have you been told why you had this tendinopathy in the first place? I have recently had my ultrasound, with observation of strain injury in the anterior talofibular ligament and calcific tendinopathy in tibialis posterior tendon. I was suggested physiotherapy which I took 5 sessions until 3 days ago; but even with mild walking from one room to the other, the bottom of the right side tendon of my right foot begins pain with inflammation. I do a lot of reading and researching and everything makes me even more nervous what if nothing works for me. It has been a week now that I am resting, doing exercises regularly and go for physiotherapy. Driving is the hardest at this point, so I avoid that too.

  • @andrewdoyle3238
    @andrewdoyle3238 Před 9 měsíci +4

    Brilliant video

  • @earthquakemagoon2505
    @earthquakemagoon2505 Před rokem +1

    Looks good! Giving these a go.

  • @rpriceutube
    @rpriceutube Před 9 měsíci +4

    Thanks so much, have had tendinopathy for 3 years and tried everything, that last exercise clearly made the muscle work like it had not been working, so we will see!

    • @RehabScience
      @RehabScience  Před 9 měsíci

      Sorry you have been struggling with this for so long. I hope that exercise helps you. You might also want to try the soleus exercises in the video below as a weak soleus has been tied to Achilles tendinopathy in many cases.
      czcams.com/video/e547vdG9BFA/video.htmlsi=B50kTaTA13zDgUhS

  • @devijahn
    @devijahn Před 2 lety +2

    Nice!!! Thanks for sharing doc 🙏🏻

  • @busilakdalisay6156
    @busilakdalisay6156 Před 10 měsíci +2

    very helpful and easy to understand ..thanks

  • @deborahcoulter6827
    @deborahcoulter6827 Před rokem +17

    Thank you for the description of the two types of Tendinosis and exercises to treat. I realize now I have insertion at the calcaneus. (Post-op for broken tibia and fibula). Learning more about what will aggravate the healing process while still getting in a workout will be my quest.

    • @RehabScience
      @RehabScience  Před rokem +1

      I’m glad the video was helpful. Best wishes with your recovery process.

    • @deborahcoulter6827
      @deborahcoulter6827 Před rokem

      Kudos to you for monitoring and interacting with people commenting. 👏🏻 due to pain, 2:00 am this morning I was doing your exercises. So needful to get my able to release. Wondering if the machines at the gym may be aggravating my condition. Leg press, etc. ?

    • @RehabScience
      @RehabScience  Před rokem

      @@deborahcoulter6827 Leg press could irritate an insertional tendon issue (pain right near the heel bone), if your feet are low on the leg press and your ankle is moving into a dorsiflexion position. Does that make sense?

    • @deborahcoulter6827
      @deborahcoulter6827 Před rokem +1

      Dorsiflextion exercises is what physical therapy has me doing. Now I want to cry. Where are you located?

  • @DanielLee1
    @DanielLee1 Před rokem +14

    Subscribed. Partly due to the content, but moreso because of your help in the comments section to everyone. Definitely keep THAT up! ❤

  • @victorgl9709
    @victorgl9709 Před 2 lety +2

    Very informative as usual!

  • @mogrease4
    @mogrease4 Před rokem +3

    Omg simple great easy information to fallow. Thank u so much. Great video

  • @mariabolt3881
    @mariabolt3881 Před 25 dny +1

    Been struggling with achillues tondonitis low on heel. Thankyou for exercises. Starting them in the morning!

  • @alyannamishley
    @alyannamishley Před rokem +1

    Thanks for this video

  • @MemeGang420
    @MemeGang420 Před 2 lety +3

    Those soleus raise machines at gyms are so hard to come by yet they’re so useful.

  • @sejaloza6960
    @sejaloza6960 Před rokem +1

    Very helpful, wonderful thank you 🙏

  • @silveriver9
    @silveriver9 Před měsícem +1

    Clearly explained, thanks!

  • @clivebailey4804
    @clivebailey4804 Před rokem +1

    Great video, thanks alot.

  • @razakhamani1091
    @razakhamani1091 Před 4 měsíci +4

    Best video I have ever seen on achilles Tendons rehab I will start tomorrow and come back in few weeks

    • @RehabScience
      @RehabScience  Před 4 měsíci

      Glad it was helpful!

    • @Fumke02
      @Fumke02 Před 3 měsíci

      Did you do the exercises? Are you feeling better?

    • @razakhamani1091
      @razakhamani1091 Před 3 měsíci +2

      @Fumke02 I did, and I see an improvement . My calves are much bigger for sure, but the pain is till there in the morning after teaching spin class, which I do 2 - 3 times per week , but I am taking a month off from cycle and I am hoping to concentrate that more .

  • @richardoshea2071
    @richardoshea2071 Před 18 dny +3

    Just tried each of the exercises once, and feel a lot better already, will keep up

    • @RehabScience
      @RehabScience  Před 18 dny

      Great to hear that!

    • @richardoshea2071
      @richardoshea2071 Před 17 dny

      @@RehabScience the pain/stiffness in my tendon is prob a 1 out of 10 when I am walking or resting, but if I rub my tendon, it prob is a 5 out of 10. It feels a bit tender. I did the injury on Saturday, will this settle down with your exercises do you think?Thanks

  • @mahnazlangan
    @mahnazlangan Před 2 měsíci +2

    This helped a lot thanks!😊

  • @Youssef-hu6dy
    @Youssef-hu6dy Před 2 lety +2

    SO INTERESTING DOC

  • @trevorm3181
    @trevorm3181 Před 2 měsíci +1

    Good video. For those of us with achy knees, the bent knee calf raise can be painful. I learned you can also get up on your toes while holding a glute bridge. It will definitely workout your soleus. It will also help to strengthen your lower back and knees as a bonus.

  • @briankim6086
    @briankim6086 Před 7 měsíci +1

    Been putting this off. Thx for video. 🙏🏽

  • @TheBacker007
    @TheBacker007 Před rokem +2

    Thank you so much, awesome video, it helps 👍

  • @Chasingsing
    @Chasingsing Před 6 měsíci +1

    I just found this video . I was a runner and had no issues climbing/hiking 14ers. But when I drove back to the east coast everything went down hill . Hurts to walk and stop running . I hoping swimming and doing these exercises will work . I just did my first set on the first exercise.. thought I was about to scream in pain but feeling some relief and finally got my calf muscles activated. Crossing my fingers

  • @coachojoi8
    @coachojoi8 Před rokem

    Thank you Doctor

  • @pinaynycusa8868
    @pinaynycusa8868 Před 10 měsíci +2

    Thank you❤

  • @HH-wd2cn
    @HH-wd2cn Před 3 měsíci +2

    I am currently going through this stage great work thanks for the exercises

    • @RehabScience
      @RehabScience  Před 3 měsíci

      No problem! I hope the exercises help you.

  • @patricesilva8004
    @patricesilva8004 Před rokem +1

    Thank you Dr

  • @welheminamotsepe3066
    @welheminamotsepe3066 Před 3 měsíci +1

    Thank you so much it is really helpful 🙏❤️

  • @akshaybhavsar9576
    @akshaybhavsar9576 Před rokem +1

    Wonderful, worked for me❤

  • @tarzanmike7836
    @tarzanmike7836 Před 2 měsíci +3

    Very helpful video! Been dealing with insertional Achilles tendinitis for over two years. Saw a few physical therapist who had varying treatment plans with no positive results. Saw two surgeons who recommended surgery. The second surgeon recommended heel inserts since I was reluctant to have what is major surgery. I used the inserts, eliminated stretching and concentrated on the exercises in your video, particularly the last exercise concentrating on the Soleus muscle. I’ve experienced significant reduction in pain at this point! Thanks so much!

    • @RehabScience
      @RehabScience  Před 2 měsíci +1

      That’s so great to hear! I’m glad the video was helpful!

    • @victorianlover3328
      @victorianlover3328 Před 18 dny

      Me too, 2 years of suffering.
      Do other tendons bother you? I also have elbow issues.

    • @tarzanmike7836
      @tarzanmike7836 Před 17 dny

      @@victorianlover3328 Don’t jinx me! lol

  • @froywhernside
    @froywhernside Před 7 měsíci

    Did these exercises for the first time yesterday... Muscles are very sore today so must be working!

  • @fabianf1125
    @fabianf1125 Před rokem +4

    Thanks, Ryan Gossling

  • @alamia
    @alamia Před 2 měsíci

    Thank you for this informative video! I am wondering however, if we are supposed to do all the exercises each day or start with one and work our way up to incorporating all of them?

  • @muleskinner4495
    @muleskinner4495 Před 2 měsíci +1

    I can honestly say, couldn’t hardly walk 2 days ago, very painful. Found this video, did the stretches and less than 12 hours pain was gone. Thank you!!!

  • @alanahartley9215
    @alanahartley9215 Před rokem

    This is great thanks!! I have a plantaris and medial grade 1 tear on my left leg do you have anything on the plantaris recovery? I also have mid substance flaring up big time on both legs before I did tear but now right side is taking the brunt of the weight shift and is very Inflammed is this something I could do for both or just start with the right while the left tears heal?

  • @kimiyak5255
    @kimiyak5255 Před 10 měsíci +1

    Hi. Thank you so much for the info. So I have to start in phase 1 with the straight knee exercise and also do the soleus exercise. Isn’t the soleus exercise too hard on the achillies for phase 1 ? Thanks

  • @chacesimpson2856
    @chacesimpson2856 Před 3 měsíci

    Thank you doctor,love frim Sierra Leone

    • @RehabScience
      @RehabScience  Před 3 měsíci

      You’re welcome! Glad my videos are helpful!

  • @deepakdubey2918
    @deepakdubey2918 Před měsícem +2

    Thank u so much for this video....I had pain for nearly 20 odd days and was not sure the reason for such pain. In 2 days I cud see tremendous improvement in walking and reduction in pain.
    Thank u so much again....god bless you...namaskar🙏🙏

    • @RehabScience
      @RehabScience  Před měsícem

      So glad to hear the video and exercises helped you!

  • @physiomaster18
    @physiomaster18 Před rokem +1

    Nice explanation.. 👍

  • @joeywang3715
    @joeywang3715 Před 3 měsíci

    Thanks the video was very useful!!! Somehow I was different compared to other people who I have heard about Achilles tendon pain after surgery etc.. but I haven’t had any uncomfortable feeling or feeling after surgery it’s been 16 day after surgery now I’m getting my cast off tmr 🎉🎉🎉

  • @danarobichaux1772
    @danarobichaux1772 Před rokem +2

    Thanks! I had to modify it slightly due to pain and my weight. I could t lift my opposite foot all the way off of the ground keeping the toes on the ground, but it still helped my hurt heel to feel bettter. Thanks again!

    • @RehabScience
      @RehabScience  Před rokem

      Glad it was helpful! That is a good modification to implement until the pain dissipates a bit more.

  • @ozdrjohn
    @ozdrjohn Před 4 měsíci

    very helpful to strengthen it up for other exercises, thanks

  • @antjobert
    @antjobert Před 23 dny +1

    I'm going to try these. Thank you for the reminder that if the pain is low on the heel that stretching on a step with the heel lower is a bad idea.

  • @mdgeorge4993
    @mdgeorge4993 Před 6 dny

    Thanks so much. Should i do these before a run or after? Or indeed both?

  • @alanel6662
    @alanel6662 Před 8 měsíci +1

    Do you have any recommendations for a brace to wear to prevent Achilles injuries? Thank you.

  • @carlannan8788
    @carlannan8788 Před rokem

    @Rehab science Great vid. I think have insertional on my left Achilles and I used to have a lot of pain when dorsiflexing around my heel but now it’s decreased much more, does that I mean I could start stretching it out? My issue is that I can’t plantar flex with that Achilles as much as the right one anymore, the soft tissue muscles in my Achilles seem to react differently in the left than the right and I don’t know another way of gaining that mobility except for stretching, could you tell me how to gain that plantar flexion?

  • @AJRAOfficial
    @AJRAOfficial Před 2 měsíci

    Been dealing with the pain after surgery for YEARS would have random shoots of pain was something i felt i had to live with these stretches work no cap gonna be doing these everyday so i can run jump and play basketball again

  • @rashidshaikh7144
    @rashidshaikh7144 Před rokem

    Great ; Sir seam Exercise after tomach pain starts

  • @bearsandberries4631
    @bearsandberries4631 Před 10 měsíci +2

    can i do the isometric exercises even when my feet are aching? or do i wait until they don’t ache? any help is appreciated

  • @southbay137
    @southbay137 Před 10 měsíci

    What is your opinion of rehabbing this condition, coupled with surfing, bodyboarding and weigh training, but no running for cardio.

  • @jelen3299
    @jelen3299 Před rokem +1

    Tore my Achilles yrs ago made a full recovery now my other one feels a lil sore so trying to prevent another tear but didn’t know how. Great vid appreciate it

    • @RehabScience
      @RehabScience  Před rokem

      Glad the video was helpfu!

    • @gllipp6104
      @gllipp6104 Před rokem +1

      Going through the same thing now had surgery last June finishing physical therapy now aggravated my other side and won’t let up

  • @cathysmallwood
    @cathysmallwood Před rokem +2

    Excellent video! Any thoughts on heel inserts for footwear? Doc recommended. Have had insertional tendinopathy for nine mo. (caused by knee injury previous summer?) Have been busy gardening and hiking in spite of pain. Will definitely do these exercises. Thanks again!

    • @RehabScience
      @RehabScience  Před rokem +1

      Glad the video was helpful! Heel inserts can be a great way to offload the Achilles insertion. Being that you’ve had symptoms for quite some time, I might give them a try.

    • @cathysmallwood
      @cathysmallwood Před rokem

      @@RehabScience thanks! will look for some next trip to town 🙂

  • @faith
    @faith Před rokem

    Hi I can do all of these quite easily, I only have really sore achilles when I deep massage it but usually it's just sooo stiff which is the problem. Especially in the morning or after sitting for too long. Will the stiffness get better after doing these consistently? I even added weight to my backpack, but I feel like the load is still not enough. Also would you recommend to keep running? Usually the stiffnes goes away after 1km. But it might return worse next morning. Also I can feel so much stiffness when doing isometrics, but I literally do these 5+ times a day aswell.

    • @RehabScience
      @RehabScience  Před rokem

      The symptoms you are reporting are quite common with Achilles tendon issues. Because you can do the slow strength exercises (calf raises) easily, I would recommend transitioning to double leg and single leg hopping exercises as your tendon needs to be conditioned to store and release energy in order to successfully return to running. If you aren’t currently doing the soleus calf raises, I would also recommend adding those. I have a video under my ankle playlist that shows how to strengthen the soleus muscle.

  • @user-ou9ft6if4h
    @user-ou9ft6if4h Před 9 měsíci +1

    Thanks for making this video!

  • @HKStephen168
    @HKStephen168 Před 9 měsíci +2

    My left heel just started hurting yesterday after playing a few hard games of pickleball. It is on the back side of my heel so what I have is the insertion Achilles tendonitis. Will try your exercise. Hopefully the pain will go away. Thank you for the info.

    • @RehabScience
      @RehabScience  Před 9 měsíci

      I’m glad the video was helpful and hope the exercises get you back to playing.

  • @tonyhenry3211
    @tonyhenry3211 Před rokem +1

    How long do we need to do each phase, like 1 week of first exercise then move to next or just til first exercise is pain free?

  • @evelyns3201
    @evelyns3201 Před rokem +1

    Thanks for a great video. Is it possible to have both the higher and lower (by the heel) pain at the same time? I feel like when the “Achilles” starts to flair up, I get it in both areas you described. Should I do these them on the step or in the flat surface or both??

    • @RehabScience
      @RehabScience  Před rokem

      Yes, it is possible, and in that case, I would start by doing them on a flat surface. As your symptoms calm down, you could transition to the step to strengthen the tendon through a full range of motion.

  • @robbradley3610
    @robbradley3610 Před rokem +3

    Hi, that was very informative, I’ll start gently with the exercises. My mid portion Achilles has been tender for months and in comparison to the other side is about twice as thick. How long does it usually take the tendon to go back to normal?

    • @RehabScience
      @RehabScience  Před rokem +7

      Once any aggravating activities are modified and these types of strengthening exercises are implemented, most tendons will improve significantly within 6 to 8 weeks.

    • @Catdad666
      @Catdad666 Před 10 měsíci

      @@RehabSciencecan I swim even if I have this sort of tendonitis ?

    • @RehabScience
      @RehabScience  Před 10 měsíci +1

      If swimming doesn't aggravate the tendon, then it is fine.@@Catdad666

  • @omega11xx22
    @omega11xx22 Před rokem +2

    Went to japan/korea with my friends to have fun. Did a lot of walking in the first week, maybe 7+ hours a day. Suddenly had slight pain on my right archilles. If i rest for 10 minutes, i would be able to only walk for a few minutes before the pain starts again. Hopefully these exercises will help and not end up having long term pain

  • @bonitagirlyy
    @bonitagirlyy Před 8 měsíci

    Is there a way to modify the ispmetric contractions if its difficult to do? I can tell its harder on my affected leg than it is with my good leg

  • @samhill2655
    @samhill2655 Před rokem +6

    Great vid. I think I have insertional tendonitis. I feel a sharp burning right outside the calcaneous heel bone, but ONLY when I keep my leg straight and stretch the calf. I can do all of the above excercises without pain, and it doesn’t bother me when I’m jogging either, only when I do a really deep calf stretch. I’m wondering if I should still just do them from a flat surface, and forget about stretching out my calf until it’s pain free again? Also, I’m assuming we should do these excercises on both the stressed, and healthy leg as well?

    • @RehabScience
      @RehabScience  Před rokem +3

      Thank you. Your symptoms are interesting in that they don' bother you when doing the exercises or with running. Because your pain comes on with stretching only, I would also want to rule out tibial nerve irritation. Try this: Lie on your back and bring your leg up into a hamstring stretch position with your knee straight. Then, pull your ankle and toes down (ankle dorsiflexion). Does this also reproduce your pain? If so, we may need to have you add nerve mobilizations to your exercise program. If this doesn't hurt much, then I would gradually start doing you calf raises on a step and challenging the tendon through greater range of motion. Does that make sense?

    • @samhill2655
      @samhill2655 Před rokem

      @@RehabScience hey, thanks for the response. Yep, that’s exactly when I feel the pain in the heel, when my leg is straight, and then dorsiflexion.
      For example, if I’m lying flat on my back, with legs straight, and lock my ankle in dorsiflexion I can just barely feel it, but if I then keep the ankle in dorsiflexion, and lift my leg off the floor, keeping it completely straight, I can lift it to about 45° and it’s a fairly sharp pain. If that makes sense. Not sure if continuing to stretch it is good or bad for it. I’m guessing I don’t feel it when I run/walk because my leg always has a bend in it at the knee?
      The issue has been present for about three weeks now without getting better or worse while continuing to run about 20-25 miles/week.

    • @RehabScience
      @RehabScience  Před rokem +3

      @@samhill2655 For that symptom, I would recommend implementing the sciatic nerve mobilization techniques in my sciatic rehab video. Even though you don't have sciatica, the those techniques will mobilize the sciatic nerve and it's tibial branch, which runs down the calf and into the bottom of the foot. The video I am referring to is at the top of my page when you go to my main channel page.

    • @samhill2655
      @samhill2655 Před rokem +1

      @@RehabScience I meant to respond and say thank you. I will implement the stretches.

    • @AurelieJoie
      @AurelieJoie Před rokem +1

      Thank you so much for your in-depth comment section responses! I also have the exact same set of symptoms as this poster and it doesn't hurt to walk or do eccentric calf raises. It hurts a ton in downward dog though- like someone is pulling my skin off my heel. However the area just posterior to my IT band and the outside edge of my calf (is solidus more accessible from the lateral side of the calf?) hurt enough to scream when I take a gua Sha over the area (maybe facia??) and it doesn't feel at all similar to when I had sciatica. 🤔 I am trying the nerve flossing on my back anyway...it feels icky on my heel but I will keep trying it to see if it helps!

  • @Sinopec13
    @Sinopec13 Před 6 měsíci

    Hello, I have mid-substance AND insertional tendinopathy inflammation on my right leg. I received numerous physiotherapy sessions and none of them worked. A kortizol injection worked partially, allowed me to start walking again without artificial heel lifts in my shoes. My doctor recommended me to do some exercises to stretch & strengthen my achilles. I came across your video and tried one of your exercises, which is raising both of the feet up on the ground, but my achilles started to ache again. Is aching normal? I followed the exact routine that was provided in the video. What else would you suggest, or how should I do it? I've been in pain for 2 years and I need this to stop. I hope you can help me out.

  • @tonymeehan7859
    @tonymeehan7859 Před 11 měsíci

    I have Achilles almost every day, and have had for a few yrs now. It started about 3or so yrs ago in my left heel first. About a yrs or so later, it started in my right heel, which now is the worst of the two! If I bang or hit them, I am in extreme pain. I am always stretching my heels out to try and keep them loose, if I sit too long with my tendons retracted, when I get up, I cant walk hardly at all and I am limping for some time.....I find I dont have full stepping motion with my right foot at all. I can have my feet up at home on the couch and out of the blue I will get a sharp stabbing pain in my right heel, with a burning feeling.....so Im not sure if I have what you are describing here or not.....can you help me with things to do?? Its very debilitating. I cant even go on walks with my wife, Im only 57. How did this even happen and why is it lasting forever??

  • @jamlit7973
    @jamlit7973 Před rokem

    I suffered a high ankle sprain while playing football then developed pain in the middle of my Achilles out of no where and couldn’t get the pain out.This happened in December, when do you think I can get back on the field and workout again?

  • @MaSter-mw3rb
    @MaSter-mw3rb Před 8 měsíci +2

    2 days of this and almost good as new. No ibuprofen. Excellent exercise.

    • @RehabScience
      @RehabScience  Před 8 měsíci

      That’s so great to hear!

    • @MaSter-mw3rb
      @MaSter-mw3rb Před 8 měsíci

      @@RehabScience I am usually crippled from gout, but that was a different kind of headache.

  • @rajkumarb8713
    @rajkumarb8713 Před rokem

    Thank you dear. I have pain at calcaneus bone

    • @RehabScience
      @RehabScience  Před rokem

      No problem. I hope these are helpful to you!

  • @Em1n3mka
    @Em1n3mka Před rokem +1

    Hello, thank you very much for the informative video!
    On a few occasions, you say, if the pain is near the heel bone, not to stretch the tendon. Does that apply to static stretching, as well? The pain I have is on the inner side of the leg, closer to the heel, or maybe between the heel and the upper area that you are showing.
    And recently I am stretching a lot! The calf, the achilles, a few times a day and I feel like it helps, I feel mobile afterwards. Is stretching hindering the process?

    • @RehabScience
      @RehabScience  Před rokem +2

      When the pain is on the heel bone, stretching can aggravate things and slow the healing process. However, we have to take these situations on a case by case basis. If you feel like stretching is helpful, then it may actually be positive in your situation.

    • @Em1n3mka
      @Em1n3mka Před rokem +1

      Thanks, I have stopped all stretching now, as the area became more painful. Let's see how it reacts...

    • @Priyan0000
      @Priyan0000 Před 11 měsíci

      ​@@Em1n3mkar u ok now
      Please reply🥺🥺

  • @jalthree
    @jalthree Před rokem +1

    Your video has been extremely helpful to me to better understand the issue with my Achilles. I'm pretty sure that I have insertional tendinopothy on my right side and a painful (possibly torn) soleus on my left. Can I work on strengthening my Achilles tendon or should I wait until my soleus has healed?

    • @RehabScience
      @RehabScience  Před rokem

      Glad to hear the video was helpful! Whether or not it’s appropriate to implement the exercises now, really boils down to how much pain you have with them. If you have mild or less pain during the movements, then it would be fine to start strengthening the tendon. You might also watch my soleus strengthening video as that one shows exercises that would help with your soleus injury.

    • @jalthree
      @jalthree Před rokem +1

      @@RehabScience thanks for your response, I'll check out your soleus strengthening video immediately !

  • @elontrudeau
    @elontrudeau Před měsícem

    I have had pain in my calcaneus for 9 months , so annoying as I use to do a lot of muay thai. Great exercise, I never knew I should only stetch on a flat surface. If I do this every day , how long is the typical recovery time ? I'm desperate.

  • @gustavogarza2391
    @gustavogarza2391 Před 4 měsíci

    Hello. I am overweight (60 pounds over my weight) and I am 53 y.o.
    I also suffer from grade 1 tendopathy in my right leg; and I would like you to help me. I have 3 questions.
    How often should I do the exercises you mention? Every day, every third day?
    I practice stationary cycling, should I stop or continue cycling until I improve?
    I do leg stretches, and I do calf stretches and soleus stretches, should I not do the stretches?
    Thanks for your explanatory video.

  • @ndimumnini5894
    @ndimumnini5894 Před 21 dnem +1

    Liked and subscribed...awesome stiff!

  • @barrybird67
    @barrybird67 Před 11 měsíci

    I have this problem on my right side, I also have very sore calves and restless legs at night.
    Any idea what's going on.
    Many thanks from the 🇬🇧 uk

  • @johngonzalez7519
    @johngonzalez7519 Před 2 měsíci

    Hello, I’m looking to know the time frame for each stages? If i am in stage one of the rehab how long should I wait to go to stage two?

  • @wesngwj
    @wesngwj Před rokem +4

    Thanks for making this video!
    I have insertional achilles tendonitis and I'm a bit confused by the term "progression". Am I supposed to do all the exercises in one session? Or do I start with the isometric, then change to the eccentric and lastly the calf raises as I get stronger?

    • @RehabScience
      @RehabScience  Před rokem +6

      Yes, exactly. When pain is really severe, we often have people start with the isometrics, then move to the eccentrics and lastly perform the full range calf raises. However, if you can perform the full range calf raises with no more than mild pain, you can just start there.

  • @user-zm9ke7mn5f
    @user-zm9ke7mn5f Před 9 měsíci

    Hi! Is it normal for it to feel a little worse before it gets better when starting these exercises? For it to feel a little angry initially? Thanks so much

  • @mceffi
    @mceffi Před 5 měsíci

    Can i do this right before any activity like workout or sport?

  • @memorabiliatemporarium2747
    @memorabiliatemporarium2747 Před 7 měsíci

    I'm in a desperate search for anything that works 😅
    Thanks Doc. I will try these.
    What to do when your Achilles tendon is strong but extremely weak and painful after waking up or moving after resting?
    I can do sitting calf raises with 100kg, standing calf raises with 140kg and I run daily but if I don't warm up, it takes me several minutes of walking for the pain and lameness to go away.
    This has been going on for almost a decade.
    Help!

  • @lg8063
    @lg8063 Před 3 měsíci

    Great video, thank you. Can you add a video on how to do these exercises on the floor if you have insertional achilles tendinopathy please?

    • @RehabScience
      @RehabScience  Před 3 měsíci

      Sure, I will try to do one soon. Basically, the exercises are exactly the same except for that you are on the floor. This means that the ankle goes through a smaller range of motion.

  • @hoodie427
    @hoodie427 Před rokem +1

    Thanks for this - my tendonitis has been getting progressively worse for probably 18 months now, primarily on the right and it is the insertional type (lower on the heel), sometimes hurts around the outside and bottom of foot too. I can do a 1-legged leg raise with minimal pain, should I jump straight to that or should I build up and only do it when i have almost no pain while doing it? On the other hand the soleus strengthening exercise hurts quite a lot. Should I avoid that until the first 3 levels are easy and pain-free, or should I go ahead and do it despite the pain? Thank you!

    • @RehabScience
      @RehabScience  Před rokem +1

      I would jump straight to the full range knee straight version if the earlier variations can be completed easily. The soleus exercise is hugely important for getting rid of achilles tendinopathy, especially in runners. If that one hurts too much right now, then I would try to do it with an eccentric focus (up on two legs, down on the painful leg only).

    • @hoodie427
      @hoodie427 Před rokem +1

      @@RehabScience thank you! I will try it!

    • @Priyan0000
      @Priyan0000 Před 11 měsíci

      ​@@hoodie427heyyyy
      R u ok now please reply🥺🥺

  • @RA-qr8gc
    @RA-qr8gc Před 2 měsíci

    Should I do this on both legs as a preventative?

  • @franciscomoreno8355
    @franciscomoreno8355 Před 10 dny

    Hello, I have had problems with my tendons for a long time, one of them already ruptured from the calcaneus and I had surgery, I am currently in month 9 of rehabilitation, but what worries me most is that the other tendon has been hurting me constantly. the height of the heel bone, this is how the one that broke began, what do you recommend I do, here in Mexico it is difficult to have specialized care for this problem. Thank you

  • @RAWkin
    @RAWkin Před 4 měsíci

    greetings. what if you have severe pain doing even the first exercise with medial tendinopathy on both legs?

  • @ilovestitch
    @ilovestitch Před 7 měsíci

    Are there any modifications to these you'd suggest for someone who is very overweight? I worry about exacerbating an existing tendon injury by bearing all 350lbs of me on one achilles, especially since the pain is insertional..last thing I need is to tear it straight out of the bone

  • @norvieYT
    @norvieYT Před 6 dny

    Will try this and get back here after 1-2months

  • @ChannelVortex
    @ChannelVortex Před 6 měsíci

    just started today it hurts alot when i do it, is it normal and should i keep going? i did hakf the sets as it was geffing unberable i'll try again tomorrow.

  • @MianZahid
    @MianZahid Před 8 dny

    Can one walk or slow run during the achilles tendinitis recovery period? My doc says recovery will take month and in between you have to rest completely . This can happen again

  • @fnsyis
    @fnsyis Před rokem

    Great information. If i have pain right now, can i still do it?

    • @RehabScience
      @RehabScience  Před rokem

      Yes, you can perform these while having some pain. However, you may only be able to do the isometric or eccentric options. Only do the exercises that can be done with no more than mild pain.

  • @Iratelli
    @Iratelli Před 4 měsíci

    Any advice on the origin of the Achilles (below the calf)?

  • @sheepdawg3642
    @sheepdawg3642 Před 8 měsíci

    Hey super excited to give them ago since recently started getting pain after coming back to basketball after a long break. With the bonus exercise, would you advise to slowly add any light load at all or are there better exercises to continue improving the calf strength?

    • @RehabScience
      @RehabScience  Před 8 měsíci +1

      Yes, you could add load to that one by holding a dumbbell or wearing a loaded backpack or weight vest. If your gym has a soleus machine, you could also use that machine.

    • @sheepdawg3642
      @sheepdawg3642 Před 8 měsíci

      @@RehabScience Thanks appreciate it!

  • @nothingface0798
    @nothingface0798 Před 3 měsíci

    12 years ago, I had an ankle fracture from a 30-foot fall. I have 2 plates and 19 screws in the joint, and now I don't even know where to start. There is a ton of bone growth so the whole joint is messed up. My ankle is impinged on the front and I can't move my knee past my toes. I can't run and even walking too much causes swelling. And if I try to stretch, the tension gets very irritated. Any guidance would be appreciated.