Achilles Tendonitis

Like other tendon injuries, complete rest often provides only temporary relief — the tendon comes back weaker and the pain returns once normal activity resumes, because the underlying capacity was never rebuilt.

• Sudden increases in running volume or intensity
• Tight or under-conditioned calf musculature
• Poor ankle and foot mechanics during push-off
• Inadequate recovery between high-load training sessions
• Footwear or surface changes increasing tendon stress

• Pain and stiffness at the back of the heel
• Symptoms that are worse with the first steps in the morning
• Pain with running, jumping, or pushing off
• Noticeable thickening or swelling along the tendon
• Pain that eases with light activity, then worsens afterward

We assess tendon thickness and irritability, calf and ankle mobility, and your running or activity mechanics to identify exactly what’s overloading the tendon beyond its current capacity.

We combine soft tissue work to address tissue quality, progressive loading — heavy slow resistance and eccentric protocols in particular — to rebuild the tendon’s tolerance, and correction of the ankle and calf mechanics that overloaded it in the first place.

• Soft tissue work to address tissue quality in the calf and tendon
• Progressive loading — heavy slow resistance and eccentric protocols in particular
• Correction of ankle and calf mechanics that overloaded the tendon
• Structured, gradual return to running and jumping activity

Achilles tendon injuries typically require eight to twelve weeks of consistent progressive loading, as this tendon in particular adapts slowly and needs a patient, well-sequenced approach.

The tendon that flares up under real demand is a tendon that was never brought back to full capacity. Our program is built to close that gap, not just quiet the pain until the next flare-up.