{"id":2276,"date":"2022-03-14T10:23:55","date_gmt":"2022-03-14T10:23:55","guid":{"rendered":"https:\/\/www.physioroom.com\/advice\/?p=2276"},"modified":"2022-06-27T10:59:22","modified_gmt":"2022-06-27T09:59:22","slug":"achilles-tendon-exercises","status":"publish","type":"post","link":"https:\/\/www.physioroom.com\/advice\/injuries\/calf-and-shin\/achilles-tendon-exercises\/","title":{"rendered":"Achilles Tendinopathy Rehabilitation (Achilles Tendonitis)"},"content":{"rendered":"\r\n<div class=\"wp-block-image\">\r\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"402\" height=\"67\" class=\"wp-image-2277\" src=\"https:\/\/www.physioroom.com\/advice\/wp-content\/uploads\/2022\/02\/Achilles-Tendonitis-Symptoms.png\" alt=\"\" srcset=\"https:\/\/advice.physioroom.com\/wp-content\/uploads\/2022\/02\/Achilles-Tendonitis-Symptoms.png 402w, https:\/\/advice.physioroom.com\/wp-content\/uploads\/2022\/02\/Achilles-Tendonitis-Symptoms-300x50.png 300w\" sizes=\"auto, (max-width: 402px) 100vw, 402px\" \/><\/figure>\r\n<\/div>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Eccentric Strengthening<\/h2>\r\n\r\n\r\n\r\n<p>An eccentric contraction is defined as a contraction where the muscle is lengthening, as opposed to a concentric contraction where the muscle is shortening, or an isometric contraction where there is no change in the muscle length.<\/p>\r\n\r\n\r\n\r\n<p>There is nothing magical about eccentric muscle strengthening in the role of alleviating tendon problems. The key is the controlled progression of exercise, which elicits an adaptation in the tendon that produces increased tensile strength. Research has shown that eccentric muscle contractions generate more tension than isometric or concentric contractions and it is often a neglected component of strength training. By using just eccentric work this variable can be controlled.<\/p>\r\n\r\n\r\n\r\n<p>It is important to note that the load and number of repetitions must be carefully recorded and progressively increased. This ensures that the overload on the tendon is carefully controlled and gradually the speed of the exercise is increased, making the exercises more sports specific.<\/p>\r\n\r\n\r\n\r\n<p>I<strong>MPORTANT:<\/strong>\u00a0These exercises should only be started once the pain has settled. There should be no pain during or following these exercises. These exercises should be carried out under the supervision of a Chartered Physiotherapist.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Double Leg Calf Raises<\/h2>\r\n\r\n\r\n\r\n\r\n\r\n<p>The patient starts with double legged calf raises, thus sharing the load with the \u2018good\u2019 leg. The eccentric component is the lowering phase, which should be done slowly.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Progression Schedule<\/h2>\r\n\r\n\r\n\r\n<figure class=\"wp-block-table alignleft\">\r\n<table>\r\n<tbody>\r\n<tr>\r\n<td><strong>Day<\/strong><br \/><strong>1<\/strong><br \/><strong>2<\/strong><br \/><strong>3<\/strong><br \/><strong>4<\/strong><br \/><strong>5<\/strong><br \/><strong>6<\/strong><br \/><strong>7<\/strong><br \/><strong>8<\/strong><br \/><strong>9<\/strong><br \/><strong>10<\/strong><br \/><strong>11<\/strong><br \/><strong>12<\/strong><br \/><strong>13<\/strong><br \/><strong>14<\/strong><br \/><strong>15<\/strong><br \/><strong>16<\/strong><br \/><strong>17<\/strong><br \/><strong>18<\/strong><br \/><strong>19<\/strong><br \/><strong>20<\/strong><br \/><strong>21<\/strong><\/td>\r\n<td><strong>Load<\/strong><br \/>2 x 6 repetitions<br \/>2 x 8 repetitions<br \/>2 x 10 repetitions<br \/><strong>Rest<\/strong><br \/>3 x 8 repetitions<br \/>3 x 10 repetitions<br \/>4 x 8 repetitions<br \/>3 x 12 repetitions<br \/><strong>Rest<\/strong><br \/>4 x 10 repetitions<br \/>4 x 12 repetitions<br \/>4 x 14 repetitions<br \/>4 x 16 repetitions<br \/><strong>Rest<\/strong><br \/>4 x 18 repetitions<br \/>4 x 20 repetitions<br \/>4 x 22 repetitions<br \/>4 x 24 repetitions<br \/>4 x 26 repetitions<br \/>4 x 28 repetitions<br \/>4 x 30 repetitions<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/figure>\r\n\r\n\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Single Leg Calf Raises<\/h2>\r\n\r\n\r\n\r\n<p>The progression is to do the exercise on the affected leg and gradually increase<br \/>the load by introducing weights. Then the speed of the exercise is increased.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Progression Schedule<\/h2>\r\n\r\n\r\n\r\n<figure class=\"wp-block-table\">\r\n<table>\r\n<tbody>\r\n<tr>\r\n<td><strong>Day<\/strong> <br \/><strong>22<\/strong><br \/><strong>23<\/strong><br \/><strong>24<\/strong><br \/><strong>25<\/strong> <br \/><strong>26<\/strong> <br \/><strong>27<\/strong> <br \/><strong>28<\/strong> <br \/><strong>29<\/strong> <br \/><strong>30<\/strong> <br \/><strong>31<\/strong> <br \/><strong>32<\/strong> <br \/><strong>33<\/strong> <br \/><strong>34<\/strong> <br \/><strong>35<\/strong> <br \/><strong>36<\/strong> <br \/><strong>37<\/strong> <br \/><strong>38<\/strong> <br \/><strong>39<\/strong> <br \/><strong>40<\/strong> <br \/><strong>41<\/strong> <br \/><strong>42<\/strong> <br \/><strong>43<\/strong> <br \/><strong>44<\/strong> <br \/><strong>45<\/strong> <br \/><strong>46<\/strong> <br \/><strong>47<\/strong> <br \/><strong>48<\/strong> <br \/><strong>49<\/strong> <br \/><strong>50<\/strong> <br \/><strong>51<\/strong> <br \/><strong>52<\/strong> <br \/><strong>53<\/strong><br \/><strong>54<\/strong> <br \/><strong>55<\/strong> <br \/><strong>56<\/strong><\/td>\r\n<td><strong>Load<\/strong> <br \/>2 x 6 repetitions <br \/>2 x 8 repetitions <br \/>2 x 10 repetitions <br \/>2 x 10 repetitions <br \/>3 x 8 repetitions <br \/><strong>Rest<\/strong> <br \/>3 x 10 repetitions <br \/>4 x 8 repetitions <br \/>3 x 12 repetitions <br \/>4 x 10 repetitions <br \/><strong>Rest<\/strong> <br \/>4 x 12 repetitions <br \/>4 x 14 repetitions <br \/>4 x 16 repetitions <br \/>4 x 18 repetitions <br \/>4 x 20 repetitions <br \/><strong>Rest<\/strong> <br \/>4 x 22 repetitions <br \/>4 x 24 repetitions <br \/>4 x 26 repetitions <br \/>4 x 28 repetitions <br \/>4 x 30 repetitions <br \/><strong>Rest<\/strong> <br \/>4 x 30 repetitions <br \/>4 x 30 repetitions <br \/>4 x 30 repetitions <br \/>4 x 30 repetitions <br \/>4 x 30 repetitions <br \/>4 x 30 repetitions <br \/>4 x 30 repetitions <br \/>4 x 30 repetitions <br \/>4 x 30 repetitions <br \/>4 x 30 repetitions <br \/>4 x 30 repetitions <br \/>4 x 30 repetitions<\/td>\r\n<td><strong>Added Load<\/strong> <br \/>None <br \/>None <br \/>None <br \/>None <br \/><br \/>None \u00a0 <br \/>None <br \/>None <br \/>None <br \/><br \/>None \u00a0 <br \/>None <br \/>None <br \/>None <br \/>None <br \/>None \u00a0 <br \/><br \/>None <br \/>None <br \/>None <br \/>None <br \/>None \u00a0 <br \/><br \/>2 x 2.5kg dumbells <br \/>2 x 2.5kg dumbells <br \/>2 x 2.5kg dumbells <br \/>2 x 5kg dumbells <br \/>2 x 5kg dumbells <br \/>2 x 5kg dumbells <br \/>2 x 7.5kg dumbells <br \/>2 x 7.5kg dumbells <br \/>2 x 7.5kg dumbells <br \/>2 x 10kg dumbells <br \/>2 x 10kg dumbells <br \/>2 x 10kg dumbells<\/td>\r\n<td><strong>Speed<\/strong> <br \/>Slow<br \/>Slow <br \/>Slow <br \/><br \/>Slow <br \/>Slow \u00a0 <br \/>Medium <br \/>Medium <br \/><br \/>Medium <br \/>Medium \u00a0 <br \/>Medium <br \/>Medium <br \/>Medium <br \/>Medium <br \/><br \/>Medium \u00a0 <br \/>Medium <br \/>Medium <br \/>Medium <br \/>Medium <br \/>Medium \u00a0 <br \/><br \/>Slow <br \/>Medium <br \/>Fast <br \/>Slow <br \/>Medium <br \/>Fast <br \/>Slow <br \/>Medium <br \/>Fast <br \/>Slow <br \/>Medium<br \/>Fast<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/figure>\r\n","protected":false},"excerpt":{"rendered":"<p>Eccentric Strengthening An eccentric contraction is defined as a contraction where the muscle is lengthening, as opposed to a concentric contraction where the muscle is shortening, or an isometric contraction where there is no change in the muscle length. There is nothing magical about eccentric muscle strengthening in the role of alleviating tendon problems. The &#8230; <a title=\"Achilles Tendinopathy Rehabilitation (Achilles Tendonitis)\" class=\"read-more\" href=\"https:\/\/www.physioroom.com\/advice\/injuries\/calf-and-shin\/achilles-tendon-exercises\/\">Read more<\/a><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"generate_page_header":"","footnotes":""},"categories":[518],"tags":[701,700,470],"class_list":["post-2276","post","type-post","status-publish","format-standard","hentry","category-calf-and-shin","tag-achilles-injuries","tag-achilles-tendinopathy","tag-achilles-tendonitis"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Achilles Tendinopathy Rehabilitation | PhysioRoom<\/title>\n<meta name=\"description\" content=\"Eccentric strengthening and exercises for Achilles Tendinopathy Rehabilitation (AKA: Achilles Tendonitis). 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