Achilles Tendinopathy
Achilles Pain · Exercises

Exercises for Achilles Pain: A Runner's Rehab Guide

The exercises that actually fix achilles pain — how to do them, how much, and why each one works.

The Core Rehab Program

Do these consistently for 4-6 weeks. Skip the trendy ones — these are the ones with the strongest evidence for achilles pain.

1. Heavy Slow Calf Raises (Straight Knee)

How: Single-leg raise on a step with weight in a backpack, 3s up and 3s down.

Dose: 3 sets of 8, every other day

Why: Builds gastrocnemius strength and remodels tendon collagen.

2. Soleus Raises (Bent Knee)

How: Seated calf raise with weight on the knee.

Dose: 3 sets of 15, every other day

Why: Targets the soleus, which carries most of the load while running.

3. Isometric Calf Holds

How: Single-leg hold at mid-range, 45 seconds.

Dose: 5 holds, daily on rest days

Why: Reduces pain quickly and maintains capacity when heavy loading is irritating.

4. Eccentric Heel Drops

How: Stand on a step, lift with both feet, lower slowly on one.

Dose: 3 sets of 15, daily for mid-portion cases only

Why: The classic Alfredson protocol — only for mid-portion, not insertional.

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