Achilles Tendinopathy Exercises, Self- Treatment and Explanation

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Achilles Tendinopathy Exercises, Self- Treatment and Explanation | FULL Exercise Program!

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Dr. Becca's Rehab

Күн бұрын

Пікірлер: 106

@dr.beccasrehab Жыл бұрын

✨FREE 20-Minute Injury Screens: calendar.app.google/gcftzFH6ZbCSEvk96 📥Download a PDF version of all 27 exercises here: ko-fi.com/s/cf7f608ddd

@jackmitho9847 11 ай бұрын

This injury has been so incredibly frustrating. It's so hard to keep trying; to keep believing it will ever be back to normal. The setbacks are brutal. Now it's time to try again.

@tttarms1970 10 ай бұрын

Any improvements?

@Fyahking619 8 ай бұрын

Hey, this is my 3rd Achilles tendonitis in 3. yrs. It just comes back without any warnings.

@blessingbusisiwekgware5166 8 ай бұрын

Oh my goodness it comes back after healing

@evyatarge 6 күн бұрын

Thank you for doing this great video. I started having Achilles Tendinitis two months ago (I think July 1st 2024). But only started to rest on August 4th 2024. I will try these exercises. 05:31 Reduction Phase: 0-2 Weeks Goals: - Reduce pain to 6/10 or less on pain scale using the RICE method. - Remove aggravating factors (e.g. footwear, sport, work, ect.) - Return to normal body weight activities - walking in home - Exercises in order of difficulty R - rest I - ice C - compress E - elevate 5:54 Ankle pumps: x20 6:00 Ankle circles: x20 6:06 Sitting Heel Raises: x30 6:13 Slowly get rid of this! Practice walking around the home. ================================================= 06:21 Recovery Phase: 2-6 Weeks Goals: - Reduce pain to 0-4/10 with highest during exercise or mornings - Never greater than 5/10 longer than 15 min. post-exercise - return phase 1 if so - Remove aggravating factors (e.g. footwear, sport, work, ect.) - Progress in all body weight activities to full rep amount: all in order of difficulty! - Exercises in order of difficulty 6:38 Standing Calf stretch: 2x30 sec. (Knee straight) 6:44 Ankle Dorsiflexion/Soleus Stretch: x10x5sec. 6:50 Advanced Dorsiflexion/Soleus Stretch: x10x5 sec. 7:00 Standing Heel Raises: x20 slow 7:05 Eccentric Heel Raise: x20 slow 7:17 Single Heel Raise: x20 slow 7:22 Single Limb Stance: 1 min. 7:28 Step Heel Raises: x20 slow 7:35 Step Eccentric Heel Raises: x20 slow 7:43 Step Single Heel Raise: x20 ================================================= 07:51 Building Phase: 3-12/6-12 Weeks Goals: - Reduce pain to 0-2/10 with highest during exercise or mornings - Never greater than 5/10 longer than 15 min. post-exercise - return phase 1/2 if so - Decreasing morning stiffness - Remove aggravating factors (e.g. footwear, sport, work, ect.) - NO pain at insertional achilles by end of 12 weeks - Progress by adding: weight, speed, multi-directional movements, plyometrics about 3x/week - Exercises in order of difficulty 8:02 Dynamic Calf/Ankle Stretches 8:12 Seated Heel Raises + Weight: x20 8:18 Weighted Heel Raises: x20 8:22 Eccentric Heel Raise + Weight: x20 8:29 Single Heel Raise + Weight: x20 8:33 Double Leg Rebounders: 2x20 8:40 Walk outside & progress speed 8:42 Single Leg Rebounders: 2x20 8:49 Double Leg Jumps: 2x10 (front) 8:54 Double Leg Jumps: 2x10 (side) 9:00 Single Leg Jumps: 2x10 (front) 9:05 Single Leg Jumps: 2x10 (side)

@Newstead23 4 күн бұрын

My non surgical rupture has been a nightmare from being told to do no weight bearing in the boot for 8 weeks?, by the time i came out if boot i couldn’t move my ankle at all, but after some really hard work it started to get moving, then i got Cellulitis twice the second time put me in the icu for 8 days, i got better on antibiotics, so my rehab has been tuff, my calf is only just starting to show a shape and I’m starting to do impact exercises, so I’m hoping by this coming new years i may be back playing sports, and I’m62 so the age for healing problems are in play too but 🤞I’m nearly there😎👍

@paulkelly4731 10 ай бұрын

I'm past month 4 with my injury. Forced myself back into the gym, running on pain killers, but making it happen... starting to finally see some improvement... for me, the key is more work, not more rest!

@mtjohnson65 Жыл бұрын

Exactly what I was looking for. Thanks so much.

@PatRudy-n1f 12 күн бұрын

Loved this video ❤ great exercises!

@mzthng7 8 ай бұрын

This is the best video I’ve seen on this topic.

@donsheehan5144 2 ай бұрын

Thank you Dr Becca. Im pessimistically looking at a year to get better at 68.

@dr.beccasrehab 2 ай бұрын

I do Zoom 1-time evaluations on the weekends if you ever need an update on progress 😊

@MGood-hr8sl 4 ай бұрын

Truly relieved of the pain and will follow your exercises!

@richardjohnston1555 10 ай бұрын

Great video. I have reinjured myself, but I have made great progress. I will refer back to this video and use it as well as my first PT experience. I also like doing exercises in a pool as well as outside of it. What is very interesting is that my brain tells me that I am healed, yet when I do certain exercises, I am not as strong with the injured leg. Consistency and patience is essential for this injury.....

@dr.beccasrehab 10 ай бұрын

Reducing pain is step 1, then gradual strengthening is most of the rehab 🙂

@topotone 11 ай бұрын

Thanks Doc Becca…I get an MRI tomorrow. I’ll get in touch via your consult link when I know exactly what’s goin on with mr tendon.

@cyclingfit 11 ай бұрын

Thanks for this! So helpful

@Marc-dk8vw 2 ай бұрын

Thank you so much.

@taniaeyden8897 10 ай бұрын

I was diagnosed with gout in my achilis tendon today. No injury so no idea where it came from. I don't eat red meat and I stopped drinking last year. I'm going to start with your exercise tomorrow. Thanks for doing this😊

@dr.beccasrehab 10 ай бұрын

Hope it helps! Consistency and gradual progressions are 🗝️

@peggymarcus4605 8 ай бұрын

Thank you sooo much for this video. I had a 2 meniscus tears and i have alot of inflammation. I had a scope done. Now my calfs are burning so 🔥 much. I think these exercises will help.

@dr.beccasrehab 8 ай бұрын

You're very welcome! Just making sure that this video is about Achilles tendonipathy and not mensicus tears. But I do have a knee meniscus video on my channel 🙂

@LeeJCander 11 ай бұрын

Mines back again after going for a year! This is a great video. 110kg doing Thai Boxing is no fun after already suffering from Achilles issues during my time in the armed forces haha. Love if you would do a shoulder impingement video. Mine hurts near the front when my arm is above my head and externally rotates.

@dr.beccasrehab 11 ай бұрын

Working on it ;)

@LeeJCander 11 ай бұрын

@@dr.beccasrehab Grazie signorina! I think most people at my club think I’m weak or making it up but a 60kg person running, jumping rope etc is very different than someone nearly twice the weight haha

@benjamincarrera1362 Ай бұрын

Thank you im going to give this a try. I dont know what is wrong with my leg but i do know i walk alot at work so it being a nerver or tendon being over worked. i could see that being the issue. My job requires me to do alot of walking everywhere in the plant and my leg at times will feel like its falling alseep. tingling sensation behind my heel and under it to. Hopefully this works for me.

@danielaklein597 Жыл бұрын

Love your videos! 😊 Could you make a video about how to treat and prevent stiffness and pain in the neck?

@dr.beccasrehab Жыл бұрын

Absolutely! That will be a good one 🙂

@aliceyale8584 Күн бұрын

I have just had my injury, Ruptured Achilles .. what exercise can I do now, I sleep with my walker boots. I would appreciate if you gave me some exercise please and why I should be doing these exercises.. Thank you in Advance.,

@katepavelle9465 5 ай бұрын

Hi, this is very useful, thank you! I had a right ankle replacement with fusion under the heel and with tendon augmentation 7 months ago. I have been doing well, but I think the PT rushed me i to the building phase too fast. I didn’t realize this due to post-workout icing and electro-stim. (They are on a schedule for insurance reasons.) Since you asked, it would be very helpful to know how to calm the rest of the tendons in my ankle. The perineal gets tired very fast and the one running over the outside of the instep gets cranky, but less so. I have good days and bad days. The foot is loosening up now that I started using silicone toe separators and working on my muscle isolation (toe spreading, trying to get my individual toe control back. I try not to waddle and I use trekking poles as needed. I have been doing isometric and isostatic loadinf for the achilles, but haven’t found anything similar for the rest of my foot. Ankle replacement are getting more common with 3D printed joints, I think there may be others dealing with similar frustration. (My hip replacement was a piece of cake compared to this 😄) Thank you, `Kate

@shaytikwa7469 3 ай бұрын

You are the best

@evyatarge 4 күн бұрын

For each exercise, how much sets and time to rest between the sets? I thought to do 3x20 for raising calfs and rest 1-2 min between each

@thatsnomoon1161 9 ай бұрын

Hello Dr Bec, thanks so much for the informative video. Where would you recommend heavy isometric holds in this program? I've suffered with this condition for years and my exercise physiologist said there had been a lot of positive research around the use of heavy isometrics recently for the rehab of the achilles. Look forward to your thoughts.

@dr.beccasrehab 9 ай бұрын

Hey there! You're absolutely right! There are more studies coming out considering gradual heavy isometrics and heavy loading with good effects. However, a lot of this research is new and it is not completely clear if this will benefit everyone and if it's better from the eccentric/concentric strengthening. Isometrics can be a great addition to the 2nd phase of this program if you have the appropriate equipment 🙂 or you can increase the time in the plantarflexed position while doing standing heel raises. Personally, I would say working up to 10 sec. This will be a great 2nd vid for this topic in the future 😄

@roundting 11 ай бұрын

How often should I do the exercises

@marloaffical6516 2 ай бұрын

Need post rupture videos

@evangelinevillanueva2569 7 ай бұрын

Thank you maam

@spencerblack3122 Жыл бұрын

Great video! Thanks for putting this together. For each phase, do you do all the exercises together in one session? Or do you only do one at a time and progress through them?

@dr.beccasrehab Жыл бұрын

Hey @spencerblack3122! The exercises go in order of difficulty in each phase. So you can do all the exercises in one session if you can manage them. From easiest to hardest = Double leg heel raise > eccentric heel raise > single leg heel raise. Further, doing the heel raises on the step is a progression from the ground because it's increasing the Achilles load with increased ankle range of motion. So it depends on your quality of movement! Watch for your symptoms, fatigue, and most importantly, your slow and controlled movements 😊 hope that helps!

@2726149 20 күн бұрын

@dr.beccasrehab Thank you for the plan! I will start tomorrow !! What do you think on using an ankle brace at night to keep the foot flexed so in the morning it doesn't hurt as bad? What do you think about ultrasound and tense in home devices to help with the healing?

@dr.beccasrehab 20 күн бұрын

Ankle braces are pretty common and there's research to say that it can help to reduce the morning stiffness/pain as you said! As for ultrasound, there's not much evidence that this helps any more than a heating device. TENS can be useful during the day when you're moving around or need a break, but it doesn't 'improve' healing either. Good luck with the rehab journey!

@SubOxyde 11 ай бұрын

Nice! 👌

@maccamilner5670 11 ай бұрын

Are we talking three times a week for these exercises or every day ?

@dr.beccasrehab 11 ай бұрын

Hey! I left this more open because it's a generalized program where there's no personal evaluation. Some people will benefit doing exercises every day, and some 3-4 times for week as the exercises increase in difficulty. Hope that helps!

@FeelgoodThreads 2 ай бұрын

Doc after the building process are there exercises that you do that are more progressive/advanced like depth drops to help absorb force?

@dr.beccasrehab 2 ай бұрын

There are definitely more exercises to do for a specific sport. It just depends on the requirements for that sport. Bursting and jumping exercises will differ between say bball (vertical power) and soccer (multi-directional jumps). This is where a physio comes in again 😁

@AG-dt1oq 11 ай бұрын

Thanks girl

@confdenhaag 2 ай бұрын

nice !

@NannyOggins 11 ай бұрын

Many thanks Dr Becca, I have recently started to play golf (at age 68) and repeatedly have tendon inflammation. Are there any pre game warmup exercises that I could do to reduce the occurrence of injury to my feet and ankles ? Many thanks.

@dr.beccasrehab 11 ай бұрын

Hey! 👋 There could be many reasons for the inflammation on setting during golf. I would first trial different shoes to see if there's a symptom difference, notice the amount of walking during a golf day and how much you would do on a daily basis, testing calf stretches/ankle joint stretches prior to golf, and maybe testing some heel raises regularly for maintaining ankle strength. Usually an Achilles issue is due to overloading the tendon - because our body wasn't prepared for the activity we wanted to do 😬 sorry I don't have very clear answers without an evaluation, but hope these tips help for the next golf outing! ☺️

@pareshmurmu5673 Жыл бұрын

My Achilles tendon problem 😢😢😢

@peterc5167 9 ай бұрын

Great video. After a 1000km backpacking trip I have a painful non normal walk, exactly like your video! Now I have a winter break for 4 months before restarting in March. So hopefully that will give me enough time to follow your programme and hopefully make it go away. I hiked in boots, but now for the first time I’m thinking of switching to shoes. I noticed that putting a heel wedge in my shoe or wearing shoes with a more classic heel seemed to help. Does that make sense? Is it likely that hiking in shoes with a significant heel drop will be better for my achilles. I am certainly not an athlete, and not young, but after that distance my fitness improved, don’t want to loose it while resting up my ankle.

@dr.beccasrehab 9 ай бұрын

1000km! 😱 That must have been a beautiful journey! The shoe wedge makes sense and is a typical remedy to help ease pain when walking. The reason is because it is shortening the Achilles length during loading.. Given the distance of the trip, the Achilles was probably overused in this instance. So yes, only using hiking boots for long durations can add more immobility to the ankle but boots are still an asset in this context. I believe that additional training outside the boots would be necessary next time 🙂

@gothops2632 11 ай бұрын

Can a person have achilles tendinopathy as seen on an ultrasound but no pain? If so, could that person be at risk for an achilles rupture?

@dr.beccasrehab 11 ай бұрын

Hey there! I like this question...this occurrence not only happens with tendon tissue, but knee meniscus, lower spine disc herniations, etc. Many people might have these 'structural abnormalities' seen on imaging but it doesn't correlate to a persons pain or function. There is a lot of evidence for this in the research. Therefore, you could always be at risk without the proper training for the goal activity or movement. Hope that helps!

@ashbrown1212 11 ай бұрын

Hey doc, super video, really clear how to do the exercises. I watched another video recently where they said to pinch the tendon in the initial recovery/pain reduction phase, before starting stretching and exercise phases. Is that something you don't advocate? Thanks

@dr.beccasrehab 11 ай бұрын

Hey! I can say that pinching the tendon before starting to exercise is not an established tissue healing method from the research 😬 But I can appreciate their possible theory - they're doing this to add more stimulation to receptors within the tendon (golgi tendon organs). So with incr stimulation before you're working your muscles, the receptors will react more 🧐 Did they explain their reason?

@ashbrown1212 11 ай бұрын

@@dr.beccasrehab Hi yes they call it "Cross fibre friction massage". At 3:27 they give an explanation, to "re-align the fibres". Seems legit, just wondered what your thoughts were on it. Yep it's Bob n Brad: kzfaq.info/get/bejne/p9dxn9di0MWRl6c.htmlsi=1Esja8bI-Ru4AGn4&t=87

@Vintaronica 11 ай бұрын

I have been doing some quite intense incline running on the treadmill. And pop my Achilles tendon has been hurting, like massively 😮 stopped running for the foreseeable future 😢 started with these exercises and only a week in its improved by 60 percent, switched my cardio to cycling for the time being (hate it, but then again I hated running 2 years ago and now im sad that I can’t run for now) is this okay to do ?

@dr.beccasrehab 11 ай бұрын

Cycling is a perfect warmup to Achilles exercises 😄

@tren714 10 ай бұрын

Im assuming i should wait till my swelling has gone down from injury to do these?

@dr.beccasrehab 10 ай бұрын

Exactly 🙂 you can do the first phase in the meantime. There's a large emphasis on strength vs stretching for Achilles rehab

@alexspady7370 11 ай бұрын

Thanks for the great video. I have been rehabbing my Achilles tendinopathy and returning to running. What are your thoughts on using KT tape? Specifically taping my Achilles for use while running? Helpful or not?

@dr.beccasrehab 11 ай бұрын

Hey @alexspady7370! I have found great success with KT tape for some patients to reduce pain during an activity or position. However, I believe it's acting like an assistive device. Knowing the difference between its use or not maybe you can better assess your running progression and ankle strength 😉 specifically for the Achilles it's hard to say if KT tape will work or not as it's a large tendon. I would see if there's a difference in walking or not first.

@alexspady7370 11 ай бұрын

@@dr.beccasrehab thank you!!! 😊

@Rebelmusedesign 11 ай бұрын

What did you can’t do any of these?

@josetrevino3480 10 ай бұрын

Inflamation and that burning sensation aquiles will this work

@ma_little_secret 10 ай бұрын

Maam i have got an ankle surgery in which the screws are fitted in my ankle bone but not having movements for last 45 days, the muscle beneath the ankle is tighten... What should i do but recommend something that i could do while sitting because i am not allowed to stand for 2 months but doing stretching...

@dr.beccasrehab 10 ай бұрын

Hey! Has your surgeon referred you to PT?

@susanwesley8572 7 ай бұрын

My right achilles has insertional and my left achilles is torn/ruptures. Getting an afo brace for left on Can i do your program right side only?

@dr.beccasrehab 7 ай бұрын

Hey! Sorry to hear about your injury. Unfortunately I can't give medical advice on here, but the program is available for anyone with this injury.

@Leadership-in-Rhythm 9 ай бұрын

How frequently per day are these exercises recommended?

@dr.beccasrehab 9 ай бұрын

Hi! 👋 this is a generalized Achilles rehab program. So there is no specific frequency or duration for these exercises as this depends on your goal activity. Your symptom response during/after the exercises is also crucial. Ex: prior to injury if I ran almost every day, I would need to progressively return back to good single limb heel raise strength, power, endurance and jumping ability. Hope that helps!

@cengizarici Жыл бұрын

Thank you for your video. I have just injured my Achillies, sadly I have Grand Canyon hiking event in 6 weeks. It is very swollen and pain level is 6. I am not sure if it will heal and get stronger by end of September. Question: do you think I can fix my injury and participate that event?

@dr.beccasrehab Жыл бұрын

Hey! It really depends what your goal is, what your history with this injury is like and what your current activity level is like..these are important questions. If the goal is to hike long distance through uneven terrain for multiple days, then this might be challenging 6 weeks out. Rehab for this injury to complete all normal activities again with out pain and proper strength requires normally about 12 weeks (+/-) rehab. I would get an opinion from an orthodontist or PT directly for more personal goal planning, but hope the video helps!

@cengizarici Жыл бұрын

@@dr.beccasrehab thank you so much for your quick response. I will make an appointment next week. Sadly I was completely ready last week, and have been training very hard since last spring. The pain level is 5 and I am very confident it will be down to zero in two weeks. The issue is my tendon fibers. They can flare up… I will see if there are any medicine (voltarin, Ben Gay, cortisone) could accelerate the recovery. This is so frustrating, your video was very educational. THANK YOU

@dr.beccasrehab Жыл бұрын

Hope it works out in time! 🤞If not, don't beat yourself up. Healing an Achilles tendon is hard, takes time, and takes patience. Don't overdo it too quickly 🙂

@cengizarici Жыл бұрын

Thank you I appreciate your comments. The swelling is still there, pain is slowly going away. Called my doctor. Have a great day

@cengizarici Жыл бұрын

@@dr.beccasrehab , I just saw my specialist. I have Soleus damage. It is wrapped up and I am focusing fixing it . I am relieved, but need to recover and build that muscle fast… thank you again

@helenstrange2482 6 ай бұрын

Hi. My problem is was born with CLUBFEEY and at 30 years old I had reconstructive surgery. Major on my ankles and had wedges put in. My ankles are not flexible so cannot do any of the simple stretches in your video. I pulled my Achiellis tendon on my right foot 2 weeks ago and walking is difficult now. Do you have any suggestions? I'm doing RICE Plus rubbing and it has been less painful. 😢

@dr.beccasrehab 6 ай бұрын

Hi @helenstrange2482! So sorry to hear about the achilles injury and recent difficulties. It's no lie that this injury is hard to recover from 😔 Would you have the opportunity to have an in-person visit with a physical therapist, orthopedic or another similar provider? I believe that would be the next best step as you're doing RICE for minimizing pain so you can get a thorough examination (ankle mobility/extensibility, strength, foot/toe strength, walking mechanics, functional movements, etc.) with personalized treatment. All of this and possibly more would be what a physio could examine in-person🙂

@helenstrange2482 6 ай бұрын

@@dr.beccasrehab yes thanks for advice. I have seen a physio and had xrays now just waiting for my appt with Ortho special in 6 weeks time. Long to endure discomfort but need to have an assessment as I cannot self diagnose this problem.

@dr.beccasrehab 6 ай бұрын

@@helenstrange2482 That's a long time, but hope the physio appt went well! Ok, if you ever wanted a second opinion from a physio, I do offer 20-min free Zoom sessions if you wanted to talk more specifics on the right path for you. This could lead into more of my paid services where I'm doing online evaluations and giving more specific programs after evaluating. I do this Saturdays, sometimes Sundays now. I'll leave this here in case you're interested: calendly.com/bettermovementpt/20_min_consult Otherwise, I hope everything will work out!

@sallytemraz8614 7 ай бұрын

Hi, are these exercises for the insertional one?

@dr.beccasrehab 7 ай бұрын

Yes, it is for both 😊

@garym1981 Ай бұрын

I have tried everything and still nothing works

@dr.beccasrehab Ай бұрын

@@garym1981 Hi there! Sorry that you're in this position. If you'd like, I offer free 20 min injury screens to hear your story, and then try to figure out what treatment plan would be best, as everyone could respond differently. I also offer paid telehealth services to create more specific training programs for each client. You can always reach me at: becca@bettermovespt.com or book directly through the Calendly link in the description

@garym1981 29 күн бұрын

@dr.beccasptrehab no thanks, your cost is too expensive.

@bazinon 11 ай бұрын

Are these exercises the same for mid-portion and insertional?

@dr.beccasrehab 11 ай бұрын

Hey there! The exercises are the same. Some caveats for insertional: rehabbing is known to be longer, may be more painful, and other modalities to treat it are extracorporeal shockwave therapy, shoewear modifications, and progressive eccentric Achilles strengthening. Hope that helps!

@bazinon 11 ай бұрын

@@dr.beccasrehabthanks for the reply! Do you recommend any kind of activity during each phase e.g. walk short distances, biking etc?

@dr.beccasrehab 11 ай бұрын

@@bazinon Normalizing your gait pattern would be priority #1. Then progressively working on distance or time for your walks, then speed, then uneven terrain by phase three. Biking is a great asset to have beginning in phase 2 for warm-ups!

@Rebelmusedesign 11 ай бұрын

I have no chances of ever getting better after seeing these exercises… I’ve had five appointment, and no one’s helped me yet. Had an MRI and still very confused. Saw orthopedist today and he was a complete waste of time. Guess I live in the wrong place.

@dr.beccasrehab 11 ай бұрын

@@Rebelmusedesign Hey there! I hear your pain and frustration. It's difficult to give good advice to you here, but if you're up to it or have the time, I offer free 20-25 minute injury screens through zoom. The goal is to hear your story and to find the right rehab path for you. I can also further educate about achilles injuries, if needed. Further, I also offer paid services online, but we discuss together if that is a good option for you or not. calendly.com/bettermovementpt/20_min_consult?month=2023-09