This common overuse injury affects the Achilles tendon, the strong band of tissue connecting your calf muscles to your heel bone. While it can be painful and limit your mobility, the good news is that physical therapy is one of the most effective ways to treat and manage Achilles tendonitis—without surgery.
What Is Achilles Tendonitis?
Achilles tendonitis is usually caused by repetitive stress or sudden increases in activity levels. It often affects runners, athletes, and even weekend warriors. There are two main types:
· Non-insertional Achilles tendonitis: Inflammation and microtears occur in the middle portion of the tendon.
· Insertional Achilles tendonitis: Pain occurs where the tendon attaches to the heel bone.
You might feel:
· Stiffness or tenderness in the morning
· Swelling or thickening of the tendon
· Pain during or after activity
· Decreased strength or flexibility in your calf
Ignoring these signs can lead to more serious issues like tendon rupture, so early treatment is key.
How Physical Therapy Helps
Physical therapy targets the root causes of tendonitis—overuse, muscle imbalances, and poor movement mechanics—while helping you heal, rebuild strength, and prevent recurrence. Here's how:
1. Pain and Inflammation Management
In the early stages, your physical therapist may use:
· Ice therapy
· Electrical stimulation
· Manual therapy
These techniques help relieve discomfort so you can move more comfortably and begin rehab exercises.
2. Stretching and Mobility Work
Tight calf muscles often contribute to Achilles tendon strain. A PT will guide you through gentle, progressive stretches that improve flexibility in your:
· Gastrocnemius and soleus (calf muscles)
· Achilles tendon itself
· Plantar fascia (bottom of the foot)
Improving mobility reduces tension on the tendon during daily movements and workouts.
3. Eccentric Strengthening Exercises
One of the most researched and effective treatments for Achilles tendonitis is eccentric loading—lengthening the muscle-tendon unit under tension.
A classic example is the heel drop exercise:
· Stand on a step with your heels hanging off the edge
· Raise both heels, then slowly lower the affected heel down
· Repeat multiple times per day
Eccentric exercises help stimulate tendon healing and restore strength without overloading the area.
4. Gait and Movement Re-Training
Poor biomechanics or alignment can contribute to chronic tendon stress. A PT can analyze your:
· Walking or running form
· Foot mechanics (flat feet, high arches, etc.)
· Hip, knee, and ankle alignment
Then, they’ll correct movement patterns with targeted drills and neuromuscular re-education, which can improve your performance and prevent re-injury.
When to See a Physical Therapist
If your Achilles pain has lasted longer than a week, worsens with activity, or is interfering with your daily life, it’s time to consult a professional. A physical therapist can:
· Customize a treatment plan
· Guide you through a full recovery process
Achilles tendonitis doesn’t have to become a chronic problem. With a structured physical therapy program, you can reduce pain, restore strength and flexibility, and get back to doing what you love—without risking long-term damage. Whether you’re an athlete or simply active, PT offers a proven, non-invasive path to healing.
