What to expect from strength training rehabilitation for Achilles tendinitis

The clinician may assess tenderness, ankle movement, calf strength, walking, footwear and the loads that aggravate symptoms. Early exercises can include seated or supported calf work, followed by standing raises and more demanding single-leg variations. The programme may use slow lifting and lowering, holds or heavier resistance, depending on your symptoms and control. Later stages can introduce hopping, landing and running when the tendon can tolerate the required force. Some discomfort may be monitored, but sharp or escalating pain should be discussed.

Complete the agreed exercises consistently and track how the tendon feels during activity and the following morning. Temporarily reduce hills, repeated jumping or sudden increases in running if they flare symptoms, while keeping suitable fitness activities approved by your clinician. Supportive footwear or a temporary change in training may help load management. Increase one part of the programme at a time so your response is easier to interpret.

Seek prompt medical review after a sudden snap, a feeling that you were kicked in the calf, new difficulty pushing off, or inability to stand on the affected toes. Arrange assessment if swelling, warmth or pain is worsening, or if walking becomes less stable. Sudden loss of tendon function needs medical evaluation rather than routine progression of strengthening.

Ask whether your symptoms fit Achilles tendinitis or another tendon problem, which loading level is suitable, how running should change, and what signs indicate a possible tear or need for imaging.