stage 1, 2, and 3. If these fail, visit an experienced orthopedic surgeon. Great job on this comprehensive post on Achilles tendon injuries. For some individuals this may be running a marathon. For others, the load requirements involve walking the block.
The protocol-driven program is focused on strengthening the calf muscles and Achilles tendon and should begin as soon as possible. During the program, your physical therapist may also assess whether other changes could help with rehabilitation, such as a change in footwear or the use of heel lifts. If you have looked up Achilles exercises online, you may be familiar with the Alfredson protocol. It involves a progressive loading which emphasizes eccentric lengthening exercises.
While this protocol still has a role in treatment and rehabilitation of AT, it has not been found to be effective for all those who are diagnosed. The current best practice involves a progressive strengthening and loading protocol specific to each individual. This can be developed under the guidance of your physical therapist.
It is important to remember that this exercise program is a long-term plan — it may take months to reach full recovery. Fortunately, runners can often continue to run with Achilles tendon pain. The return to running must be graduated, and should not continue if pain increases beyond a mild level during the activity, or if pain is worse the following morning.
It is also recommended that you do not run consecutive days, that you avoid running up hills, and that you further avoid speed-work in the short term. Runners should also continue to cross train during this rehabilitation period.
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