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Achilles loading exercises

Foot & ankle · Achilles tendon pain

How to use this sheet. Do the exercises slowly. Some aching in the tendon during these exercises is expected, and it should settle by the next morning. If the tendon is stiffer or more painful the next morning, do fewer the next day. If your pain is at the back of the heel bone, wear shoes with a soft or open back and a small heel raise, and avoid walking barefoot on hard floors.

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Heel drop off a step — MID-PORTION pain only

Heel drop off a step — MID-PORTION pain only

Stand on the edge of a step holding a rail. Rise on both toes, take the good foot off, and lower SLOWLY on the painful leg, letting the heel drop BELOW the step. Use both feet to come back up. Do the same number again with the knee slightly bent. Only if your pain is in the middle of the tendon.

  • Build up to 3 sets of 15, knee straight and knee bent
  • Twice a day

Should feel: A working ache in the tendon Should not feel: Pain at the heel bone — use the next exercise instead

Floor-level heel lower — pain AT THE HEEL BONE

Floor-level heel lower — pain AT THE HEEL BONE

Stand on flat floor. Rise on both toes, then lower slowly on one leg, stopping level with the floor. Do NOT drop below.

  • Build up to 3 sets of 15
  • Twice a day

Should feel: A working ache Should not feel: Pain increasing — you may be dropping too low

Calf stretch, knee bent

Calf stretch, knee bent

Gentle stretch, not into pain. If your pain is at the heel bone, leave this one out.

  • Hold 30 seconds
  • 3 times

Should feel: A gentle stretch Should not feel: Sharp tendon pain

Calf raises

Calf raises

Rise onto both toes and lower under control.

  • 15 times
  • Daily

Should feel: The calf working Should not feel: Sharp pain

Stop and telephone us if

  • A sudden snap and you cannot stand on tiptoe — go to hospital
  • Redness, heat or fever
  • Pain that is getting worse week on week

Ready when you are.

Call either clinic during consulting hours, or send a WhatsApp message any time.