02/02/2026
Achilles tendinopathy hanging around?
If it flares every time you build your running back up, here’s the bit most runners miss 👇
Most of the time it’s a load tolerance issue.
Short term relief only gets you so far.
Stretching, massage, a few days off…
It settles, then comes straight back.
The goal isn’t to chase pain relief.
It’s to build an Achilles that can tolerate training again.
A simple framework I use with runners.
This isn’t a strict step-by-step plan, it’s a graded return.
You’ll tolerate different elements better at different stages, so dose each to suit you (rough reps + sets below).
Isometrics
4–5 sets starting at 30s, building to 2 min+
Good early exposure, hard to mess up, build tolerance over time
Insertional pain? Stay around neutral, no heel drops.
Heavy slow calf work
3–5 sets of 4–8 reps
Heavy. Slow. Progress load gradually.
Eccentrics
Up with both, slow down on one (4–8s lower)
3–5 sets of 4–8 reps, add load as soon as tolerated.
Top-end calf strength
Lower tendon strain position
A useful adjunct to maintain calf capacity and confidence.
Plyometrics
Start with short, snappy contacts
Progress to higher output once tolerance is there.
There’s nuance in all of this, but the principle stays the same:
tendons adapt to progressive load.
I’ve spent the last 14 years helping runners through injuries like this.
If it keeps coming back and you’re fed up of winging it…
Link in bio for 1-to-1 online physio + rehab coaching
Or comment INJURYHELP and I’ll message you 👊