05/23/2026
Does the location of your Achilles tendon pain change how we treat it?
YES IT DOES!
✌️There are two categories of Achilles Tendinopathy: Insertional (pain at the back of the heel bone where the tendon meets the bone) and Mid-Portion (pain at the middle part of the tendon).
🔥This is important because it will determine what exercises you should and shouldn’t do INITIALLY as part of your rehab program.
🔑If you have the INSERTIONAL type, it’s best to avoid stretching the tendon or letting your heel drop below parallel (neutral) when doing strengthening exercises (initially) as this can cause pull on the bone & compression to the tendon which will cause further irritation early on!
↪️wearing a shoe with a higher heel (>8mm) or a rocker sole like MBT’s or Hokas are also beneficial in this early stage, or adding a heel lift to your normal shoes. This will mitigate symptoms. I actually recommend this heel lift strategy for all Achilles injuries for the first 6 weeks or so!
👍 If you are dealing with Insertional Achilles Tendinopathy here are some exercises that I know will be helpful for you!
1️⃣ Heel Elevated Step Through
2️⃣ Seated Heel Elevated Calf Raises
3️⃣ Banded Squish the Bug
4️⃣ Heel Elevated Lift Off
5️⃣ Banded Point + Circles
6️⃣ Foot Plank + Weight Pass
Side note: The appropriate weight needs to be determined based on your individual response to activity and load. When in doubt, go as heavy as you can tolerate as tendons respond best to LOAD!