Midportion Achilles tendinopathy, meaning pain and inflammation in the middle part of your Achilles tendon, is one of the most common overuse injuries affecting runners, active adults, and anyone who places repeated load through the Achilles tendon. With prevalence estimates between 4–7%, this condition can lead to persistent pain, stiffness, and reduced muscle power—making early recognition and the right rehab approach essential.

Through decades of research, tendon loading exercise remains the most effective intervention. How do we load tendons? Through specific, progressive loading techniques that include eccentric exercise, progressive loading tailored to symptoms and tolerance, heavy-load, slow speed training, and finally, plyometrics. These exercises help remodel tendon tissue, reduce pain, and improve function. Consistent and structured progression is crucial to recovery.

Understanding tendon healing times, how to safely load the tendon, and other biopsychosocial contributors to pain also play a crucial role in recovery. Working with our team at Aureum Physio will ensure your rehab program is tailored to your specific needs and is progressed consistently for appropriate tendon loading. Our experts at Aureum Physio will also ensure you leave your PT session empowered with more knowledge about your Achilles pain and feel like you are an active participant in your recovery.