you are looking at a real human Achilles tendon and it can handle a significant amount multiples of your body weight in terms of energy and force being transmitted through here but you can overwhelm this as with anything right my patient had Achilles tendon pain right here since 2017 he had no pain with squats or pistol squats during his Crossfit workouts but double leg hopping to mimic double unders was painful and single leg hopping was extremely painful this is how you know it’s Achilles tontis as the more you use the tend in like a spring the more it hurts the first step to fix is an isometric heal race hold for 45 seconds many tendon injuries respond to isometrics with a temporary decrease in pain which is why these were far easier after we then started rebuilding tendon strength capacity with slow tempo heel races both in a standing position and the seated position to hit the smaller Solace muscle as well if the pain is worse the next day when retesting hops you decrease load if it’s better you can increase load and progress accordingly

28 Comments
Have you experienced this injury? To learn more about how to begins & the science of fixing it – check out my blog series on Achilles tendon pain on my website.
.
Shout out @instituteofhumananatomy for the excellent opening stitched video!
Hello what about the pain below the achilles like at the back of your feet but in the bone is the source of pain. What injury is that?
Definitely skipped calf day
Ok but people who have Achilles tendonitis or even worse Achilles rupture when it’s in the worse stages shouldn’t do single leg calf raises immediately. That can even worsen the pain and cause more inflammation if the load is too high. It’s best to start from the bottom eg with seated calf raises no weight added then slowly progress to squats and eventually double leg calf raises to make sure your tendon can handle the load. And even then sometimes the tendon may not handle it well eg I did double leg calf raises one day with no pain then had pain the next day.
And a note any excessive movement even a light hop or run can aggravate and worsen the condition because those can put hundreds of pounds of load on your tendon so eg if you can only currently handle squats or lunges it’s best to avoid any more demanding movements. I know I made that mistake 😅.
Also supplementing with 15-20g collagen + some vitamin c 45min before the rehab exercises can be helpful
I had a full rupture, surgery, and then tore it 6 more times… and I had torn the calf muscle above the Achilles several years before that.. 7 years later and that calf is still skinny and weak (I used to have big muscular calves 😭.) I do isometric holds with it and train calves regularly and it doesn’t hurt, but it feels weird and I don’t think I’ll ever run trails again, which was my thing.
For me it hurts if I turn on my heal with one foot. I know it’s uncommon to do that but I always did that and never hurt but once I rolled my ankle it started to hurt and now I can’t play soccer without extreme pain
Wow pain alleviated after a few. Will incorporate these in my revovery. Thank you
Will this work when the pain is where it connects to the ankle?
What about Day 4, 5, 6 and 7?
should i still play baskteball while dealing with this
Do you do 1:1 consults (telehealth)? I've been fighting insertional AT for 4 years now, constant pain. All the physical therapists around me haven't been able to help.
That huge/ thick? OMG! Thank you for visual. Your vids are awesome!! ❤❤
I’ve experienced this for years. Thank you, I’ll give it a try
I just got healed recently after 3 long years of pain from the sciatic nerve and been longing to train all this time. After couple of training sessions, my achilles tendonitis hurts. I searched on youtube for answers, and I find this guy "my patient had problem with achilles tendonitis since 2017". Ffs… How many years will this take? 😓
Sooleus mass is 2x the mass of both gastroc heads.. It's not smaller. Medial gastroc head is 2x the mass of lateral head.
It could not handle my 100 year old wooden high top piano. 5 months ago but still hurts
The simple fact that you’re further is tendinitis disqualify you from this
Day 1 – Isometric heel rise hold 5 x 45 sec
Slow resistance work 3 x 15
Day 2 – Isometric only
Retest Hops and adjust loads for next session
Day 3 – Isometric
Slow resistance work 3 x 15 with new weight
Week 1 – 3 – set of 15
4 – 5 set of 12
6 – 7 set of 10
8 – 9 set of 8
Can you explain this little confusing.
In simple
I will need ankle strengthening exercise specifically for achiles pain while jumping and running.
Kindly reply.
Can you make a reel about posterior tibial tendinitis?
What if the pain is lower close to the bottom of the foot. Back of the heel? Same issue?
Doubt it
Y😂yeah right …
What about pain more in the heal part of the achiles and when touched bubbles/squishy balls can be felt?
The sock on the dead guy is a nice touch
Been dealing with this for over 2 years, can’t run or hop. Been to different PTs for months, I gave up. I will try these.
Can you get tendonitis in your back? I Googled it and it says there's such a thing as spinal tendonitis but I looked this up on Youtube and Reddit's backpain subreddit and it doesn't seem to be a thing anyone has so I'm not sure. Could I get tendonitis in my back?
Thank you for this video! it's amazing!
Thank you so much for creating this channel. You helped me with getting my piriformis better and now my tendonitis, I wouldn't be able to get through the day without these videos, just resting didn't do nothing for me