Photo of a runner grasping their Achilles tendon in pain

How To Perform Eccentric Stretches for Achilles Tendon Pain

Achilles tendon pain can be a persistent and limiting issue for many individuals, especially those who engage in activities that place stress on the calf muscles and Achilles tendon. One effective approach to alleviating Achilles tendon pain is through eccentric stretches. Eccentric stretches involve lengthening the muscle while it’s under tension, providing a unique and targeted way to improve flexibility and reduce discomfort. In this blog post, we will explore the importance of eccentric stretches for Achilles tendon pain and provide a step-by-step guide on how to perform them effectively.


Understanding Achilles Tendon Pain:

Schematic diagram of a lower leg/foot with and arrow pointing to the Achilles Tendon

The Achilles tendon is a strong band of fibrous tissue connecting the calf muscles to the heel bone. Overuse, improper footwear, or sudden increases in activity can lead to Achilles tendon pain, commonly known as Achilles tendinopathy. Eccentric stretches are particularly beneficial for this condition as they target the specific tissues involved, promoting flexibility and reducing tension and pain in the tendon.


The Science Behind Eccentric Stretches:

Eccentric stretches focus on the controlled lengthening of the muscle-tendon unit during contraction. This type of stretching has been shown to stimulate the production of collagen, the primary structural protein in tendons. Collagen plays a crucial role in tendon strength and elasticity, and by promoting its synthesis, eccentric stretches contribute to the healing and remodeling of the Achilles tendon.


Performing Eccentric Stretches for Achilles Tendon Pain:

  1. Calf Raises on an Incline:
    • Stand on an inclined surface, such as a slant board or stairs, with the heels hanging off the edge.
    • Lift both heels as high as possible, pushing through the balls of your feet.
    • Slowly lower your heels below the level of the incline, allowing a gentle stretch in the calves and Achilles tendon.
    • Perform 3 sets of 15 repetitions
  2. Eccentric Heel Drops:
    • Stand on a step or platform with the balls of your feet on the edge and heels hanging off.
    • Lift both heels, then lower one heel below the level of the step.
    • Use the opposite foot to lift the lowered heel back up.
    • Perform 3 sets of 12-15 repetitions on each leg.

Conclusion:

Eccentric stretches offer a targeted and effective way to manage Achilles tendon pain by promoting flexibility, strengthening the tendon, and encouraging collagen synthesis. When performed consistently and correctly, these stretches can be an integral part of a rehabilitation and prevention program. However, it’s crucial to consult with a healthcare professional before starting any new exercise regimen, especially if you’re experiencing persistent pain. Incorporating eccentric stretches into your routine may be the key to unlocking relief and restoring mobility in your Achilles tendon.

Picture of Leland Jaffe DPM, FACFAS

Leland Jaffe DPM, FACFAS

Associate Professor and Dean
Podiatric Foot and Ankle Surgeon
North Chicago, Illinois