4 Must-Try Achilles Rehab Strength Exercises for Runners

If you’re a passionate runner, chances are you’ve encountered the relentless enemy that is Achilles tendon pain. The journey to overcome this persistent discomfort often involves exploring a multitude of remedies, from the classic duo of rest and ice to the intricacies of stretching routines and the promise of orthotics. Yet, the elusive relief you seek remains…well … elusive.

As fellow runners, we’ve all faced the dilemma of Achilles pain. The frustration mounts as the usual remedies fall short, leaving us looking for a solution that aligns with our keenness for running. 

This blog steps in as your trusted guide, shedding light on a series of high-intensity exercises crafted to be more than a remedy but a blueprint for resilience.

In the sections ahead, we will delve into the degrees of these heavy load strengthening exercises. Picture them not just as routines but as allies in your journey back to pain-free running. 

Before jumping ahead, let’s explore what the Achilles tendon is and delve into some of the primary reasons behind its discomfort.

What is the Achilles tendon?

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The Achilles tendon is a robust fibrous band which serves as the resilient link between the powerful calf muscles and the weight-bearing heel bone. 

Steeped in mythology, this crucial tendon draws its name from the legendary Greek hero Achilles, adding a touch of ancient intrigue to its modern anatomical significance. 

Functionally, the tendon assumes a pivotal role in orchestrating complex biomechanical movements, specifically those associated with ambulation, running, and jumping. Its structural integrity and tensile properties contribute to the overall mechanical efficiency of the lower extremity. 

What causes Achilles tendon pain?

  1. Overuse and Strain: One of the most common culprits is overusing the Achilles tendon, especially in activities like running or intense physical exercise, leading to strain and potential pain.
  1. Tight or Weak Muscles: Imbalances in muscle strength or tightness, particularly in the calf muscles, can put added stress on the Achilles tendon, triggering discomfort.
  1. Improper Footwear: Wearing shoes without proper support or that don’t suit your foot mechanics can contribute to Achilles tendon pain over time.
  2. Sudden Increase in Activity: Rapidly escalating physical activity levels, whether in duration or intensity, can strain the Achilles tendon as it may not have had sufficient time to adapt.
  1. Flat Feet or High Arches: Foot arch issues, like flat feet or high arches, can alter the biomechanics of your feet, affecting how stress is distributed to the Achilles tendon and potentially causing pain.
  1. Age-related Changes: As we age, tendons naturally become less flexible and more prone to injury, making the Achilles tendon susceptible to pain and inflammation.
  1. Poor Biomechanics: Abnormalities in gait or other biomechanical factors can contribute to Achilles tendon pain, as the tendon may be subjected to uneven stress during movement.

Remember, not every Achilles tendon woe is born from a single dramatic moment. Sometimes, it’s the slow build-up, the repetitive stresses, and strains that sneak up on you. Like a steady drumbeat, these factors can gradually stir up Achilles discomfort. 

Why should you address Achilles tendon pain?

Persistent pain in the Achilles tendon can significantly impact your daily activities, hindering your ability to walk, run, or engage in physical exercises. Ignoring the pain may lead to further damage and complications, potentially requiring more intensive treatment in the long run.

Additionally, addressing Achilles tendon pain early on can prevent the development of chronic conditions, such as tendinopathy or tendonitis. Early intervention and proper care can contribute to a quicker and more effective recovery.

The Achilles tendon is vital for mobility and stability in the lower leg. Ignoring pain in this area may lead to altered biomechanics and an increased risk of injury to other parts of the leg or foot. 

Addressing Achilles tendon pain is not just about alleviating discomfort; it’s about preserving overall musculoskeletal health and preventing cascading issues.

If you experience persistent or worsening pain, seeking professional medical advice can help determine the root cause and guide you toward an appropriate treatment plan.

4 Achilles tendon strength exercises

Exercise #1: Eccentric Single Leg Calf Raise

This is a targeted exercise that places emphasis on the eccentric phase, which is the lengthening portion of a strength exercise. By honing in on the eccentric contraction of the calf muscles, this exercise offers a unique and effective way to build strength, stability, and resilience in the lower leg.

To perform this:

Stand on the edge of a raised surface with your heels hanging off. Rise on two feet, then lift one foot, and slowly lower using just one foot. Hold the top position briefly, then slowly and controlledly lower your heel below the level of the step, focusing on the lengthening of the calf muscles during the eccentric phase. Switch legs or repeat and use a weighted backpack as needed. Gradually increase weight and aim for 15 repetitions for three sets.

This enhances calf strength, stability, and muscle control, making it an effective addition to your lower leg workout routine, promoting overall lower limb function and reducing the risk of injuries related to calf muscles. The goal of eccentric exercise is to increase the strength of the tendon itself to handle larger and more sustained loads.  

Research shows this is best developed through eccentric strengthening which better aligns the structure of the tendon with the line of force improving tensile strength.  Additionally, damaged tendons from wear and tear often are weak and ineffective at transferring loads from the calf to the heel bone. 

Eccentric strength drills like the one above correct for that weakness and reduce the likelihood of injury. This is especially important as runners age since the tendon changes its structure to become less mobile and weaker.  You can prevent and reverse this decline with regular eccentric Achilles strengthening drills.

Exercise #2: Split Squat Bent Knee Calf Raise

This is a dynamic exercise that targets both the lower body and calf muscles.This intentional fusion of movements ensures a comprehensive workout, promoting muscle engagement and activation across various muscle groups. 

Here’s how to do it:

Assume a dynamic split squat stance, then lower your body into a controlled squat while simultaneously elevating the heel of your trailing foot, engaging your calf muscles. Ensure proper form, alternating between legs for a holistic lower body workout. Execute 10-12 repetitions for two to three sets, feeling the burn in your quads and calves.

This drill adds intensity to your calf strengthening routine and offers efficient, comprehensive lower body and calf muscle engagement, enhancing functional strength, balance, and joint flexibility in a time-effective, versatile exercise.

Exercise #3: Runner Pose Calf Raise

The third strength drill involves a runner-specific pose against a wall. The Runner Pose Calf Raise is an exercise that involves elevating the heel while in a runner’s pose or lunge position. It targets the calf muscles in a running specific posture helping strengthen your legs.  Working your Achilles and calf in this way will help transfer strength into running itself.

To execute, follow these steps:

Incorporate a backpack for resistance and a foam block for knee stability in the Runner Pose Calf Raise, mimicking the running motion. Perform 12-15 slow and controlled repetitions for two to three sets while maintaining impeccable form.

This exercise allows you to elevate calf strength, bolster ankle stability, and refine lower body conditioning, fostering a well-rounded and targeted approach to lower leg benefits.

Exercise #4: Foot Arch Strengthening

The final drill targets foot muscles to address pronation or supination issues and focuses on enhancing the strength and stability of the arches of your feet.  

Here’s the method on how you can do it:

Start this exercise by standing on one leg and performing a small single leg squat.  Contract your foot arch and keep it contracted while you perform repeated small single leg squats. Strive for 20-25 repetitions to target strength from the calf down to the foot. For an added challenge, incorporate blocks to create a more dynamic environment to enhance your foot arch.

Doing this particular exercise not only strengthens the foot arch but also plays a pivotal role in enhancing overall foot flexibility, promoting better balance, and serving as a proactive measure against specific foot-related issues.

Conclusion:

These Achilles tendon strengthening exercises are integral for an optimal running experience. From the meticulous focus on the eccentric phase in the Single Leg Calf Raise to the dynamic engagement of the Split Squat Bent Knee Calf Raise, each exercise represents a strategic commitment to Achilles resilience.

The Runner Pose Calf Raise, simulating the running motion with added resistance and stability elements, and the Foot Arch Strengthening exercise, addressing pronation issues through controlled squats, collectively form a comprehensive guide for fortifying the Achilles tendon. 

Incorporating these exercises into your regular running routine will reduce pain, increase injury resistance,  and improve your running experience while also improving your balance.

By Dr. Kevin Vandi DPT OCS CSCS

Dr. Vandi is the founder of Competitive EDGE Physical Therapy — with his background in physical therapy, orthopedics, and biomechanics, he is a highly educated, compassionate specialist. Using state-of-the-art motion analysis technology and data-driven methodologies, Kevin has assisted a wide range of clients, from post-surgery patients to youth and professional athletes. When he isn’t busy working or reading research, he spends his time with his wife Chrissy and their five wonderful children, often enjoying the outdoors and staying committed to an active lifestyle.

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