Achilles Tendinopathy Management Guide

Achilles Tendinopathy: The Full Guide for Physiotherapists

Achilles tendinopathy is one of the most common conditions physiotherapists see. Understanding how to assess and manage it effectively can make all the difference in patient recovery and performance.

This in-depth guide is designed to give physiotherapists a clear, evidence-based approach to assessing, diagnosing, and treating Achilles tendinopathy. Covering both insertional and midportion tendinopathy, this resource walks you through:

✅ Clinical presentations – How to differentiate between types of tendinopathy and recognise red flags.
✅ Assessment protocols – Subjective and objective assessment strategies, including functional tests and outcome measures.
✅ Rehabilitation framework – A structured, phase-based approach to tendon loading, strengthening, and return-to-sport programming.
✅ Exercise progressions (25 exercise recommendations) – From isometrics and heavy slow resistance to plyometrics and sport-specific drills.
✅ Common pitfalls & differential diagnoses – Avoiding misdiagnosis and optimising treatment for the long-term.

No matter if you're working with recreational runners or elite athletes, this guide gives practical strategies backed by current research to help you confidently manage Achilles tendinopathy in your clinic