Achilles rehabilitation
Is rehabilitation the same for midportion and insertional Achilles pain?
Doctor’s answer
Not exactly. Midportion Achilles tendinopathy often responds to progressive heel raises and resistance training. Insertional Achilles tendinopathy is more sensitive to excessive dorsiflexion, so deep heel drops over a step are often avoided early, alongside heel lifts, load modification, and gradual strengthening.
Author: Dr. Jiwu Chen Medical review: Dr. Jiwu Chen
This content is for education. Diagnosis, treatment, and rehabilitation require an individual assessment by a sports medicine specialist.
Related questions
Why should rehabilitation after sports medicine surgery not follow time alone?
A timeline gives only a rough stage. Progress is determined by pain, swelling, range of motion, strength, movement control, tissue healing, and what was done during surgery. Moving too quickly may increase failure risk; moving too slowly may lead to stiffness and loss of function.
Can long-term pain after a sports injury become chronic pain?
Yes. Persistent pain may relate to incomplete tissue recovery, loading too soon, joint stiffness, strength deficits, sleep or mood issues, and pain sensitisation. Treatment should reassess the diagnosis and combine rehabilitation, load management, and pain education.
Do flat feet need corrective insoles?
Painless flat feet usually need no specific treatment. If sport repeatedly causes arch, ankle, knee, or lower-leg pain, orthoses, foot and ankle strengthening, calf flexibility, and running-load review may help. Rigid flatfoot or new one-sided collapse requires further assessment.