31/08/2026
Cross friction massage has been part of Achilles rehab for decades. The evidence behind it has moved on.
The technique applies targeted pressure across tendon fibres to stimulate healing and break down scar tissue. For a long time that was considered standard practice.
What the research now suggests is more nuanced. It can play a role in certain presentations, but applied at the wrong stage it can aggravate rather than assist. An acutely irritated tendon and a chronic, degenerative one need entirely different approaches.
It's a technique, not a treatment plan. And with tendons, timing and load matter more than the intervention itself.