09/04/2026
Advice that I sent to a dance teacher this week - Achilles Tendinopaty đź‘€
Hi (Dance Teacher),
I wanted to follow up on your dancers recent diagnosis of Achilles tendinopathy and clarify the best approach to managing it.
I was informed that they have been advised by another therapist to completely rest for up to 8 weeks. While this might seem logical, current understanding of this condition shows that rest alone is not the most effective way to resolve the issue.
Achilles tendinopathy is not primarily an inflammatory injury. Instead, it’s a condition where the tendon has become less tolerant to load over time. When we fully rest the tendon, it can actually become weaker and less capable of handling activity, which often leads to symptoms returning once you resume normal movement.
In most cases, this issue develops due to a combination of:
* Sudden increases or changes in training load
* Muscle imbalances (particularly in the calf and hip muscles)
* Movement or mechanical inefficiencies
Because of this, the goal isn’t to stop using the tendon completely, but rather to manage and gradually rebuild its capacity.
The most effective approach typically includes:
* Reducing or modifying activities that aggravate symptoms (rather than eliminating all activities)
* Following a structured strength program to progressively load the tendon
* Addressing any underlying muscle weaknesses or movement patterns contributing to the issue
This type of approach helps the tendon adapt, regain strength, and become more resilient—reducing both pain and the likelihood of recurrence.
In simple terms:
We don’t want to avoid using the tendon—we want to retrain it to tolerate load properly again.
I can complete an online assessment and help guide the athlete through a structured plan that allows them to stay active while safely progressing through recovery if they're interested.
If the athlete has any questions or concerns about this approach, tell them to feel free to reach out anytime.
Peter