11/24/2025
For those you following along, here are a few takeaways from my Achilles rehab process:
1. I never stopped running throughout my rehab process (which is a good idea - tendons need blood flow and load to heal !), however I don’t think I started PT soon enough. I ran through insertional pain for over year before starting PT. 😢 (See the note on when it’s safe run below 👇)
2. You can’t stop PT. As soon as things were feeling really good in 2024 I got lazy with my calf exercises. Big no-no! That’s what put me back in a bad spot this year, forcing me to take a step back from running.
3. Achilles issues almost always indicate an issue up the chain, especially in runners, and especially if your issue is on one side only. Don’t just look at your calves - look at your glutes, hips, and hamstrings. Strengthening the full posterior chain is key! (find a good PT to help with this!)
4. Get a 1/ gait analysis and 2/ MRI to identify the root cause and see how bad the damage is: your PT exercises will change based on whether this is insertional or mid-point, along with the results of both tests.
5. Remember rest is not the answer, but neither is overdoing it! Following the 1-10 pain scale helped guide my activities (keep pain below 4/10 before, during, and after activities). Delicate balance - please please do this guided by a stellar PT like or (both have remote plans/ can support you wherever you are!).