03/16/2026
Achilles Tendinopathy Rehab for HYROX & Runners
Your Achilles takes a huge amount of load when you’re running, lunging, jumping, and pushing sleds. If the tendon’s capacity can’t keep up with the load, pain starts to show up.
Two exercises used all the time to rebuild Achilles capacity:
1️⃣ Isometric Calf Holds (Progressive Positions)
Isometrics are great early on because they load the tendon while helping reduce pain.
Prescription:
• 4–5 sets
• 30–45 second holds
• 1–2x per day
Progression:
• Plantarflexion (heel elevated): least compression, best starting point when symptoms are more irritable
• Neutral: increases tendon loading as tolerance improves
• Dorsiflexion: highest demand and compression — use later in rehab when the tendon is stronger
The goal is gradually increasing tendon load without aggravating symptoms.
2️⃣ Slow Eccentric Heel Drops
The Achilles tendon is formed from two calf muscles — the gastrocnemius and the soleus. Your knee position determines which one you’re targeting.
Prescription:
• 3–4 sets
• 10–12 slow reps
• 3–4 second lowering phase
Variations:
• Straight knee: biases the gastrocnemius
• Bent knee: biases the soleus
Both muscles feed into the Achilles tendon, so training both helps improve the tendon’s ability to tolerate load during running and hybrid training.
Simple exercises. Done consistently. Big difference in building Achilles resilience.