Fitness
Achilles Alfredson Eccentric Protocol
The Achilles Alfredson eccentric protocol uses slow heel lowers from a step for mid-portion tendinopathy—mild pain during reps, settled by next morning, under clinician guidance.
The Achilles Alfredson eccentric protocol uses slow straight-knee and bent-knee heel lowers from a step—often three sets of fifteen twice daily—to load the tendon progressively when mid-portion Achilles tendinopathy is diagnosed. Pain should stay mild during reps and settle within twenty-four hours; sharp rises mean reduce height or reps.
Pair with calf isometrics early if irritable. Clinician guidance beats DIY heroics.
Common questions
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Is some pain okay during Alfredson eccentrics?
Mild acceptable pain during reps is common in supervised protocols if it calms within twenty-four hours. Sharp or worsening next-day pain means reduce load and consult your clinician.
Related terms
Put Achilles Alfredson Eccentric Protocol into practice
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