Doctor’s Orders: Achilles Tendon and Calf Pain Relief

Dr. Brandon Cohen

I recently have seen an influx of runners complaining of Achilles tendon and calf pain.  Achilles tendon pain can be the result of:

• Excessive training volume
• Excessive pronation of the medial longitudinal arches
• Improper running technique
• Running on uneven surfaces
• Improper/worn footwear
• Weakness/imbalance of lower extremity musculature

Most commonly the symptoms are located down on near the attachment at the heel.  Sometimes the problematic tissue is the Achilles tendon, but frequently the pain is caused due to stresses from other improper moving muscles like the calf, soleus, or other smaller and deeper muscles in the leg.  One simple exercise that helps to restore normal blood flow and function of the leg and Achilles tendon is the eccentric calf raise.  To do this exercise you need to have a step or ledge, and its easier if you have something to support yourself so you don’t fall over.

Eccentric Calf Raise Start

1. Begin with the balls of your feet placed near the edge of the step with your heels hanging off.
2. Raise yourself up by using both feet (stand on your toes).
3. Shift your weight over to one foot and slowly bring your heel down below the level of the step. (Each rep should take between 6-8 seconds)
4. Shift your weight back evenly to both feet and raise yourself back up.

Eccentric Calf Raise bottom

Start with 3 sets of 3 reps, and build up to 3 sets of 15-20 reps 1-3 times a day.

Eccentric calf raise single leg

If there is anything you don’t understand or if you have any questions, I can be reached at

Living the Run is thrilled to publish Dr. Brandon Cohen weekly blog “Doctor’s Orders.” Dr. Cohen is a Chiropractor and Certified Strength and Conditioning Specialist located in Atascadero, CA.  Because of his experience as a Certified Strength and Conditioning Specialist, he is uniquely able to combine his treatments with simple stretches and exercises to produce fast and lasting results for his patients. Learn more about Dr. Cohen on our Bloggers Bio page.
 Other Doctor’s Orders blogs with Dr. Cohen

Brandon Cohen, DC, CSCS
7360 Morro Rd.
Atascadero, CA 93422

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