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The Alfredson Protocol: Eccentric Exercises for Achilles tendinopathy In 1998, Alfredson et al proposed a heavy-load eccentric calf muscle training protocol for the treatment of chronic Achilles tendinopathy. This protocol has been adopted in several RCTs over the years and has shown clinically significant changes in pain and improvement in function of patients with Achilles tendon pain. Watch the video below to see which exercises were performed in the protocol! | Physiotutors
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FacebookPhysiotutors
The Alfredson Protocol (classic version): 🔹 Who it’s for: Mid-portion Achilles tendinopathy (NOT insertional — that needs modifications) 🔹 Frequency: Twice per day, every day 🔹 Total volume: 180 reps daily Exercise 1 - Straight-knee heel drops 3 sets of 15 reps Use both feet to come up → shift weight to the sore leg → slowly lower down Exercise 2 – Bent-knee heel drops 3 sets of 15 reps Same idea, just keep the knee bent during the lowering phase That’s 6 sets per session, done morning and ni
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