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Deteriorating changes start to appear with age, but attempting to slow down these changes is key in the prevention of Achilles tendinitis. Performing consistent physical activity will improve the elasticity and strength of the tendon, which will assist in resisting the forces that are applied.^[1]

It is essential to stretch and warm-up before beginning an exercise session in order to prepare and protect the tendon for work. Warm-ups enhance the tendons’ capability of being stretched, further aiding in protection from injury.^[2] In the case of incorrect foot alignment, orthotics can be used as a preventative way to properly position the feet.^[1] Footwear that is specialized to provide shock-absorption can be utilized to defend the longevity of the tendon.^[3] Achilles tendon injuries can be the result of exceeding the tendons capabilities for loading, therefore it is important to gradually adapt to exercise if someone is inexperienced, sedentary, or is an athlete that is not progressing at a steady rate. ^[3]

This eccentric training method is especially important for individuals with chronic Achilles Tendinosis which is classified as the degeneration of collagen fibers. ^[3] Eccentric exercises improve the tensile strength of the tendon and lengthen the muscle-tendon junction, decreasing the amount of strain experienced with ankle joint movements. ^[3]

^ ^a ^b Hess, G.W. (2009). Achilles Tendon Rupture: A Review of Etiology, Population, Anatomy, Risk Factors, and Injury Prevention. Sage Publications, 3, 29-32. DOI: 10.1177/1938640009355191
^ Leppilahti, J., Orava, S. (1998). Total Achilles Tendon Rupture: A Review. Sports Medicine, 2, 79-100. http://0-download.springer.com.opac.library.csupomona.edu/static/pdf/816/art%253A10.2165%252F00007256-199825020-00002.pdf?auth66=1398011958_51975a24bc77695bc3eabb42368022d0&ext=.pdf
^ ^a ^b ^c ^d Alfredson, H., Lorentzon, R. (2012). Chronic Achilles Tendinosis: Recommendations for Treatment and Prevention. Sports Medicine, 29, 135-146. http://0-link.springer.com.opac.library.csupomona.edu/article/10.2165/00007256-200029020-00005/fulltext.html

[source1-1] Hess, G.W. (2009). Achilles Tendon Rupture: A Review of Etiology, Population, Anatomy, Risk Factors, and Injury Prevention. Sage Publications, 3, 29-32. DOI: 10.1177/1938640009355191

[2] Leppilahti, J., Orava, S. (1998). Total Achilles Tendon Rupture: A Review. Sports Medicine, 2, 79-100. http://0-download.springer.com.opac.library.csupomona.edu/static/pdf/816/art%253A10.2165%252F00007256-199825020-00002.pdf?auth66=1398011958_51975a24bc77695bc3eabb42368022d0&ext=.pdf

[source2-3] Alfredson, H., Lorentzon, R. (2012). Chronic Achilles Tendinosis: Recommendations for Treatment and Prevention. Sports Medicine, 29, 135-146. http://0-link.springer.com.opac.library.csupomona.edu/article/10.2165/00007256-200029020-00005/fulltext.html

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