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Welche Wadenübungen bei Achillessehnenentzündung geeignet sind

Die beste Übung bei Achillessendenenzündungen sind Wadenheber-Übungen
Maryke Louw - Leitendende Physiotherapeutin bei Exakt
Maryke Louw
Oct 9, 2025
Medizinisch geprüft von
Kim Van Deventer
Wadenheber sind eine der besten Übungen zur Behandlung einer Achillessehnenentzündung: Sie sind vielseitig, einfach durchzuführen und können Schmerzen lindern, Steifigkeit verringern und die Achillessehne stärken.

In diesem Artikel erfährst du, warum Wadenheber bei einer Achillessehnenentzündung so wirksam sind – und wie du sie richtig anpasst, um deine Genesung optimal zu unterstützen.

Helfen Wadenheber-Übungen bei Achillessehnenentzünung?

Ja. In einem früheren Artikel haben wir bereits erklärt, dass Wadenheber zu den drei effektivsten Selbstbehandlungen bei Achillessehnenentzündung gehören.

Und das aus gutem Grund:

Wenn die Achillessehne verletzt ist, verliert sie einen Teil ihrer Belastbarkeit. Dadurch reagiert sie empfindlicher auf Belastung und neigt schneller zu neuerlichen Reizungen und Rückschlägen.

Zusätzlich kann sie durch die Verletzung geschwollen, steif und schmerzhaft sein – ausgelöst durch die Flüssigkeitseinlagerungen im Gewebe.

Wadenheber-Übungen können helfen, genau diese Probleme zu lindern – und zwar durch:

Kräftigung der Achillessehne, sodass sie den Belastungen im Alltag und beim Sport besser standhält

Verbesserung der Durchblutung, wodurch Schmerzen und Steifheit in der Sehne abnehmen

Förderung der Heilung, was die Genesung beschleunigt

Jetzt, da du weißt, warum Wadenheber bei einer Achillessehnenentzündung so wirkungsvoll sind, schauen wir uns an, wie du sie richtig anpasst.

Wie du deine Wadenheber-Übungen optimal anpasst

Weiter unten findest du Beispiele, wie du diese Strategien in den einzelnen Reha-Phasen umsetzen kannst.
1
Wähle die richtige Ausgangsposition
Verwende die Empfindlichkeit deiner Sehne gegenüber Dehnungen, um die beste Ausgangsposition zu bestimmen.
2
Beginne auf dem richtigen Level
Passe die Übungen deinem aktuellen Kraft- und Erholungsstand an.
3
Steigere dich langsam
Erhöhe die Intensität schrittweise, bis sie den Bedürfnissen deiner Zielaktivitäten entspricht.
4
Passe deine Erholungszeiten an
Plane bei zunehmender Intensität mehr Erholung ein

Du willst sehen, wie das in der Praxis aussieht? Dann schau dir unsere individuell angepassten Rehapläne für Achillessehnenentzündung an – für Sehnenansatz und Mittelteil, mit leichten Anpassungen an den jeweils verletzten Bereich.

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Progressive Rehapläne für Achillessehenentzündung
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Männlicher Läufer, der die Übungen gegen Achillessehnenentzündung in der Exakt App nutzt, um seine Achillessehne zu rehabilitieren.

Passe deine Wadenübungen an die Phasen deiner Achilles-Reha an

Frühe Reha-Phase

The best way to do your calf raise exercises when your tendon is still very painful or easily irritated is to stand on two legs without carrying extra weights.

Examples of early-stage calf raise exercises for Achilles tendonitis

Benefits of calf raises in early rehab

Early-stage exercises may seem simple but it’s best not to skip them. They are vital for Achilles tendonitis recovery and have numerous benefits, including:

  • Improving tendon circulation, leading to reduced pain and improved healing
  • Getting your tendon used to gentle loads
  • Helping you safely start testing your tendon's load tolerance

Tips and precautions

Stretching your Achilles tendon over a step can sometimes irritate it, so:

  • If your Achilles is extra sensitive (or you have insertional Achilles tendonitis) – start your calf raises on floor level
  • If you have mid-portion Achilles tendonitis – calf raises over a step will likely be OK, but you must test if it's OK for you since everyone is different

Mid-stage rehab

Examples of mid-stage calf raises for Achilles tendonitis

Benefits of calf raises in mid-stage rehab

  • They prevent you from compensating with your uninjured leg
  • They help you develop the base strength and movement patterns necessary for the heavier exercises in the next rehab stage

Tips and precautions

  • If you have insertional Achilles tendonitis, it’s still better to keep doing your calf raises to floor level only.
Your rehab plan must reflect your ultimate activity goals. For instance, runners require more Achilles strength and must build up to higher load exercises than walkers.
Your rehab plan must reflect your ultimate activity goals. For instance, runners require more Achilles strength and must build up to higher load exercises than walkers.

Late-stage rehab

Examples of late-stage calf raises for Achilles tendonitis

Benefits of calf raises in late-stage rehab

  • Help restore your tendon’s full strength by adding weights to your calf raises

Tips and precautions

  • Add weight to your calf raise exercises by placing weights in a backpack on your back – this frees your hands up to hold on for balance.
  • The weight you add depends on your future activity goals – for instance, a runner will need stronger Achilles tendons than someone who only walks.
  • Aim to build up to the amount of weight matching your future activities’ tendon-loading demands.
  • Do this safely by starting with a very low weight and slowly increasing it over time.
  • Rushing to add heavier weights usually causes Achilles tendonitis to flare up, which slows your recovery.

The Exakt Health app guides you through this process step by step. It provides straightforward advice on when to progress, maintain, or take your exercises back a level. Helping to minimize flare-ups and keep you on track with your recovery.

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Man using the exercises in the Exakt health app to treat his Achilles tendonitis.

Return to running prep: Plyometric exercises

Plyometric exercises are not technically calf raises, but they involve similar movements. The main difference is they're done much faster and more powerfully than regular calf raises.

It’s essential to complete a full set of plyometric exercises before you return to running to ensure your tendon is ready to take on the increased load and impact.

Examples of plyometric exercises for Achilles tendonitis

Benefits of plyometrics in Achilles tendon rehab

Tips and precautions

  • It's best to introduce plyometrics slowly and in small sets – progressing to larger volumes and increasing intensity over several weeks.

You don't always have to stop running when you have Achilles pain – here's how to decide what's best in your case.

Determining your calf raise starting level

Testing your tendon’s exercise response

Scans and other tests can detect an Achilles tendonitis injury but don't reveal your tendon's strength or sensitivity.

To find the right exercise level for your tendon, you must carefully test how it responds to exercise.

The best way to decide what calf raise exercises are suitable for your Achilles tendonitis is to test them carefully, starting with the easiest versions.
The best way to decide what calf raise exercises are suitable for your Achilles tendonitis is to test them carefully, starting with the easiest versions.

How Physiotherapists test and set exercise levels

  1. First, they ask you to perform a set of easy calf raises (e.g., double-leg calf raises).
  2. If you’re struggling to complete the whole set (either due to pain or weakness), they ask you to start with a reduced set.
  3. If you complete the set comfortably, they ask you to check how your Achilles tendon reacts in the 24 hours after doing the test (explained next).
  4. If all is well, they ask you to test a new set of slightly higher-level calf raise exercises until they identify your correct level.
  5. Your correct starting level exercise is the one that causes slight discomfort but doesn’t worsen your symptoms.
  6. This level indicates your tendon’s current strength, meaning what it can cope with safely now.
Injured tendons often have a delayed pain response to exercise.
Injured tendons often have a delayed pain response to exercise.

Progressing your calf raises safely

Understand the 24-hour tendon response

Injured tendons are known for having a delayed pain response, meaning they may feel OK during a strengthening or stretching exercise but often flare up several hours later.

Monitoring your 24-hour response helps you choose, adapt, and progress your exercises without worsening your symptoms or slowing your recovery.

It also helps you gauge how much rest you need between calf raise exercise sessions.

Allow for rest in your Achilles tendonitis rehab

Rest is crucial between calf raise exercise sessions because it allows your Achilles tendon time to recover and adapt.

Doing too many high-load calf raises without enough recovery time usually causes Achilles tendonitis to flare up.

The harder your calf raise exercises, the longer the gap should be between workouts.

To benefit from rehab exercises, your Achilles tendon requires time to repair and strengthen after workouts. Training too soon can cause flare-ups.
To benefit from rehab exercises, your Achilles tendon requires time to repair and strengthen after workouts. Training too soon can cause flare-ups.

Overdoing stretching exercises can also irritate your Achilles tendon. Learning about how to avoid the common pitfalls of Achilles tendonitis stretching can help optimise your recovery.

We've integrated this testing into the Exakt Health app. Based on your feedback, the app calculates your calf raise starting level and exercise schedule, alerts you to potential over-training risks, and helps you manage flare-ups.

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Optimise your Achilles rehab with the Exakt Health app
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Woman using the exercise plan in the Exakt Health app to rehab her Achilles tendon.
More about Achilles tendonitis

Conclusion

Now you know the importance of tailoring your calf raises to your tendon strength and the stage of recovery: It’s crucial for managing Achilles tendonitis effectively.

Knowing how to correctly start, pace, and progress your calf raise exercises based on your unique injury kickstarts and fast-tracks your Achilles tendinitis recovery.

It optimizes your rehab, helping you get back to the activities you love with confidence, sooner.

Happy rehabbing!

The Exakt Health app simplifies recovery by providing clear exercise guidance, 24-hour response testing, and helpful tips to enhance your rehab results.

Achilles tendonitis icon
Start your Achilles tendonitis rehab today!
Download the app
Woman doing the Achilles tendonitis exercises in the Exakt Health app to rehab her Achilles tendon.


Maryke Louw - Leitendende Physiotherapeutin bei Exakt
Maryke Louw
Maryke Louw ist die medizinische Leiterin bei Exakt. Sie hat einen einen Master (M.Sc.) in Sport-Physiotherapie und ist ein qualifizierter Gesundheitscoach. Maryke bringt mehr als 15 Jahre Erfahrung als Physiotherapeutin mit sich. Sie hat unter anderem 8 Jahre in einem der führenden britischen Zentren für Sportmedizin in East Sussex gearbeitet. Sie hat bereits Eliteläufer in Äthiopien betreut und war Mitglied des medizinischen Teams bei den Commonwealth Games 2014 in Glasgow, den European Games 2015 in Aserbaidschan und den IAAF World Championships und World Para Athletics Championships 2017 in London.
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