Achilles tendinopathy often presents with increased tendon thickness, lower echogenicity, and decreased stiffness. Interestingly, tendons are also able to adapt their structural and mechanical characteristics in response to loading.
Eccentric exercise for Achilles tendinopathy continues to be the recommended treatment. The majority of individuals with midportion achilles tendinopathy have shown favorable response to eccentric exercise.
Cuddeford, Tyler; Keefer Hutchison, Marcey; Piros, Annika; London, Jessica; Maleike, Andi; Schoonover, Tiffany; and Eymann, Madison, "Changes in Achilles Tendon Thickness Following a 10-Week Heavy Load Eccentric Exercise Program" (2018). Student-Faculty Research - School of Physical Therapy. 27.