When does morning stiffness become a problem?
A single stiff morning after a tough workout is no cause for concern. It's likely that the tendon is simply recovering from the strain.
It becomes more interesting when:
- The stiffness is present for several consecutive days
- The symptoms persist for longer and longer periods
- You experience pain during or after exercise
- The tendon becomes tender to the touch
- A visible thickening develops
In these cases, there may be early signs of Achilles tendon overuse.
What does the duration of stiffness tell us?
Sports physiotherapists often use the duration of morning stiffness as an indication of the tendon's load capacity.
As a guideline:
- Less than 5 minutes: often a normal reaction to load
- 5 to 30 minutes: possibly a sign that the tendon needs extra attention
- More than 30 minutes: may indicate a clearly reduced load capacity
This does not automatically mean you have to stop exercising, but it is wise to critically review your training load.
Common causes of a stiff Achilles tendon
A heavy training period
More mileage, more intense training, or a busy competition schedule can mean the tendon doesn't get enough time to recover.
Change of surface
Running on hilly terrain, the beach, or a different surface often stresses the Achilles tendon differently than you're used to.
New shoes
A different heel height or cushioning can affect the tension placed on the tendon.
Reduced calf strength
When the calf muscles are weaker or fatigued, the Achilles tendon has to do relatively more work.
Age
As we age, the elasticity of tendon tissue decreases. This can make the tendon more susceptible to stiffness and overuse.