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Table 3 Diagnostic guide

From: Study protocol: a double blind randomised control trial of high volume image guided injections in Achilles and patellar tendinopathy in a young active population

  Achilles tendon (inc Insertional) Patella tendon
Causative factors Common in running sports and may have been precipitated by a change in training load (volumes, duration or intensity). Common in running, tabbing and jumping sports and may have been precipitated by a change in training load (volumes, duration or intensity).
Pain site Localised tenderness in mid portion of Achilles (2–6cm from insertion) or at insertion. Pain at inferior pole of patella.
Pain pattern Pain may occur at start of activity and then ease, or may increase with duration of activity. Pain after period of rest or on waking. Pain may occur at start of activity and then ease, or may increase with duration of activity. Pain after period of rest or on waking.
Palpation findings Localised tenderness in mid portion of Achilles (2–6cm from insertion) or at insertion. Focal pain on palpation.
Provocation and Load Tolerance Tests Calf raise
Small hop
Repeated hop
Repeated hop Multidirectional
Maximal forward hop
Leg extension
Single leg decline squat
Small hop
Split jump
Maximal hop