Table 3 Diagnostic guide
| Â | 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 |