Table 1.
Initial examination findings
| Patient 1 | Patient 2 | Patient 3 | |
|---|---|---|---|
| Location of primary symptoms | Left Achilles tendon | Right Achilles tendon | Right Achilles tendon |
| BMI | 24.2 | 21.4 | 23.8 |
| Mechanism of injury | Overuse | Overuse | Overuse |
| Tenderness | (+) 4 cm proximal to insertion | (+) 2 cm proximal to insertion | (+) 4 cm proximal to insertion |
| Running gait | Increased pronation through left mid/terminal stance | Early heel rise on right | Increased pronation through right mid/terminal stance |
| VISA-A | 32/100 | 51/100 | 47/100 |
| Pain rating (NPRS) | Best: 0/10 | Best: 0/10 | Best: 0/10 |
| Worst: 6/10 | Worst: 8/10 | Worst: 5/10 | |
| Heel raise repetitions | < 1, able to get 20o plantarflexion (6/10 pain) | 5 (6/10 pain) | 6 (4/10 pain) |
| PPT (kPa) | Left: 152 | Left: 420 | Left: 415 |
| Right: 308 | Right: 314 | Right: 360 | |
| Ankle DF AROM | 0–6o | 0–8o | 0–7o |
| Joint mobility | Hypomobile AP glide of talus | Hypomobile AP glide of talus | Hypomobile AP glide of talus |
| Hypomobile lateral glide at subtalar joint | Hypomobile lateral glide at subtalar joint |
Abbreviations: BMI: body mass index; VISA-A: victorian institute of sports, Australia – Achilles tendon; NPRS: numerical pain rating scale; PPT: pressure pain thresholds, in kilopascals; DF: dorsiflexion; AROM: active range of motion; MRI: magnetic resonance imaging; AP: anterior to posterior.