Table 3.

Diagnostic guide

	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