Achilles Tendinopathy in an Elite Endurance Athlete

Course overview

Achilles tendinopathy is a common yet complex issue in endurance athletes, requiring careful assessment and strategic rehabilitation. This case study explores the management of a mid-portion Achilles tendinopathy in an elite runner, guiding clinicians through differential diagnosis, objective assessment, and high-quality force testing protocols. It highlights evidence-informed approaches to strength training and cross-training, including plantarflexion loading strategies and plyometric progression using tools such as force plates and jump mats. The course also covers key considerations for return-to-running decisions and emphasizes the ongoing monitoring of both objective measures and athlete-reported outcomes throughout rehabilitation.