March 4, 2026 · International journal of sports physical therapy · DOI: 10.26603/001c.156416

Don't Underestimate Pain on Palpation in the Clinical Exam for Achilles Tendinopathy

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This study investigates the relationship between various clinical pain measures and pathological tendon structure in individuals with midportion Achilles tendinopathy. The authors found that pain on palpation is significantly associated with tendon thickness and cross-sectional area, suggesting it captures unique aspects of the pain experience and serves as an important diagnostic and prognostic tool for this condition.

Andy K Smith, Hayley Powell Smitheman, Ryan T Pohlig, Katie A Butera, Karin Grävare Silbernagel

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