Achilles tendon disorders

SUMMARY POINTS Midsubstance Achilles tendinopathy is more common than the insertional variant Rupture is most common in men in the fourth and fifth decades of life Eccentric exercises are the best treatment for Achilles tendinopathy Other modalities such as shock wave therapy are additive to eccentric exercises in the treatment of recalcitrant Achilles tendinopathy Early weight bearing and progressive rehabilitation improve outcomes for the non-operative management of Achilles tendon rupture