Noninsertional Tendinopathy of the Achilles

Avreeta Singh, Arash Calafi, Chris Diefenbach, Christopher Kreulen, Eric Giza

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Noninsertional Achilles tendinosis is differentiated from insertional Achilles tendinosis based on anatomic location. Tendinosis, as opposed to tendonitis, is primarily a degenerative process and the role of inflammation is believed limited. The etiology of Achilles tendinopathy may include overuse leading to repetitive microtrauma, poor vascularity of the tissue, mechanical imbalances of the extremity, or combination of these elements. There is evidence to support eccentric exercise nonoperative management for patients with noninsertional Achilles tendinopathy. Operative treatment options include percutaneous longitudinal tenotomies, minimally invasive tendon scraping, open débridement and tubularization, and tendon augmentation with flexor hallucis longus.

Original languageEnglish (US)
JournalFoot and Ankle Clinics
StateAccepted/In press - 2017


  • Achilles tendinopathy
  • Achilles tendinosis
  • Noninsertional Achilles tendinosis
  • Noninsertional tendinopathy

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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