Achilles Pinch and Press Test

A self test that tells mid portion Achilles tendinopathy from insertional, which changes how you load the tendon.

How to do it

Sit with the leg relaxed. Gently pinch the tendon between finger and thumb, starting just above the heel and working up. Then press at the back of the heel bone where the tendon attaches. Most tender in the cord, 2 to 6 cm up, means mid portion. Most tender at the bone means insertional.

Common mistake

Squeezing hard everywhere until it all hurts. Use the same steady pressure on both legs and compare.

Helps with

  • Achilles tendinopathy

Used in

  • Run Again: The Achilles Rebuild

This video shows the movement. Your dose and progression depend on your plan. Not sure where to start? Take the free ADAPT assessment.

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