Pilot · Foot and ankle is live; other subspecialties follow. Summaries are being reviewed and may change.Tell us what you think
Pilot Searched 7 Nov 2026 589 papers tracked Literature checked weekly
Foot and ankleShoulderComing soonElbowComing soonHand and wristComing soonHipComing soonKneeComing soonSpineComing soonPaediatric orthopaedicsComing soon

Insertional Achilles tendinopathy

Degenerative pain at the Achilles insertion, often with a Haglund deformity, retrocalcaneal bursitis and intratendinous calcification. First-line care is load management and loading exercise programmes, with extracorporeal shockwave therapy (ESWT) for persistent symptoms. Surgery (debridement, Haglund resection and reattachment, with or without FHL transfer) is reserved for failed non-operative care.

4 treatment options0 summaries42 papers tracked

Treatment options

Under review

Eccentric or heavy slow resistance loading, modified to avoid end-range dorsiflexion for insertional disease.

Key points

Evidence summary in preparation.

View details

Key papers

PaperYearDesign
Shockwave Therapy for Midportion and Insertional Achilles Tendinopathy: A Nail in the Coffin? A Systematic Review With Meta-Analysis.
Korakakis V · J Orthop Sports Phys Ther · 2026 · Systematic review / meta-analysisKey paper
2026Systematic review / meta-analysisLevel I-II
Endoscopic versus open surgery for insertional achilles tendinopathy: A systematic review and meta-analysis of comparative outcomes.
Chen PY · J Exp Orthop · 2025 · Observational / otherKey paper
2025Observational / otherLevel III-IV
Surgical treatment of insertional Achilles tendinopathy: a systematic review.
Traina F · J Biol Regul Homeost Agents · 2016 · Systematic review / meta-analysisKey paper
2016Systematic review / meta-analysisLevel I-II

Latest papers

All 42 papers
PaperYearDesign
Ultrasound-Guided Percutaneous Tendon Dry Needling for Recalcitrant Distal Biceps Tendinopathy: A Case Series.
Granger A · Int J Sports Phys Ther · 2026 · Observational / other
2026Observational / otherLevel III-IV
Minimally Invasive Zadek Osteotomy vs Open Achilles Debridement for Insertional Achilles Tendinopathy in Athletes: A Retrospective Comparative Cohort Study.
Genuth G · Foot Ankle Int · 2026 · Observational / other
2026Observational / otherLevel III-IV
Transition from open surgery to ultrasound-guided minimally invasive surgery for insertional Achilles tendinopathy: similar patient-reported outcomes and substantially lower treatment costs.
Lindén L · BMC Musculoskelet Disord · 2026 · Observational / other
2026Observational / otherLevel III-IV
Insertional Achilles tendinopathy State of pathology: Insertional tendon tendinopathies.
Elkaïm M · Orthop Traumatol Surg Res · 2026 · Narrative review
2026Narrative reviewLevel V
Biomechanical comparison of parallel versus convergent screw fixation in Zadek osteotomy.
Ramirez C · Eur J Orthop Surg Traumatol · 2026 · Comparative study
2026Comparative studyLevel II-III
Minimally Invasive Revision Surgery Combining Endoscopic Double-Row Reinsertion and Flexor Hallucis Longus Transfer for Insertional Achilles Tendon Re-Rupture in a Semi-Professional Rugby Player: A Case Report.
Santos-Moreira A · J Clin Med · 2026 · Observational / other
2026Observational / otherLevel III-IV
Combined Endoscopic SpeedBridge™ Reinsertion and Proximal Medial Gastrocnemius Lengthening for Chronic Insertional Achilles Tendinopathy in an Elite Sprinter: A Case Report.
Lopes R · J Orthop Case Rep · 2026 · Observational / other
2026Observational / otherLevel III-IV
Endoscopic Calcaneoplasty Achieves Excellent Functional Outcomes in Haglund's Deformity.
Ong SSL · Arthrosc Sports Med Rehabil · 2026 · Observational / other
2026Observational / otherLevel III-IV
Impact of BMI on two-year clinical outcomes following surgical treatment of insertional achilles tendinopathy.
Tan YJ · Foot Ankle Surg · 2026 · Observational / other
2026Observational / otherLevel III-IV
Current concepts and management of insertional Achilles tendinopathy and calcific insertional Achilles tendinopathy.
Maffulli N · Br Med Bull · 2026 · Narrative review
2026Narrative reviewLevel V