13 1 General Introduction In clinical practice, it is essential to have the ability to anticipate the recovery of patients and identify those who will likely endure chronic symptoms. However, knowledge of prognostic factors for patients with Achilles tendinopathy is currently lacking, with imaging having no prognostic value, and only limited evidence for an association between having a metabolic disorder and developing persistent symptoms.34,36 The past years it has become increasingly clear that socio-economic status plays a role in prevalence of disease and treatment outcomes. Socio-economic factors such as income, age, level of education, ethnicity, and place of residence have been found to significantly affect the incidence and outcomes of various diseases.37-39 Individuals with low socioeconomic status are particularly vulnerable to chronic diseases and musculoskeletal conditions, resulting in worse outcomes.37,40 The role of socio-economic status in the occurrence and treatment of Achilles tendinopathy is still unclear.
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