90 Chapter 5 The clinical diagnosis of Achilles tendinopathy was established by the clinician if pain in association with Achilles tendon-loading activities and localized pain on Achilles tendon palpation were present. This could be with or without Achilles tendon thickening. Data of history-taking and findings on physical examination, including the location of the diagnosis (insertional or midportion Achilles tendinopathy), were documented by the sports medicine physician using a standardized electronic format, to ensure consistency in data collection. All data were collected prospectively and analyzed after extraction from electronic medical records. From all patients the presence or absence of the diagnostic criteria were recorded. Figure 2. Study flow chart Outcome measures Primary outcome was the agreement between presence of patient-reported pain in the Achilles region on the standardized pain map and the physician-determined clinical diagnosis of Achilles tendinopathy. The secondary outcome measure was the level of agreement between the marked patientreported location of the pain (midportion region or insertional region of the Achilles tendon) on the standardized pain map with the physician-determined clinical diagnosis of midportion or insertional Achilles tendinopathy.
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