94 Chapter 5 Secondary outcomes – Agreement of marked location (midportion/insertional) with the clinical diagnosis of Achilles tendinopathy 2 patients were clinically diagnosed with combined midportion and insertional Achilles tendinopathy and could therefore not be included in the analysis of the location specific (midportion/insertional) part. A total of 82% (89/108) of the patients had the clinical diagnosis of Achilles tendinopathy in the specific region of the tendon they marked on the pain map (Kappa = 0.67, CI 0.54-0.79). In 36 of the 50 (72%) patients who indicated their symptoms in the insertional Achilles tendon region (marked this region on the pain map) the clinical diagnosis of insertional Achilles tendinopathy was made by the physician. Out of the 58 patients who marked the midportion region on the pain map as the origin of their symptoms, 53 (92%) had the clinical diagnosis of midportion Achilles tendinopathy. Patients who marked the bottom of the heel (location A on the pain map), were excluded from the analysis as they did not have symptoms located to the Achilles tendon region. Out of these 5 patients, 1 patient did have insertional Achilles tendinopathy. Six patients chose the option ‘none of the displayed regions’. Two of these patients were diagnosed with insertional Achilles tendinopathy. One patient was diagnosed with posterior ankle impingement syndrome. The 3 remaining patients had a combination of diagnoses (insertional Achilles tendinopathy + retrocalcaneal bursitis and in two cases insertional Achilles tendinopathy + plantar fasciopathy).
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