Insertional Achilles tendonopathy at the calcaneus is difficult to treat because the tendon breaks down on the front and requires loading through full plantar flexion.

“then you have an insertional Achilles tendonopathy where that um irritation is at the calcinus so right where it inserts those can be extremely difficult because with those the Achilles tendon breaks down on the front of the tendon we know that tendons need load so for those guys you have to make sure when you're doing your calf work for example that you're getting as high onto your toes end range plantar flexion so that you can start to load that appropriately”