Podcast Episode

184. Achilles Tendinopathy: Distinguishing Midportion and Insertional

PT Snacks Podcast: Physical Therapy with Dr. Kasey Hankins·Kasey Hankins, PT, DPT, OCS·12 September 2026·16 min

About this episode

Send us Fan MailIn this episode, we discuss how to differentiate Achilles mid-portion tendinopathy from insertional tendinopathy and why the distinction changes rehab. Depending on the patient, some tendon-loading exercises can actually have a negative impact on insertional tendinopathy cases, so being able to differentiate these can help to improve your success with your patients.00:00 Welcome to PT Snacks00:19 Episode Focus and Disclaimer01:08 Achilles Basics and Tendinopathy Terms03:09 Blood Supply and Watershed Zone05:30 Insertional vs Midportion Pathology07:27 Why Each Type Happens09:47 Treatment Principles and Load Management11:02 Insertional Rehab and Evidence14:22 Wrap Up and ResourcesNeed CEUs? Unlock unlimited online courses, live webinars, and certification-prep programs with MedBridge. You’ll get thousands of accredited, evidence-based courses. Use code PTSNACKSPODCAST at checkout to save over $100. Student? Use code PTSNACKSPODCASTSTUDENTSupport the showStudying for the NPTE? Check out PT Final Exam — they’ve helped thousands of students pass with confidence. Use code PTSnacks at checkout for a discount.Stay Connected!Follow so you never miss an episode. Send your questions via email to ptsnackspodcast@gmail.comJoin the email list HERESupport the Show: Share the episode with someone who'd benefit.Contributing directly to the "support" link.Thanks for tuning in—your support makes this all possible!