Abstract
This paper aims to review the pathophysiology, diagnosis, and treatment of insertional Achilles tendinopathy (IAT). There is no current consensus regarding conservative or surgical treatments for IAT. There has recently been an increase of trials demonstrating utility for extracorporeal shock wave in treating IAT. Additionally, a retrospective study of percutaneous ultrasonic tenotomy shows promise. IAT has historically been recalcitrant to treatment. There are multiple available treatment options, and many that may confer some benefit. Knowing the available conservative treatment options and discussing the risks and benefits with the patient can help the patient and clinician determine what treatment options to employ for each individual.
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