Persistent Achilles insertional pain can be a difficult ailment to manage, and eccentric exercise alone many not be enough to treat this type of tendinopathy.

This article examines a case study which incorporates subtalar, talocrual and hip extension mobilisations as part of treatment for persistent insertional Achilles tendinopathy. The effects were greater than eccentric Achilles treatment alone, with improvements maintained up to 1 year later.