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Achilles tendinopathy — MRCGP AKT MCQ

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HardTendinopathyAchilles tendinopathyMRCGP AKT

A runner with Achilles tendinopathy can perform slow calf-loading exercises without next-day worsening but develops pain and loss of function during sprint drills. What is the appropriate return-to-sport decision?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Continue graded rehabilitation before unrestricted sprinting

The best answer is “Continue graded rehabilitation before unrestricted sprinting”. Return is graded according to symptom response, strength, function and tolerance of the specific load required. Tolerating slow calf raises does not prove readiness for high-rate sprint loading. Rehabilitation continues with progressive loading, while unrestricted sport is delayed until drills can be completed without unacceptable pain or next-day deterioration.

Reference: NHS inform: Achilles tendinopathy: https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/leg-and-foot-problems-and-conditions/achilles-tendinopathy