There is lots of debate about the pain mechanisms, particularly if there are central changes, in Achilles and other tendinopathies. Most studies in the literature use proxy measures of central sensitisation like pressure pain threshold away from the painful site, Other measures like conditioned pain modulation have been investigated less frequently. In this episode of talking tendons I discuss a huge new study investigating CPM in Achilles tendinopathy with some interesting findings and implications.
Hope you enjoy!
Here is the link to the study:
Mkumbuzi, N.S., Mafu, T.S., September, A.V., Posthumus, M. and Collins, M., 2021. Conditioned pain modulation is not altered in recreational athletes with Achilles tendinopathy. Translational Sports Medicine, 4(1), pp.147-153.

Do psychological, cognitive, and contextual factors influence rehab outcomes in Achilles tendinopathy?
07:27

Does high load and high strain exercise have any benefit for Achilles tendinopathy?
14:42

Proximal Hamstring Tendinopathy - the forgotten tendinopathy
24:56