The Royal London Hospital Test is a clinical assessment used to diagnose Achilles tendinopathy by evaluating pain changes during ankle dorsiflexion and plantar flexion.

Royal London Hospital Test
The Royal London Hospital Test is used to assess Achilles tendinopathy. Use our free template for effective diagnosis and treatment planning.
Royal London Hospital Test Template
Commonly asked questions
Two reliable tests for diagnosing Achilles tendinopathy are manual palpation for tendon pain and the subjective reporting of tenderness located 2–6 cm above the calcaneal insertion (Hutchison et al., 2013; Martin et al., 2018); manual palpation is utilized in both the Royal London Hospital Test and the Arc Sign Test.
While technically possible, performing the Thompson test on yourself is not advisable due to the significant risk of misdiagnosis. Accurate assessment and diagnosis should always be conducted by qualified healthcare professionals.
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