Version June 2024
| Intrinsic |
| Age over 35 years |
| Obesity |
| Prior tendon injury |
| Anatomic and biomechanical abnormalities (eg, pes planus, subtalar joint stiffness, reduced ankle dorsiflexion) |
| Gender |
| Medications (eg, fluoroquinolones, statins, aromatase inhibitors) |
| Comorbidities (eg, diabetes mellitus, rheumatologic disease, cardiac disease, lipid disorders, collagen vascular disease) |
| Extrinsic |
| Improper training (eg, abrupt, large increase in training volume) |
| Poor movement patterns (eg, abnormal running gait, poor weightlifting technique) |
| Poor ergonomics (eg, excessive movement or awkward joint position during activity) |
| Poor equipment (eg, running shoes with excessive wear) |
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