Pilot Investigation to Evaluate Effectiveness of Shockwave Therapy, Photobiomodulation and Physical Therapy in the Management of Non-insertional Achilles Tendinopathy

Inclusion Criteria: * A diagnosis of mid-portion Achilles tendinopathy (including both unilateral and bilateral) * Running is the pre-injury primary form of physical activity and pre-injury would complete on average 10 miles per week or more of running * VISA-A \<80 at baseline to be eligible Exclusion Criteria * Less than 3 months of symptoms * Primary insertional Achilles tendinopathy * Diagnosis of rheumatological disease/connective tissue condition, symptomatic arthritis of foot and ankle, a primary running related injury outside Achilles tendinopathy, other contraindications to PBMT or SWT * Have received SWT within the past 3 months to their Achilles * Prior injection within 3 months * Currently enrolled in PT for more than 4 weeks for their condition * Women who are pregnant. * known history of Achilles tendon tear * currently taking oral steroid or fluoroquinolone class of antibiotics