We continue to struggle with the most basic part of tendinopathy management: correctly identifying it. In Part IV, Ruth Chimenti walks through the diagnostic criteria for Achilles tendinopathy—where expert consensus and everyday clinical practice diverge—and we zoom in on movement-evoked pain: what it captures, and why a useful way to track symptoms isn't the same as a tool for diagnosis. Part IV of The Debrief, revisiting each presentation from our 2026 Summit. Read this edition with full references at traversecitytendonsummit.com.