Are you looking in the right place for the cause of your patient's tendon pain?

I have been meaning to write about this issue for a very long time, but got bushwhacked and distracted. But this is a really important issue, because the so called "metabolic Syndrome" is alive and well, and there is mounting evidence that your healthy looing patient who hobbles in with a nasty dose of Achilles tendon pain, might be suffering from this condition. And, if you do not know about it, and do not know how to recognise it, you will not be able to properly treat it...