VISA-A

An index of the severity of Achilles tendinopathy

Instructions:

The VISA-A should be self-administered and takes approximately 5-10 minutes to complete. Patients should be instructed to consider their Achilles tendon problems over the past week when answering questions.

Main Assessment (Questions 1-6)

1. For how many minutes do you have stiffness in the Achilles region on first getting up?

0100

0/10 = 0 minutes | 10/10 = 100 minutes

2. Once you are warmed up for the day, do you have pain when stretching the Achilles tendon fully over the edge of a step? (keeping knee straight)

0100

Strong severe pain = 0/10 | No pain = 10/10

3. After walking on flat ground for 30 minutes, do you have pain within the next 2 hours? (If unable to walk on flat ground for 30 minutes because of pain, score 0 for this question).

0100

Strong severe pain = 0/10 | No pain = 10/10

4. Do you have pain walking downstairs with a normal gait cycle?

0100

Strong severe pain = 0/10 | No pain = 10/10

5. Do you have pain during or immediately after doing 10 (single leg) heel raises from a flat surface?

0100

Strong severe pain = 0/10 | No pain = 10/10

6. How many single leg hops can you do without pain?

0100

0/10 = 0 hops | 10/10 = 10+ hops

Activity Level (Question 7-8)

7. Are you currently undertaking sport or other physical activity?

0100

Not at all = 0/10 | Competing at the same or higher level = 10/10

8. Do you have pain undertaking sport?

Type: visa-a-8

8. Please complete EITHER A, B or C in this question. If you have no pain while undertaking sport please complete Q8a only. If you have pain while undertaking sport but it does not stop you from completing the activity, please complete Q8b only. If you have pain that stops you from completing sports, please complete Q8c only.

Patient Watch Form - 10/31/2025