VISA-A

An index assessing the severity of Achilles tendinopathy. Evaluates pain, function, and ability to participate in activities and sports. Scoring Breakdown: Questions 1-7 are scored out of 10 each (total 70). Question 8 (activity/pain) is scored out of 30. Total Score: 0-100.

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)

0
1
2
3
4
5
6
7
8
9
10
100 mins
0 mins
0
1
2
3
4
5
6
7
8
9
10
Strong severe pain
No pain
0
1
2
3
4
5
6
7
8
9
10
Strong severe pain
No pain
0
1
2
3
4
5
6
7
8
9
10
Strong severe pain
No pain
0
1
2
3
4
5
6
7
8
9
10
Strong severe pain
No pain
0
1
2
3
4
5
6
7
8
9
10
0
1
2
3
4
5
6
7
8
9
10+

Activity Level (Question 7-8)

0
Not at all
4
Modified training ± modified competition
7
Full training ± competition but not at same level as when symptoms began
10
Competing at the same or higher level as when symptoms began

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.

A

0
7
14
21
30
0 minutes
1-10 minutes
11-20 minutes
21-30 minutes
>30 minutes

B

0
4
10
14
20
0 minutes
1-10 minutes
11-20 minutes
21-30 minutes
>30 minutes

C

0
2
5
7
10
0 minutes
1-10 minutes
11-20 minutes
21-30 minutes
>30 minutes

Patient Watch Form - 4/2/2026