INTRODUCTION: Achilles tendonitis is one of the most frequently ankle and foot overuse injuries, which is a clinical syndrome characterized by the combination of pain, swelling, and impaired performance. The two main categories of Achilles tendonitis are classified according to anatomical location and broadly include insertional and non insertional tendinopathy The two main categories of Achilles tendon disorder are broadly classified by anatomical location to include non–insertional and insertional conditions.here we have reviewed the insertional achilis tendonitis condition here in this article . insertional Achilles tendinopathy is improved by recognizing coexisting pathologies around the insertion. Conservative rehabilitation protocols as used in non–insertional disorders are thought to prove less successful, but such methods are being modified, with improving results. Treatment such as shockwave therapy is also proving successful. Surgical approaches specific to the diagnosis are constantly evolving, and good results have been achieved. However, there has not been a gold standard of these treatments because of the controversial clinical results between various studies. In the future, new level I researches will be needed to prove the effect of these treatment options. MATERIALS & METHODS : Studies are being carried out on various patients by groups of authors in various medical colleges especially in Departments of Anatomy and other departments like Physiotherapy , Occupational therapy and Surgery in various places of world and years. In these studies Authors have done the Histological studies of Tendonitis and for the treatment authors have used conservative ( like Diathermies , Electro modalities Ultra sound ) and surgical methods to treat the condition...Finally results were noted under separate headings. DISCUSSIONS: Then studies of different authors and their findings were correlated with available literatures. Various authors findings and conclusions on symptoms and treatments are being considered for study of review Articles CONCLUSIONS: This study on symptomps , treatments either conservative or surgical ( which is effective) for insertional achilies tendonitis has been discussed and reported.