Understanding Tendinopathy: Effective Treatments
Comprehensive Guide to Tendinopathy Solutions
Explore proven strategies and avoid common pitfalls in managing tendinopathy effectively. Our expert insights guide you towards recovery.
Evidence-Based Treatments
Discover therapies backed by research to alleviate tendinopathy symptoms.
Common Misconceptions
Debunk myths about tendinopathy treatment and learn what truly works.
Personalised Care Plans
Tailored treatment strategies designed to meet individual patient needs.
Insights on Tendinopathy Treatments
Tendinopathy is a common overuse injury that affects tendons — the strong connective tissues that link muscle to bone. It often develops in areas like the Achilles, patellar tendon (knee), tennis elbow, or rotator cuff. If you’ve experienced tendon pain, you’ll know how frustrating it can be: it lingers, flares up with activity, and doesn’t always respond to traditional rest or treatments.
With so much advice floating around — from injections to gadgets to complete rest — it’s no wonder people are confused. Let’s unpack what the latest research and clinical experience tell us about what actually works, and what doesn’t when it comes to treating tendinopathy.
Return to Gym/Sport after an Injury: A 6-Step Physio Plan
Discover our expert-backed 6-step plan to safely get back to your fitness routine after an injury, ensuring a smooth and effective recovery.Find answers to common concerns about resuming physical activities post-injury.The timeline varies depending on the injury's...
Why Strength Based Rehab Beats Rest for Injury Recovery
Strength-based rehabilitation is a transformative approach that empowers individuals to actively participate in their recovery journey, fostering resilience and strength rather than passively resting. By prioritising muscle engagement and functional movement, this...
What are Cervicogenic Headaches?
Explore the causes, symptoms, and treatment options for cervicogenic headaches, and learn how our physiotherapy clinic in Southport can help you find relief.Cervicogenic headaches are headaches that originate from problems in the neck (cervical spine) but are felt in...
Your Tendinopathy Questions Answered
Get clarity on common concerns about tendinopathy treatments.
Tendinopathy is usually caused by a mismatch between the load placed on a tendon and its capacity to cope.
-
This can happen after a sudden increase in training volume, intensity, or frequency.
-
It can also occur from repetitive strain over time, poor biomechanics, or inadequate recovery.
The key point? Tendons don’t respond well to being overloaded too quickly or to being completely unloaded.Successful treatment is all about restoring balance.
What is tendinopathy and how is it treated?
Tendinopathy is a condition affecting tendons, often treated with a combination of rest, physical therapy, and sometimes medication.
Are there effective home remedies for tendinopathy?
While rest and ice can help manage symptoms, professional guidance ensures effective recovery.
How long does recovery from tendinopathy take?
Recovery time varies, but with proper treatment, most people improve within a few weeks to months.
Can tendinopathy be prevented?
Yes, through regular exercise, proper technique, and adequate rest, the risk of tendinopathy can be reduced.
When should I see a physiotherapist for tendinopathy?
If pain persists despite home care, consulting a physiotherapist is recommended for tailored treatment.
Ready to Start Your Recovery Journey?
What works for Tendinopathy
The most effective way to treat tendinopathy is through a progressive, exercise-based rehabilitation plan. Passive treatments can provide short-term relief, but they don’t rebuild the tendon’s strength or resilience.
Exercise and Load Management
This is the gold-standard treatment. Structured exercise helps the tendon adapt, strengthen, and tolerate load again.
-
Isometric exercises can reduce pain in the early stages.
-
Eccentric or heavy slow resistance training is essential for long-term improvement.
-
Progressions are key: the tendon needs gradual exposure to higher loads to rebuild its capacity.
Activity Modification (Not Rest)
Completely resting a tendon often makes things worse, because tendons weaken when they’re not used. Instead, modifying activity (reducing aggravating loads, cross-training with low-impact options) allows healing without losing fitness.
Education and Expectations
One of the hardest parts of rehab is patience. Tendons adapt slowly — progress often takes 8–12 weeks or more. Understanding this timeline reduces frustration and prevents people from giving up too soon.
Addressing Contributing Factors
A comprehensive approach looks beyond the tendon itself:
-
Correcting training errors.
-
Improving biomechanics or movement patterns.
-
Ensuring surrounding muscles (like calves, quads, or glutes) are strong enough to share the load.
-
Reviewing footwear or equipment where relevant.
What Doesn’t Work (or Has Limited Evidence)
Passive Treatments Alone
Things like ultrasound, massage, or heat may provide temporary relief, but they don’t address the underlying issue. Without exercise, symptoms almost always return.
Cortisone Injections
Cortisone can reduce pain in the short term, but studies show it often leads to poorer long-term outcomes and higher recurrence rates. It should only be considered in very specific cases, and always alongside rehab.
Complete Rest or Immobilisation
This is one of the most common mistakes. While rest may reduce pain initially, it makes the tendon weaker and more prone to flare-ups once activity resumes.
“Quick Fix” Procedures
Shockwave therapy, platelet-rich plasma (PRP) injections, dry needling, or surgery are sometimes promoted as solutions. However, the evidence is mixed, and none of these should be seen as first-line treatments. They may have a role in stubborn cases, but only after a thorough exercise program has been tried.
Take the First Step Towards Recovery
Don’t let tendinopathy hold you back any longer. Book your consultation today and start your journey to pain-free living with our expert team.