Tendinopathy is pain and reduced function in a tendon, usually caused by load that the tendon was not ready for: a jump in training, a new job or activity, or simply years of repetitive use. It is often called tendinitis, although inflammation is usually not the main problem.
Tendons respond slowly but very well to the right kind of exercise. Our physiotherapists use progressive loading programmes, combined with shockwave therapy for stubborn cases.
Common signs and symptoms of tendinopathy
- Pain in a tendon when loading it, such as climbing stairs, jumping or gripping
- Stiffness, especially first thing in the morning
- Pain that warms up during activity but is worse afterwards
- Thickening or tenderness of the tendon
How we help
We confirm which tendon is involved and identify what overloaded it. You then follow a structured, progressive loading programme that rebuilds the tendon's capacity, while we adjust training or work activities to keep pain manageable.
For tendinopathy lasting more than three months, shockwave therapy can speed recovery.
Treatments we use
- Progressive tendon loading exercises
- Shockwave therapy
- Manual and soft tissue therapy
- Activity and training modification
- Taping and footwear advice
Recovery and what to expect
Tendons adapt slowly. Most people improve steadily over eight to twelve weeks, and longer-standing cases may take three to six months.
Tendinopathy: frequently asked questions
Should I rest a painful tendon?
Complete rest usually weakens the tendon further. The right amount of load is what helps it heal.
Is shockwave therapy effective for tendon pain?
Shockwave is a well-researched option for chronic tendinopathies such as Achilles, patellar and tennis elbow, especially alongside exercise.
Do steroid injections help?
They may ease pain in the short term but can weaken some tendons. Exercise-based treatment gives better long-term results for most people.