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Tendinitis and Tendinopathy

Tendinopathy, often used interchangeably with tendinitis, refers to a broad term encompassing both inflammation (tendinitis) and micro-tears (tendinosis) in the tendons, which are the thick fibrous cords that attach muscles to bones. Tendinopathy typically results from overuse, leading to pain and decreased function in the affected area. Common sites include the Achilles tendon, patellar tendon, rotator cuff, and the tendons around the elbow and wrist. Here’s a detailed overview of tendinopathy, the symptoms patients might experience, and how physiotherapy can help in managing and treating the condition.

About this condition

Tendinopathy is a condition that causes pain, swelling, and reduced function in a tendon. It often arises from repetitive stress and overuse, leading to a cycle of tendon injury and repair. The condition can be acute or chronic and affects athletes and non-athletes alike.

What you may be feeling

Localised pain in the affected tendon that worsens with movement or activity.
Swelling or tenderness at the site of the tendon.
Stiffness in the tendon, especially in the morning or after periods of inactivity.
A feeling of weakness or instability in the affected area.
In chronic cases, the affected area may feel thickened or lumpy.

How we can help you

Eccentric Exercise

This involves lengthening the muscle-tendon unit under load, which has been shown to be particularly effective for tendinopathy. Eccentric exercises help stimulate tendon healing and increase its strength and resilience.

Load Management

Educating patients on how to modify their activities and manage loads on the affected tendon to allow healing while maintaining as much activity as possible.

Manual Therapy

Techniques such as soft tissue massage, mobilizations, and trigger point therapy can help reduce pain and improve mobility in the surrounding tissues.

Therapeutic Modalities

Ultrasound, laser therapy, or shockwave therapy may be used to reduce pain and stimulate the healing process.

Strengthening Exercises

Building strength in the muscles associated with the affected tendon and the surrounding muscle groups to improve biomechanics and reduce strain on the tendon.

Stretching and Flexibility Exercises

To improve the flexibility of the muscle-tendon unit and adjacent structures, reducing tension and strain.

So, what next?

Taping, bracing, or the use of orthotics might be also employed to offload the tendon and alleviate pain during activities. An essential aspect of physiotherapy for tendinopathy is patient education on the nature of the condition, including the importance of a gradual increase in tendon loading to facilitate recovery and prevent recurrence. Recovery from tendinopathy can be a slow process, and it is crucial for patients to adhere to their rehabilitation program and adjust their activities according to their physiotherapist’s guidance to achieve the best outcomes.

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