Tendon Problems


If you suffer from tendinopathy (tendon problems) you know how frustrating it can be. Unlike muscles, tendons have very poor blood supply and don’t heal as easily.

Tendons actually need to be used (loaded) in controlled way to get better.  It takes time, commitment and professional guidance to get good long-term results. Unfortunately, many people try to take a short cut and more often than not, the results are poor, and the frustration grows even bigger.

The primary function of a tendon is to transmit the contraction force of its associated muscle to the bone to produce a movement. Consequently, the tendon needs to have sufficient tensile strength to withstand very high forces (especially the achilles and patella tendons).

Ankle pain

Tendon problems are described as Tendinopathies. There is an ongoing discussion in the current literature about what exactly is causing the tendon injuries. We know that there is multiple factors that can effect tendon health and some of them can cause inflammatory changes within the tendon (Tendinitis). However, the vast majority of chronic tendon problems are due to overuse and internal degradation of collagen fibres (Tendinosis)

Tendon overuse is very common in athletic population. Especially field sports (running, jumping etc) have high rate of tendon injuries.

However, you don’t necessarily need to be an athlete to suffer from tendon problems. There are some systemic conditions that can predispose you to tendon problems. Eg :

  • Rheumatoid Arthritis
  • Diabetes
  • Genetical predispositions

The most common tendinopathies we see :

  • Rotator cuff
  • Achilles tendinopathies (mid and insertional)
  • Tennis elbow (lateral epicondylosis)
  • Golfer’s elbow (medial epicondylosis)
  • Gluteal (glutmin/med)
  • Hamstring
  • Patella tendon

How do we treat Tendons?

Exercise-based rehabilitation is the best treatment for tendon pain. A progressive program that starts with a strength program and then progresses through to more spring like exercises and including endurance aspects will give the right loads on the tendon and the best long term results. Make sure you see a qualified health professional with expertise in this area to guide your rehabilitation.

Studies have shown that Exercise rehabilitation combined with Shockwave Therapy gives even more superior results than exercises alone. We had a lot success treating tendon with that approach.


Injections of substances into a tendon have not been shown to be effective in good clinical trials. In fact,Cortisone can cause structural changes (weakening) of the tendon further decreasing the ability to improve and in fact increase the risk of rupture.

If you are suffering from tendon problems, we are here to help! For best long term results…

We will design you a progressive program that starts with strength andendurance then progresses through to more spring like exercises, prescribing the correct loads on the tendon at the correct times.

Ready to take action ? Contact us