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What Are Tendinopathies?

Writer's picture: Dr. Nicholas TannerDr. Nicholas Tanner

Updated: Aug 26, 2024


Lateral elbow tendinopathy - Forward Physio
Lateral Elbow Tendinopathy.

Introduction:


Tendon injuries affect the strong tissues that connect muscles to bones. When you use a tendon too often or stress it too much, this can lead to pain, stiffness, and sometimes swelling. Understanding tendon injuries helps you take steps toward recovery and prevent future issues.


Photo of a tendon with tendinopathy - Forward Physio
A depiction of what a tendon may look like with tendinopathy.

What are tendinopathies?


Tendinopathy is a general term that refers to any injury or disease of a tendon.

The two most common forms are:

  1. Tendinitis: It is inflammation of the tendon.

  2. Tendinosis: It is degeneration of the tendon.

Tendon injuries happen over time due to repeated movements. They cause tears in the tendon. Improper healing of these tears causes pain and impairs function.


A runner running - Forward Physio
Common tendinopathies in runners include knee and achilles.

Why do tendinopathies happen?


Tendons often develop tendinopathies from overloading them. This can happen in athletes who do repetitive motions, like runners, tennis players, or weightlifters. But they can also affect people who have recently increased their activity levels. Other factors can also contribute to tendon injury. They include poor movement, short recovery times, and age-related changes.

Picture of tendon with tendinopathy - Forward Physio
A swollen tendon which is commonly seen in tendinopathies.

What do they feel like?


If you have a tendinopathy, you might notice pain that worsens with activity and eases with rest. The pain is usually in one area around the affected tendon. It may feel worse in the morning or after being still for a while. The area might also be tender and warm to the touch and could exhibit some swelling.



Locations of tendinopathies - Forward Physio
Common locations of tendinopathies.

Common Locations of Tendinopathies


Body regions vary in tendinopathy occurrence, with some experiencing a higher incidence. These include:

  • Achilles tendon (back of the ankle)

  • Patellar tendon (front of the knee)

  • Rotator cuff tendons (shoulder)

  • Tennis elbow (the outer part of the elbow)


Someone icing their knee. Forward Physio
Icing a knee with tendinopathy.

Managing Tendinopathies


Managing tendinopathies involves reducing pain and promoting healing. Here are some effective strategies:


  1. Rest and activity change: Change activities that increase pain.

  2. Ice therapy: Apply ice to reduce swelling and pain.

  3. Eccentric (lengthening) exercises: They can strengthen the tendon and aid healing.

  4. Proper footwear and equipment: Your shoes or sports gear must provide good support.

  5. Physical therapy: A physical therapist can help you with a custom exercise program to improve your tendons.


Take action today


If you’re dealing with a tendinopathy, it’s essential to address it early to prevent it from worsening. At Forward Physio, we provide personalized tests and treatments. They will help you recover and return to your favorite activities. Don't let tendinopathy slow you down. Start your journey to pain-free movement and schedule your evaluation today!


Dr. Nick















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