Pure Physio Blog

All About Tendinopathy

Published on
19 May 2023

Written by
Chee Yan Ting
Senior Physiotherapist

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What is Tendinopathy? Tendinopathy is a condition that affects the tendons, which are thick cords of tissue that connect your muscles to bones. A healthy tendon is composed mostly of parallel collagen fibres closely packed together. Every muscle in the body has a tendinous portion, therefore tendinopathy can occur in any area of the body.

Common areas affected by tendinopathy that we see here are Pure Physio include:


  • The ankle: Achilles Tendon
  • The knee: Patellar Tendon
  • The shoulder: Supraspinatus Tendon
  • The elbow: Tennis Elbow or Golfer’s elbow

There are many differential diagnoses of tendinopathies and it is often mis-diagnosed. Therefore, it is important to have your condition assessed by an experienced clinician for an accurate diagnosis.


What are the Symptoms of Tendinopathy?

Tendinopathy is characterised by impaired function of the affected tendon and pain. Pain often eases with activity however becomes aggravated the night of or morning after activity and is often symptomatic upon your first movements after rest or sleep. 


The severity of injury will depend on what stage of tendinopathy your tendon is in. Therefore it is useful to understand the different stages. 


Understanding the Three Stages of Tendinopathy

There are 3 stages of tendinopathy described in the literature and it is important to understand that if a tendon is not rehabilitated effectively and re-injury continues, it is highly likely that damage to the tendon will become irreversible, leading to a chronic injury.

Treatment for Tendinopathies.

If you are wanting to return to your sport or running safely, it is important to have your individual situation assessed. A tailored and progressive rehab program is required, alongside a gradual return to sport, to successfully recover from tendinopathies.


There are many adjunct treatments including shockwave therapy and corticosteroid injections. It has been found however that multiple corticoid injections can weaken tendon structure, leading to a risk of tendon rupture. Shockwave therapy, although may provide initial symptom relief, on its own, it is not effective in increasing the capacity and performance, your tendon often resulting in reinjury and further degeneration when returning to sport.


If you’re needing assistance in the management of a potential tendinopathy injury, see us in the clinic to get back on track.

About the Author

Chee Yan Ting — Senior Physiotherapist

Chee has over 7 years clinical experience assisting clients with long-standing neck pain, shoulder rehabilitation as well as management of acute knee and ankle injuries. Chee is a qualified ski instructor with a passion for treating any winter sport injuries.

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