Tendinopathy refers to problems and pain within the tendons of the body.  Tendons connect muscles to bone and are crucial to optimal movement and performance.


Typically, tendon pain is worse in the morning and at the start of activity but generally warm into it and get better with exercise.  It may be more sore the day or 2 after overdoing it.  They will often be tender to touch on a very specific spot and may have a very noticeable bump or lump


Tendons become problematic for many reasons including sudden overload, chronic disuse, biomechanical issues or muscle imbalance resulting in overload or compression of the tendon, sudden trauma, hormonal changes in the body, side effects of medication and types of rheumatoid arthritis.


Common tendon injury sites include

  • Achilles (heel pain often when running)
  • Patella (pain just below the kneecap when jumping - jumpers knee)
  • Proximal hamstring (buttock pain with sitting)
  • Lateral epicondylagia (Tennis elbow – pain on the outside of the elbow when gripping)
  • Medial epicondylagia (Golfers elbow – pain on the inside of the elbow while gripping or holding objects)
  • Biceps (pain and stiffness in the front of the elbow especially with lifting things like shopping bags or dumbells)
  • Rotator cuff – refer Shoulder Pain
  • Gluteal tendinopathy – refer Hip and Groin Pain
  • Adductor Tendinopathy – refer Hip and Groin Pain


There are many components to tendon treatment depending on your history and goals.  This is one area that physios, and especially physios such as ours that have done extra study in tendinopathy can come to light.  The fact is tendinopathy can be managed very successfully if people are given the right tools.


Contact us for a comprehensive assessment of your tendon problem.