Tendinopathy

We specialise in tendon pain treatment

Tendon pain or tendinopathy is often thought of as an athletic injury but it is very common amongst people who are less active. A majority of patients treated with tennis elbow, plantar fasciitis (heel pain) and Achilles pain do not participate in any sport. Between 3-5% of the population are thought to suffer from tennis elbow and Achilles tendon pain at some point in their life and are often very difficult to treat once the condition becomes chronic.

We specialise in treating the following injuries;

  • Heel pain treatment
  • Achilles tendon pain
  • Patellar tendon pain
  • Plantar fasciitis
  • Tennis elbow
  • Rotator cuff injury (shoulder pain)
  • Trochanteric bursitis or lateral hip pain
  • Tibialis posterior tendon pain
  • Hamstring origin pain

Is it different to tendinitis?

Twenty years ago, it was generally accepted that the underlying pathology in Achilles and heel pain and other tendon injuries was inflammation and this is why the term ‘tendinitis’ was popularised. Current evidence suggests that tendon pathology is different to the pathology seen in most other tissues and, probably involves what is called a ‘failed healing response’. The tendon tissue breaks down and there is an in-growth of new nerves and blood vessels that, unfortunately, appear to be ineffective in healing the pathology and pain. Tendons in this stage of pathology become very weak and painful and are at risk of rupture.

How do we treat these injuries?

There are many ways to treat these conditions and approach will depend on the presentation of the condition at the time. At PhysioEast we specialise in the management of tendon injury. The care plan is progressive, and involves conservative treatment (exercise and physiotherapy) initially. If this fails injections and surgery are another option but most patients respond to conservative treatment.

Our experience

Dr Peter Malliaras has consulted to elite athletes with tendinopathy (read more) for several years and is part of an international group researching tendon injury. See some of his publications here.

Cutting edge treatments

Aside from individualised rehabilitation, at Complete Sports Care we have access to diagnostic ultrasound and shockwave therapy to ensure accurate assessment and appropriate management of all tendon injuries