What we treat
Tendon problems
Tendon pain tends to build slowly and hang around if it is rested. The fix is the right load at the right time, and our gyms let us do that properly.
Explained
What are tendon problems?
Tendinopathy is pain and reduced capacity in a tendon, often after it has been asked to do more than it was ready for. Common spots are the Achilles, the tendon below the kneecap, the hamstring and the elbow (tennis and golfer's elbow).
Tendons respond to load. Rest alone rarely fixes them. A progressive strength programme, measured and adjusted as you go, is the most effective treatment.
Common causes
- A sudden increase in running, jumping or training
- Repetitive work or racket sports
- Changes in footwear or surface
- Low strength in the muscle the tendon attaches to
Symptoms
- Pain and stiffness first thing in the morning
- Pain at the start of exercise that eases, then returns later
- A thickened or tender tendon
- Reduced power when pushing off, jumping or gripping
Treatment
How we help
We measure your strength with a dynamometer and set a loading plan you can track. As your tendon gets stronger, the programme progresses towards your sport.
- 1Assess and measureDetailed assessment with objective measures.
- 2ExplainWhat's going on, in plain language.
- 3TreatHands-on work where it helps.
- 4RebuildProgressive rehab in our gyms.
Typical treatment
- Progressive tendon loading in the gym
- Load management for running and training
- Hands-on treatment to ease symptoms
- Return to running, jumping and sport
- Myofascial release for tennis elbow
After struggling for months with a painful tennis elbow and seeing no real progress elsewhere, I was finally back to normal within just a few weeks under their care.
When to get urgent help
If you have any of these, get medical help straight away. Call 999 or go to A&E if symptoms are severe or came on suddenly. Otherwise call 111 or your GP for an urgent appointment.
- A sudden snap or feeling of being kicked in the back of the ankle, with weakness pushing off
- Sudden loss of strength after a tendon injury
- A hot, red, swollen area with fever
Questions people ask
Should I stop exercising?
Usually no. We adjust what you do so the tendon is loaded in a way it can tolerate.
How long will it take?
Tendons are slow to adapt. Expect improvement over weeks to months, with regular measurement to show progress.
Do injections or shockwave help?
Our treatment is built around progressive exercise, which has good evidence for tendon pain. If you are not improving, we will talk you through other options.
Get help with tendon problems
Book an assessment online, or call and we'll help you choose the right clinic.