Tendinopathy

What is tendinopathy?

Tendinopathy is a broad term used for tendon problems that cause pain and reduced function. It often reflects tendon overload and failed recovery rather than simple acute inflammation. For this reason, people can have tendon pain for weeks or months even when the problem is not best described as classic “inflammation.” ^[1][2][3]

Symptoms and impact on daily life

Symptoms often include pain during or after activity, morning stiffness, tenderness, reduced strength, and difficulty with movements such as climbing stairs, gripping, running, or lifting. Some people describe a tendon that feels weak, sore, or repeatedly irritated by the same tasks. ^[1][2]

Why does it happen?

A sudden rise in load, repetitive strain, inadequate recovery, biomechanical issues, and age-related tendon changes can all contribute. Tendinopathy often develops when a tendon is exposed to more load than it can currently tolerate. ^[1][2][3]

Diagnosis and assessment

Diagnosis is usually based on history, symptom pattern, physical examination, and function. Imaging may be helpful in selected situations, but it is not always needed. Assessment often focuses on identifying the tendon involved, the aggravating loads, and the degree of functional limitation. ^[1][2]

Why is treatment not just rest?

Complete rest may temporarily reduce pain, but tendons often recover best with a structured, progressive loading program. Appropriate exercise helps restore tendon tolerance and function. Treatment may also include load modification, pain management, technique correction, and addressing contributing factors. ^[1][2][3]

When should professional help be sought?

Persistent tendon pain, loss of function, repeated flare-ups, suspected tendon tear, or pain that interferes with work or sport deserves professional evaluation. ^[1][2]