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Tendon Injuries
Tendon complaints that respond to loading, patience and a clear progression.
Condition
Tendon Injuries
Tendon injuries are common for active people and athletes, particularly when a tendon is exposed to repeated loading that exceeds its current capacity.
These problems may develop gradually over time, or they may follow a sudden increase in training, running, lifting, or sporting activity. At Nexus HealthHub, we assess tendon problems with a focus on both symptom management and rebuilding the tendon’s ability to tolerate load.
A defined timeframe, not open-ended treatment
Common Tendon Problems
We commonly assess and manage tendon-related conditions affecting:
- Achilles tendon
- Patellar tendon
- Rotator cuff tendons
- Elbow tendons, including tennis and golfer’s elbow
- Hamstring tendons
- Gluteal tendons
- Plantar fascia and related heel pain
- Other overuse-related tendon problems
Tendon pain is often linked to a mismatch between the demands being placed on the tissue and its current ability to tolerate those demands. This means treatment usually needs to involve more than rest alone.
How We Assess Tendon Injuries
Your assessment will consider how the problem started, how long it has been present, what aggravates it, and how it affects your activity.
Depending on the tendon involved, assessment may include:
- Clinical examination
- Range of motion testing
- Strength testing
- Functional movement assessment
- Load tolerance testing
- Left-to-right comparisons
- Review of training volume and recent changes
- Movement and performance testing where appropriate
We may also review previous imaging or recommend further investigation if the presentation suggests it is necessary.
How We Can Help
Tendon rehabilitation is usually built around progressive loading.
Depending on your presentation, your plan may include:
- Exercise rehabilitation
- Progressive resistance training
- Strength and conditioning
- Activity and training-load modification
- Manual and soft tissue therapy
- Shockwave therapy
- MLS® Laser Therapy
- Hilterapia®
- Movement and strength testing
- Personal training
- Sports and exercise nutrition where relevant
For selected tendon conditions, shockwave therapy may be used alongside rehabilitation.
The aim is to reduce symptoms where possible while progressively improving strength, tissue tolerance, and confidence with activity.
Our Approach
Tendon injuries often require patience and structured progression.
Completely resting the tendon for long periods may reduce symptoms temporarily, but it does not necessarily restore the tendon’s capacity to tolerate load.
Our focus is therefore on finding an appropriate level of activity and gradually building from there.
Where appropriate, we can use objective strength and performance testing to help monitor progress and guide your return to running, lifting, or sport.
Common questions
Frequently Asked Questions
Not always. Complete rest may not be necessary. Activity is often modified while an appropriate loading programme is introduced.
Recovery time varies depending on the tendon involved, how long symptoms have been present, and how well the tissue responds to progressive loading.
Shockwave therapy may be appropriate for selected tendon conditions and is usually used alongside a structured rehabilitation programme.
Often yes, although training may need to be modified to reduce excessive load on the affected tendon while maintaining general fitness.
Not always. Many tendon problems can be assessed clinically. Imaging may be considered if symptoms are atypical, severe, persistent, or if another diagnosis needs to be ruled out.
Also treated