Tendinopathy — such as Achilles, patellar or gluteal tendon irritation — often begins as a minor ache that gradually becomes more persistent. It typically arises when a tendon is loaded beyond its current capacity, whether through sport, changes in activity or biomechanical factors. If left unmanaged, it can lead to ongoing pain, reduced performance and a loss of confidence in movement.
We take a structured, evidence-based approach to recovery. After a thorough assessment, your physiotherapist will guide you through a progressive loading programme designed to help the tendon adapt and become stronger over time. Treatment may also include hands-on therapy, acupuncture or dry needling to support comfort, alongside guidance on footwear, strength deficits and training habits to reduce the risk of recurrence.
When treated properly, tendinopathy responds very well — so you can return to activity feeling stronger and more resilient than before.
Repetitive loading, sudden spikes in training, reduced tendon capacity, muscle imbalance or biomechanical issues can all contribute. We’ll assess what’s driving your symptoms.
Tendons take time to adapt — many people improve steadily over a number of weeks or months with committed rehabilitation. We’ll set clear expectations based on your progress.
Progressive strengthening is the cornerstone of tendinopathy rehab, supported by manual therapy, movement coaching and acupuncture/dry needling where appropriate.
Not always. Tendinopathy is usually diagnosed in clinic without imaging. If scans are needed, we will advise you.
Yes — by improving tendon capacity, strength balance and load management strategies, your risk of recurrence reduces significantly.
