Tendon injuries are one of most common injuries we see at NK Active. They are commonly called tendinitis and come about from a change in activity or load; this could be in the short term like walking 10k a week to 40k a week, it could be cumulative loading over time or underloading (returning to actibity at the same level after a period of time off).
Typically tendon injuries will present with stiffness in the morning, particularly the morning after some exercise; pain may reduce during exercise and the effected tendon may hurt to palpate. You may notice some thickening of the tendon if it has been going on a while.
How we treat in clinic
First we understand why the tendon got injured in the first place, then we can educate you on why it happened. Education is important, because the majority of tendon injuries are related to a "training error".
Mostly, a tendon loading and rehabilitation programme is the starting point to help build up strength; as this helps the tendon and muscle get ready for the jobs it is needed to do.
Other treatment methods:
- Shockwave therapy
- 3D gait analysis
- Insoles (orthoses) along with footwear advice or gait re-education.
We audit all of our data in NK Active, so we can consistently improve our service and make sure we are helping you achieve your goals.
We know that 98% of people are still doing all their work and daily activites 6 months after they have finished treatment.
Tendon Injury Facts
- We use the term tendinopathy not tendinitis, as the suffix ‘itis’ means inflammation and current research suggests It is not inflammation
- Pain doesn’t correlate with injury, it is perfectly normal to have some pain from time to time. Research suggests up to 4/10 (10 been worst pain) is ok
- Do not stretch an unhappy tendon, it will not thank you for it, think strength not stretching
- Rest is just as bad as over doing it, tendons love to be loaded and if you rest completely you can start to decondition
What are people saying?
A second to none service from diagnosis to discharge. NK Active has helped me recover from an achilles injury sustained whilst playing hockey in a professional, thorough and most importantly enjoyable manner. I have also seen my strength improve significantly since completing the five session programme to a level greater than pre-injury. Huge thanks to Charlie!
I was referred to Nick after another specialist was unable to resolve a long standing Achilles injury. Unlike previous physios and specialists, Nick was keen to find the cause rather than provide a short term resolution.
A detailed analysis showed actual deficiencies (with metric to back them up). This allowed me to remove the expensive and heavy orthotics previously prescribed.
A remedial plan specific to me was put in place with regular checkpoints and amendments as we progressed.
I found Nick genuinely wanted to fix me and even after our consultation is keen to hear of my progress