Tendinopathy, sometimes called tendinosis, is caused by the progressive disorganisation of tendon fibers either due to trauma or prolonged overuse. Tendinopathy is not to be confused with tendinitis, which is inflammation of the tendon which occur more often in people suffering from autoimmune-related joint pain.
Tendinopathy in the knee and ankle presents as localised pain in the tendon when performing fast and forceful actions. You may experience loss of strength and difficulty jumping, sprinting, or kick a football. These activities place greater stress on the tendon. This pain sometimes gets better after warming up but often worsens the day after physical activity.
Identifying the cause of tendinopathy is important for its management. Risk factors for tendon painModifiable factors:
How long does it take for me to return to my former activities? This is dependent on multiple factors that will be best explored when you see a physiotherapist. Typically a progressive rehabilitation program should facilitate a return to your desired activities by 3-4 months. Can tendon pain be cured? A recent onset of tendon pain often improves with advice, proper load management and exercise. Persistent tendon pain lasting more than 3 months may be more challenging to predict as your pain experience can be attributed to many modifiable and non-modifiable factors. A referral to a specialist is often required for the proper diagnosis and management while the physiotherapist will work on the modifiable risk factors to optimise your recovery. Can I return to my physically-demanding work again? At the later stages of your rehabilitation, your physiotherapist will tailor the programme to facilitate your return to activities that are important and relevant to you. Your physiotherapist will advise you on your suitability to return to those activities based on your abilities and response to rehabilitation.
