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Tendinosis And Physiotherapy

Tendinosis, often termed as chronic or long term tendonitis, happens with constant, repetitive damage to a tendon at a cell level, causing slow, constant damage and degeneration without any inflammation (meaning it can happen with little to no swelling).

Our patients often complain of persistent pain, without any signs of swelling, but the spot is often tender. Some of our patients come to us with partial or fully ruptured tendons, as the damage and degeneration had become so severe that the tendon snapped when they moved. When this happens we need to fully rest the tendons by splinting the injured joint as well as immobilizing the top and bottom joints below it, if available. An example is splinting the ankle and foot for the chronic achilles tendonitis.

Diagnosing Tendinosis

Usually, for patients with a tendinous micro tears or partial ruptures, we can discover simply by observing the way they move, or by clinically observing or joint, or by palpating the tender spot. Magnetic resonance imaging and/or ultrasonography will further confirm the presence of the injuries.

Our patients will often present with constant complains of joint stiffness, sometimes burning, aching at the same spot, or at the same tendon. Sometimes there's swelling, sometimes not. But the one thing that is constant is there is an increased level of swelling + plus after any activity, resulting in increased stiffness and pain the next day or even during the next hour.

Also, interestingly, some of our patients when presenting to us with this injuries, reports that it is during a stressful moment in their life where they start to notice this symptoms. Upon reflections, stress induces the a response where muscles tends to tighten up, effectively stretching tighter and more taut any tendons that links to them. If these patients de-stresses by rigorous activities, when coupled together, almost ends up with extra damage to the tendons, with resultant tendinosis over a period of time.

Physiotherapy Treatment of Tendinosis

Because of their physical and physiological nature, tendons heal very slowly (they don't receive direct blood supply and nutrition, but indirectly through tendon sheaths, unlike the blood-rich muscles), and tend to re-injure easily because of their role in the movement of the body/body parts. Any forms of tears (micro, partial or full) results in the body repairing the site by plastering it with a form of disorganized collagen fibres, which is weaker than normal tendon, resulting is almost always recurring of tendon injuries.

When treating our patients with tendinosis, we are generally more conservative. Our partnering medical professionals often prescribe NSAIDs (non-steroidal anti-inflammatory drugs), and we provide the exercise therapy, gentle active and passive stretching to maintain joint and muscle integrity, pushing patient to rest a lot during the acute stage plus icing and elevation to manage swelling and pain.

Patients often take about 3-5 days for the acute symptoms to be relieved, and full recovery takes about 2-3 months, varying from individual to individual (some individuals recover pretty fast, some take longer than the usual, this is common variances).

Other patients share this following advices, as advised by family, friends and their own doctors.

  1. Consumption of Vitamin B6
  2. Muscle Eccentric Loading
  3. Using Inflatable Splints
  4. Shock-wave therapy
  5. Tendon Bioengineering
  6. Consumption of Vitamin E
  7. Consumption of Nitric oxide
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Our Physio & Rehab Expertise

Specialist Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.

Areas of specialization

  • physiotherapy: back and neck (spine), sports, shoulder, hip, knee, ankle
  • hand therapy: forearm, wrist, hand and fingers
  • podiatrist: leg, calf, ankle, foot and toes
  • read more on our specializations here

All our therapists are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCM). See our entire team here by location and specialization.

Initially, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover. They then provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

To call for inquiries or appointments, please contact us at:

SMS/Call/Whatsapp: 96402670


Where to next?

  1. Make A Physiotherapy, Hand Therapy or Deep Tissue Release Singapore Appointment
  2. Arrange A CallBack or Make An E-Enquiry Here
  3. See the list of physiotherapy conditions we treat 
  4. See the list of orthopedic surgeons we serve in Singapore
  5. Return to Urbanrehab's Physiotherapy, Hand Therapy and Sports Massage Singapore Home Page from our tendinosis page

Tell A Friend About Us

We appreciate you as a patient and want you to know that the #1 way we grow as a clinic is through word of mouth referrals from valued patients like yourself.

We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients.

When you have the opportunity, please take the time to tell your family, friends and physicians about the positive results and experience you have had in our clinic.

Thank you so much, and stay healthy!

Please Call/SMS/WhatsApp to
xx, thanks!

We are a wholly Singapore Private Limited group of licensed physiotherapists, hand therapists, podiatrists, chiropractors, sports massage therapists, clinical pilates practitioners and TCM physicians practicing in our scope of rehabilitation and its areas of specializations. As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth.

The range of rehabilitation results vary from patients to patients, depending on a variety of factors and reasons such as severity of condition, genetics, gender and age. However, we will still deliver the best evidence-based-practice of physiotherapy, hand therapy, TCM, sports training and deep tissue release therapy that we can deliver.

The information available on this site is for educational purposes only, if you need a full professional advise on physiotherapy, hand therapy and occupational therapy, please schedule an appointment with us by contacting our staff by Call/SMS/WhatsApp at xx, thanks!




You can also text or WhatsApp and we will call you back too =)


Physio, Rehab &  Insurance

Your physio, hand therapy and rehab with us may be covered under your medical insurance or cashless - find out more here.


Acupuncture TCM
Balance Physiotherapy
Biomechanics Physiotherapy
Chest Physiotherapy
Clinical Massage Physiotherapy
Clinical Pilates
Cold Therapy Physio
Complementary Physiotherapy
Cupping TCM
Deep Tissue Massage
Desensitisation Physiotherapy
Electrotherapy Physio
Ergonomics Physiotherapy
Exercise Physiotherapy
Gua Sha TCM
Falls Prevention Physiotherapy
Hand Physiotherapy
Heat Physiotherapy
Home Physiotherapy
Ice Physiotherapy
Interferential Physiotherapy
Manipulation Physiotherapy
Muscle Stimulation Physio
Musician Physiotherapy
Stroke/Neuro Physiotherapy
Orthopedic Physiotherapy
Hand Splinting Physiotherapy
Pain Management TCM
Pain Relief Physiotherapy
Post Amputee Physiotherapy
Post Surgery Physiotherapy
Postural Physiotherapy
Re-Education Physiotherapy
Physiotherapy Singapore
Relaxation Physiotherapy
Sonophoresis Physiotherapy
Splinting Physiotherapy
Sports Physiotherapy Massage
Physiotherapy Stress Relief
Swelling Physiotherapy
TENS Physiotherapy
Tension Headaches Physiotherapy
Thermal Physiotherapy
Traction Back Physiotherapy
Trigger Point Physiotherapy
Ultrasound Physiotherapy
Wax Heat Physiotherapy


Finally I know what I have, my pain decreased and now I'm back to work!

Regional Sales Manager

OMG. The pain levels in my hands have dropped dramatically, about 60-70%


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