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Tendinosis Physiotherapy

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Tendinosis is usually referred to chronic or long term tendonitis, and it occurs mainly due to constant, repetitive cellular damage to a tendon. This causes a slow and consistent damage and degeneration without any inflammation (this means that tendinosis happens gradually without little to no swelling).

Our  tendinosis physiotherapy patients often report of a stubborn annoying pain, but don't experience any signs of swelling. Just that a particular spot/location is sore and tender.

Unfortunately, some of our patients come to us with partial or fully ruptured (100% torn) tendons, as the damage and degeneration had progressed so much over time that the tendon's integrity was very weaked and compromised, and that caused their weakened tendon to snap with little force and movement.

For patients with mild to severe tendinosis without any ruptures, we need immediately protect the injured and weakened tendon and prevent any further injuries or aggravation. We may get a customized splinting done over the tendon and joint eg resting foot splint for ankle and foot for the chronic achilles tendonitis patient.

Of course, we can tape as well, but for daily use, we prefer customized splinting as splinting can be less abrasive compared to using rigid/sports tape. Read on rigid taping here.

For patients who have ruptured tendons, these ruptured tendons will definitely require surgical interventions to bind the ends of the tendon together, and then managed with post-surgery physiotherapy and hand therapy.

Diagnosing Tendinosis

For patients with a tendon micro-tears or partial ruptures, our senior physiotherapists and hand therapists can determine it upon assessment by

  • observing how the joint looks statically and dynamically
  • observing how the joint moves
  • palpating and moving the joint

Doctors may order MRI (magnetic resonance imagine) or ultrasonography to confirm tendinosis.

Most patients with tendinosis will present with

Sometimes there is presence of swelling, but most of the time, no. What is constant though, is that patients report pain, swelling and stiffness after activities.

Another thing we note is that quite a few of patients with tendinosis reports that they noticed these symptoms during a busy or stressful season of their lives. This makes sense because when we are stressed/busy, we tend to contract our muscles more, and this places a constant strain and drag on the tendons.

If patients decide to destress with sports and exercises, this continues the muscle pulling and strain on the tendons, and causes/aggravates tendinitis and tendinosis.

This is one of the reasons why we recommend regular deep tissue release therapy for all our patients, to ensure that overly-used or tightened muscles be treated to become optimal length and helps us move better and with less injuries.

Physiotherapy Treatment of Tendinosis

Tendons tend to heal slowly and injuries to tendons can recur easily due to their nature. Tendons do not have any direct vascularity (no direct blood vessels to supply them nutrition, unlike red and blood-rich muscles).

Tendons on the other hand, receive nutrients through the tendon sheaths. To make matters worst, if there is any injury or tears to the tendon, our body will generally repair them with disorganized collagen fibers, creating a weaker-than-normal tendon...plus tendons are always involved in any sorts of movements, increasing their risk for injuries and reinjuries.

That's why tendon injuries take longer time to recover (and why we generally are more protective/conservative in managing tendon injuries).

Our medical professional colleagues often prescribe NSAIDs (non-steroidal anti-inflammatory drugs), and following diagnosis, our senior physiotherapist will then create a custom physio intervention plan for you, and depending on the causes of the problem, you may be treated with a combination

For mild tendinosis cases, patients usually take about 3-7 days for the acute symptoms to be relieved, and full recovery takes about 2-3 months. But of course, this varies from individual to individual (some individuals recover pretty fast, some take longer than the usual).

Other patients share this following advice, 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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book your physio appointments now

WhatsApp / SMS your name, preferred date, time and enquiries to +658800183

Email questions and your preferred physiotherapy timings to nigel@phoenixrehabgroup.com or

Clinic Locations: See how to get to us here

Phoenix Rehab physio Services

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


Patients who sustained injuries to their elbows, forearms, hands, wrists (sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand following injuries or post-operations as well as custom made hand splints.

Commonly treated hand pain injuries includes


Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.

It is a system of safe and effective exercises, which meet specific individual needs, to treat a wide range of injuries and conditions.

You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.



Sports and deep tissue release massage helps to increase nutrient-rich blood flow to tired, tight and tense muscles to

  • accelerate recovery and
  • shorten downtime / recovery period required

It also prevents muscles from scar tissue micro-tears (and potential ruptures), and increases muscle performance.

Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.


All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).

See our entire team here with introductions and their specializations.

At the first session, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover as well as provide treatment in the same session.

Follow up sessions are inline to 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.

do Tell Your Family, Friends And Colleagues About Us =)

We appreciate you as our valued clients and want you to know that the #1 way we grow as a clinic/brand 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 chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.

book your physio appointments now

WhatsApp / SMS your name, preferred date, time and enquiries to +658800183

Email questions and your preferred physiotherapy timings to nigel@phoenixrehabgroup.com or

Clinic Locations: See how to get to us here