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Tendon Pain Physiotherapy and Hand Therapy

Tendon injuries
What are they and how do they happen?

Tendons can be found whenever muscles are, which is to say that we have tendons all over our body. Our tendons are really strong, rope-like structures that connects muscles to bones - they're really important to help us move, stand, jump etc.

And because tendons are involved in all things movement and resistance, they can be injured by

  • direct trauma such as in falls or accidents
  • repetitive strain due to daily use or frequent use
  • disease

In this article, I'm gonna talk about pain and pathology in tendons and how we physiotherapists and hand therapists can help to heal injured tendons.

pain and pathology in tendons

The medical term of pain and pathology in a tendon is called "tendinopathy", and frankly it's a very common (even recurring) injury in both

  • sporty / atheletic individuals
  • "normal" and sedentary individuals

These tendon pains and injuries can be pretty tough to treat too, because they tend to come back and hang around. Typically, tendons can become tendinopathic when it is overloaded with pressure or weight more than usual or more than it can take.

Over time, if this tendinopathic tendon isn't treated, the tendon starts to change in structure resulting in pain and disability.

Tendons don’t like rapid change. A change in loading, whether that be an increase or decrease, may result in tendon pathology.

loads that can cause tendinopathy

  • Compressive loads where the tendon is compressed against the bone
  • Tensile loads where the tendon is loaded in a lengthened state
  • A combination of tensile and compressive loads, for example stretching where the tendon is both lengthened and compressed against the bone
  • Shearing loads, which cause a friction of a tendon within the tendon sheath (this only occurs in certain tendons)

tendon pain and injury treatment
physiotherapy and hand therapy

When there is a tendon injury or pain (tendinopathy), the patient should be treated with physiotherapy / hand therapy as soon as posisble.

Physiotherapy and hand therapy tendon rehabilitation process / stages:

  •  Stage 1: Pain relief and reduction by reducing the adverse loads on a tendon. Stretching should be ceased, as well as any other aggravating activities causing pain. Isometric (sustained holds) exercises are commenced to assist in providing pain relief
  •  Stage 2: Strengthening the tendon/muscle, while still avoiding adverse loads. Strengthening exercises should be performed slowly with reasonably heavy loads ie no pain whilst strengthening allowed.
  •  Stage 3: Exercises for power development to increase the energy storage capacity of the tendon, i.e. the ability to absorb load. These are generally higher speed exercises such as skipping and jumping.
  •  Stage 4: Sports-specific requirements of the tendon and the elastic function of the tendon (i.e. the ability to work in a lengthened position).

There is no quick fix for tendinopathy

One of the failures of a tendon rehabilitation program is skipping stages and not progressing through each of these stages of physiotherapy / hand therapy properly.

If a rehabilitation sage is progressed too early, the process will not work. Taking painkillers or steroid injections may mask the pain for a while, but it doesn't treat the underlying core problem which is the tendon tendinopathy itself.

That will cause a reinjury and it's back to zero and starting over. 

Of course, at the same time, we can't just stay at one stage forever / for extended period of time. It is very important to consult a physio or hand therapist that has an understanding of

  • tendon loading,
  • the rehabilitation process and
  • the progressions required to completely recover from a tendinopathy

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book an appointment today
(or check your pains / injuries)

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, usually will benefit / require Hand Therapy to

  1. manage and decrease hand pains
  2. improve range of motion, strength and dexterity
  3. increase the function of their hand following injuries or post-operations

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.


  • Cupping TCM
  • Auricular Therapy TCM
  • Herbal TCM Medicine & Supplementation


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. Having regular deep tissue and sports massage will keep 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 prefer not to 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 an appointment today
(or check your pains / injuries)

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