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Tendon Issues?

  • Writer: DR SARA FORSYTH
    DR SARA FORSYTH
  • Apr 14
  • 2 min read

1. Don't Rest Completely

  • Total rest weakens the tendon and surrounding muscles.

  • Instead, modify your activities to a level the tendon can tolerate, and gradually build back up.

2. Don't Rely on Passive Treatments

  • Things like ice, electrotherapy, and other passive treatments might relieve pain temporarily, but they don't rebuild tendon strength.

3. Don't Jump to Injection Therapies

  • Injections (e.g., corticosteroids, PRP) often don't work long-term for tendons.

  • Prioritize a structured exercise-based rehab program first.

4. Don't Ignore Your Pain

  • Pain signals overload.

  • Listen to it and adjust your activity — don't push through.

5. Don't Stretch Your Tendon

  • Stretching can add harmful compression.

  • If you feel tight, massage the muscle, not the tendon.

6. Don't Massage Your Tendon

  • Direct massage can irritate an overloaded tendon further.

  • Stick to massaging the muscle instead.

7. Don't Be Scared by Imaging Results

  • Scans might show "degeneration" or "tears," but that doesn't mean the tendon can't function or heal.

  • Function matters more than appearance.

8. Don't Fear Tendon Rupture Just Because of Pain

  • Tendon pain is protective — people who rupture tendons often don't have prior pain.

  • Gradual loading is safe and beneficial.

9. Don't Take Shortcuts in Rehab

  • Tendon healing is slow (sometimes 3 months or longer).

  • Stick with a gradual, progressive strength and loading program — quick fixes don't work long term.

10. Don't Ignore Which Activities Are High-Load for Tendons

  • Activities like jumping, sprinting, and rapid direction changes are high load.

  • Slow, heavy strength training is low load — and essential for recovery.

Summary

✅ Progressive, exercise-based rehab is the best approach.

✅ Start with slow, strength-focused exercises.

✅ Progress toward spring-like, endurance activities.

✅ Seek guidance from a qualified healthcare professional with tendon rehab expertise.


 
 
 
DR SARA FORSYTH
​
MSc, MD, CCFP(SEM), DipSportMed(CASEM)

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