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Physiotherapy for Tendonitis in Southampton

Tendon issues are one of the most common causes of persistent joint and muscle pain, often triggered by increased activity, repetitive strain, or biomechanical overload. At Restored Eden Physiotherapy, based at The Quays Swimming & Diving Complex in Southampton, we provide clinically informed treatment for tendon-related conditions using progressive loading techniques, hands-on therapy, and personalised rehabilitation strategies.

Why Choose Restored Eden Physiotherapy?

  • Located at The Quays Swimming & Diving Complex in central Southampton
     

  • Skilled in managing both early and chronic tendinopathy
     

  • Evidence-based approach using eccentric loading protocols
     

  • Support for sports injuries, repetitive strain and post-surgical recovery
     

  • Rated ★★★★★ by our local patients
     

  • Calm, professional setting with flexible appointments

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A Feanny​

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“Masterful work by Lois, I use my hands for work and more so for my craft in my downtime. As a blacksmith, over excretion of your striking arm can cause rips, strains and tears even with proper technique. After a number of months of ignoring the niggling pain in my hands I was unable to clench my fist let alone hold a hammer due to an "abnormal" build up of lactic acid in my hands coupled with the tightening of tendons around the thumb. Lois quickly located the problem areas and after 1 session I had regained complete use of my hands again. I would highly recommend Lois to anyone in need of a consultation and the professional treatments she has to offer. Very knowledgeable physiotherapist!”

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What Is Tendinopathy?

Tendinopathy refers to a group of conditions affecting the tendons — the tough, fibrous tissues that connect muscles to bones. Unlike sudden tears or ruptures, tendinopathy usually develops gradually due to overload or poor movement patterns. The result is pain, tenderness, and restricted function, particularly during or after activity.

At our Southampton physiotherapy clinic, we treat common forms of tendinopathy, including:

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  • Lateral Epicondylitis (Tennis Elbow)
     

  • Medial Epicondylitis (Golfer’s Elbow)
     

  • Patellar Tendinopathy (Jumper’s Knee)
     

  • Achilles Tendinopathy
     

  • Rotator Cuff Tendinopathy
     

These conditions are often load-sensitive, meaning pain worsens with forceful or repetitive use of the tendon.

Common Signs & Symptoms

  • Tenderness at the tendon insertion point
     

  • Stiffness and aching in the morning or after rest
     

  • Discomfort during activity that eases once warmed up
     

  • Pain that returns or worsens after prolonged exertion
     

  • Reduced strength or grip (especially in elbow or shoulder tendons)
     

  • Mild swelling or thickening of the affected tendon

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Why Early Intervention Matters

Early-stage tendinopathy can behave inconsistently — pain may disappear during activity, only to return hours later or become more severe on subsequent days. Without intervention, this pattern can lead to chronic degeneration, reduced tendon capacity, and more time away from activity.

 

Prompt physiotherapy helps restore the tendon's ability to tolerate load, prevent structural damage, and reduce the likelihood of long-term dysfunction.

Our Physiotherapy Approach to Tendon Recovery

1. Clinical Examination

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Your initial session includes a structured examination:

  • Detailed discussion of training history or activity changes
     

  • Tendon palpation and provocative tests
     

  • Functional load assessment (e.g. hopping, gripping, squatting)
     

  • Posture and biomechanics review
     

We identify aggravating factors and determine whether the tendon is reactive (irritable) or degenerative (chronic), which guides the correct loading phase.

2. Targeted Rehabilitation Strategy

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Your recovery will involve:

  • Eccentric Loading Exercises – A proven treatment method that stimulates tendon remodelling and builds load tolerance
     

  • Isometric Therapy – Ideal for initial pain relief and tendon activation
     

  • Soft Tissue and Deep Friction Massage – To improve blood flow and reduce sensitivity in chronic cases
     

  • Activity Modification Guidance – So you can remain active while protecting the tendon
     

  • Progressive Return to Sport or Work Routines – Building strength, control, and endurance without setbacks
     

We do not prescribe complete rest — our goal is safe, progressive movement that leads to true recovery.

  • Will I need to stop exercising completely?
    Not necessarily. We aim to keep you active. You may need to temporarily reduce or modify specific exercises while your tendon adapts to new loading strategies.
  • How is tendon pain different from muscle strain?
    Muscle pain usually resolves quickly and occurs after sudden exertion. Tendon pain tends to linger, worsens with load, and may feel sharp or deep at its attachment point.
  • Is massage good for tendinopathy?
    Yes — especially deep friction massage, which may support blood flow and break down sensitivity in chronic cases. However, loading the tendon appropriately is more important for lasting results.
  • What causes tendon pain to flare up?
    Sudden changes in training volume, technique, or even footwear can stress a tendon beyond its capacity. Poor biomechanics, muscle weakness, and overuse are common contributors.
  • Do I need imaging (MRI or X-ray)?
    Not always. Many ligament injuries are diagnosed clinically. However, if symptoms are unclear or persistent, we may refer you to your GP for imaging to rule out complex injuries.
  • Can physiotherapy repair torn ligaments?
    Physiotherapy supports healing by improving circulation, mobility, and muscle control around the injured joint. While minor to moderate tears may heal fully without surgery, severe tears sometimes require surgical referral — which we can help you navigate.
  • Is ligament pain different from tendon pain?
    Yes. Ligaments stabilise joints, whereas tendons attach muscle to bone. Ligament injuries typically result in joint instability, while tendon issues often affect movement. Both are managed effectively with targeted physiotherapy.

Realistic Recovery Timelines

Tendon recovery isn’t instant. Most patients follow a phased programme:

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  • Early-Stage Tendinopathy: 4–6 weeks
     

  • Persistent or Chronic Cases: 8–12+ weeks
     

  • Return-to-Performance programmes may extend longer, especially in high-load or athletic scenarios
     

We set manageable goals, track improvements, and adjust load or volume based on your progress.

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Book Expert Physiotherapy for Tendon Problems in Southampton

We help people move better, stay active, and overcome tendon-related pain with proven techniques and expert support. If you’ve been dealing with discomfort in your elbow, knee, shoulder, or Achilles tendon — we’re here to help.

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Call: 07340 334407

 

Visit:
Restored Eden Physiotherapy
The Quays Swimming and Diving Complex
27 Harbour Parade
Southampton
SO15 1BA

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