In the previous edition I have covered the basics of the tendon including the biomechanics, patho-mechanics and the continuumoftendinopathy, its time now to shed some light on tendinopathy treatments.

Management aim -     

• An argument for high tendon load as one of the key components of a successful tendon rehabilitation program has always been raised.
• One of the key goals of rehabilitation should be to increase tendon stiffness, as this will increase the tendons ability to withstand repeated stretch-shortening cycle loading and overuse injury. 
• It seems to be a clear suggestion that high load is probably more likely than bodyweight exercise to increase tendon stiffness. There is some evidence that tendon responds more to heavy rather than lighter rehabilitation loads.
• If the injury is identified in the early stages (reactive tendinopathy or early tendon disrepair) then load management/reduction will allow the tendon time to adapt and recover.

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