Tendinopathy is a common cause of tendon pain, often linked to overload from work or exercise. Here we explain what happens in the tendon, which symptoms to look out for and how you can reduce strain and support recovery.
What is tendinopathy?
Tendinopathy is a collective term for painful tendon conditions, often caused by overload. Unlike the term tendonitis (tendinitis), which suggests active inflammation, long-term tendinopathy mainly involves structural changes in the tendon – such as reduced tissue quality and decreased load tolerance. The condition often develops gradually when the tendon is exposed to repeated strain without sufficient recovery. Common locations include the shoulder, elbow, knee, hip and heel.
Common causes & risk factors
The most common cause is repeated or prolonged strain without sufficient recovery. A sudden increase in training intensity, repetitive movements or static work can contribute to symptoms. Age, reduced muscle strength, poor technique and inadequate ergonomics also increase the risk. Athletes and people with physically demanding or repetitive work tasks are particularly vulnerable.
Tendons have a lower metabolic rate than muscles, meaning their recovery and adaptation to load take longer. The rebuilding process in the tendon often starts 1–2 days after a training session. Following intense exercise, it may take up to three days before the tissue has recovered and is ready for another demanding session.
Symptoms
Typical symptoms include local pain in or around the tendon during loading. The pain may feel dull or sharp and often worsens during activity, especially at the start of movement or after loading. Stiffness, particularly after rest, and tenderness when pressing on the tendon are common. In more long-term cases, the pain may become more persistent and also occur during lighter activities.
When should you seek medical care?
You should seek medical attention if the pain does not improve despite adjusted loading, if the symptoms are long-lasting or if function is clearly reduced. Severe pain, sudden weakness or suspected tendon injury (such as partial or complete rupture) should also be assessed by healthcare professionals.
Recommended supports & braces
Adjusted loading is a key part of treating tendinopathy. Compression supports, straps with a relieving pad or supports with stabilizing splints can help reduce strain and provide relief in daily life. Rehabilitation with gradually increased loading is crucial, where strength training – often focusing on eccentric or slow controlled movements – plays an important role. It is also important to review technique, equipment and ergonomics to reduce the risk of recurrence.
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Related injuries
For more knowledge about overuse injuries, you can find additional articles in our injury guides for different body parts. On the main page of the Injury Guide, you get an overview of common injuries for each body part.
