Tendinopathy (tendinitis)
Also called: Achilles tendinopathy, Tennis elbow, Rotator cuff tendinopathy
Painful degeneration of a tendon from overuse — commonly the Achilles tendon, the tendons of the rotator cuff or the outer elbow (tennis elbow).
Condition-specific references are below. Individual claims and this page have not been clinically reviewed. Read about this content.
Causes
- Repetitive loading exceeding the tendon's capacity to adapt
Risk factors
- Sudden increase in training
- Age
- Fluoroquinolone antibiotics (Achilles)
- Diabetes
Symptoms
- Pain with activity and on first movements
- Stiffness
- Local tenderness and thickening
Diagnosis — tests and examinations
- Clinical examination
- Ultrasound
Treatment
Medicines and medical treatment
- Short-term NSAIDs; steroid injections give short-term relief only
Operations and procedures
- Shockwave therapy
- Surgery rarely
Self-care, home remedies and lifestyle
- Progressive loading exercises (e.g. heavy slow resistance or eccentric training)
- Relative rest and activity modification
Possible complications
- Tendon rupture
Prevention
- Gradual training progression
Outlook
Most improve over 3–6 months with loading exercises.
When to see a doctor
See a doctor if pain persists beyond a few weeks, or immediately if you feel a snap (rupture).
Sources and further reading
These sources cover this condition. They have not been checked against every statement on this page.
Related conditions
Educational overview, not medical advice. Treatment varies by person and location. Consult a qualified health professional for diagnosis or care. Read our content and model notes and privacy information.