Tendinitis Treatment: Moving Beyond Stretching

Understanding Modern Tendon Science

• Term 'tendinopathy' now preferred over 'tendinitis'

• Minimal inflammatory process involved

• Tendons composed of:

  • Collagenous tissue

  • Extra-cellular matrix

• Connect muscles to bones

• Critical for load transfer

Types of Tendon Loading

Tensile Loads

• Normal daily occurrence

• Tendons can handle 6-8 times body weight

• Example: increased running mileage impact on Achilles

Compressive Loads

• Can aggravate tendon conditions

• Occurs when tendon is lengthened

• Example: Achilles compression during squat position

• Common in traditional stretching exercises

Common Treatment Misconceptions

• Wall stretching may worsen Achilles issues

• Eccentric exercises can create harmful compression

• Direct tendon massage may increase irritation

• Traditional stretching may be counterproductive

Better Treatment Approaches

• Focus on muscle belly massage

• Target surrounding muscle groups

• Implement isometric loading exercises

• Avoid direct tendon compression

• Seek professional assessment

Professional Care

• Individual assessment crucial

• Tailored treatment plans

• Multiple treatment options available

• Expert guidance needed