Tendinopathy – an overview of the different types

Tendinopathy is a generally classification of all tendon issues involving inflammatory and non-inflammatory processes. The sub classifications within the ‘tendinopathy’ diagnosis are extensive but we’ll cover the most common types.

Tendinosis

• This is a non-inflammatory reaction of the tendon
• It occurs gradually due to excessive or abnormal loading patterns
• Symptoms are typically pain with loading and residual ache after loading or prolonged rest
• A gradually increasing strength program is the most effective approach
  • Medication and ice packs are not overly effective as the condition is not inflammatory
• Example: Achilles tendinopathy

Tendinitis

• This is an inflammatory reaction of the tendon
• They can occur gradually over time or as an acute reaction after a single bout of overload
• Symptoms include pain on initial loading and residual ache after loading or prolonged rest
• Anti inflammatory meds and ice packs are effective on this type of condition
  • This should be combined with a program targeting the underlying cause of the condition

Peritendinitis

• Inflammatory reaction around the tendon which can respond to anti inflammatory meds and ice packs
• It’s often associated with tendon thickening and can be sensitive to touch

Tenosynovitis

• Inflammation of the sheath surrounding the tendon which responds well to reduced loading and anti-inflammatory meds
• It’s worth noting that the Achilles tendon doesn’t have a sheath and can’t be affected by this condition