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