What is Tendinopathy
Tendinopathy, commonly referred to as tendonitis, is inflammation or degeneration of a tendon — the connective tissue that attaches muscle to bone. It often causes pain, swelling, and reduced strength or movement in the affected area. Tendinopathy can occur in any tendon, with the most common sites including the shoulder (rotator cuff), elbow (tennis elbow), wrist, hip, knee (patellar tendon), and ankle (Achilles tendon) (Khan et al., 2003).
Common Causes
• Overuse from repetitive movements or prolonged activity.
• Poor biomechanics or joint alignment.
• Muscle weakness or imbalances around the joint.
• Sudden increases in activity intensity, duration, or load.
• Age-related degeneration or previous tendon injury.
Treatment Options
WCCC management may include:
• Gentle chiropractic adjustments to optimise joint alignment and function.
• Soft tissue therapy to relieve tension and reduce inflammation in surrounding muscles and fascia.
• Targeted exercise and rehabilitation programs to strengthen the tendon and supporting musculature.
• Activity modification and ergonomic guidance to prevent recurrence.
• Collaboration with medical professionals for imaging, shockwave therapy, or further interventions if required.
References:
• Khan KM, Cook JL, Bonar F, Harcourt P, Astrom M. Histopathology of common tendinopathies: update and implications for clinical management. Sports Med. 1999;27(6):393–408.
• Foster NE, et al. Management of musculoskeletal pain: evidence-based guidance for primary care. BMJ. 2010;341:c4811.



