09/28/2026
What is tendinosis?
I’ve had a few patients come in recently with a diagnosis of tendinosis, and one thing they had in common was that they were confused about how it happened.
They were looking for one specific moment when they “injured” themselves.
But tendinosis usually develops more gradually.
Your muscles attach to bone through tendons. When that muscle-tendon unit is repeatedly asked to handle more load than it can comfortably tolerate, the tendon can become painful and begin to change over time.
That can happen because of repetitive activity, a sudden increase in training or workload, or simply asking more from the area than it is currently prepared for.
The answer is usually not complete rest, but it’s also not pushing through and continuing to irritate it.
The goal is to find the right balance of strengthening and gradual loading so the tendon can build up its capacity again.
Massage can help with surrounding muscle tension and discomfort, but strengthening and rehabilitation are an important part of treating the actual tendon problem.
Sometimes understanding why something hurts makes the whole treatment plan make a lot more sense.
Sources / further reading:
• Cook JL, Purdam CR. Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy. British Journal of Sports Medicine.
• Khan KM et al. Overuse tendon conditions: time to change a confusing terminology.
• NHS / physiotherapy guidance on tendinopathy and progressive tendon loading.
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