Common Symptoms

• Pain and tenderness in the tendon area

• Swelling and mild redness

• Pain during movement and stiffness

• Functional limitation and weakness

Goals of Physiotherapy

• Reduce inflammation and pain

• Improve tendon flexibility and range of motion

• Strengthen surrounding muscles to support the tendon

• Restore functional activities and daily tasks

Physiotherapy Treatments

1. Pain Relief Techniques

• Ice Therapy: To reduce acute inflammation and pain

• Heat Therapy: For chronic stiffness and muscle relaxation

• TENS: For pain modulation

2. Stretching Exercises

• Gentle tendon stretches depending on the affected area

• Flexibility exercises for the muscle-tendon unit

3. Strengthening Exercises

After inflammation is under control:

• Start with isometric strengthening exercises

• Progressive resistance exercises using TheraBands or weights

• Functional strengthening exercises

4. Manual Therapy

• Soft tissue mobilization and massage to reduce tendon stiffness

• Joint mobilization if joint stiffness is also present

5. Functional Training

• Activity modification and ergonomic guidance to prevent recurrence

• Restore daily tasks and sport-specific activities

Frequency and Duration

• Physiotherapy sessions 2–4 times per week depending on severity

• Regular adherence to a home exercise program is essential

• Recovery and return to pain-free function usually occurs within 4–8 weeks