Tendonitis

Tendinopathy represents a degenerative continuum arising from the failure of reparative processes following repetitive micro‑traumatic insult to the tendon matrix. It is precipitated by chronic overuse—keyboarding, guitar performance, golfing, pitching, running, squash and tennis being prototypical examples—and may afflict virtually any tendon unit, including the Achilles, rotator cuff, hip abductors, peroneals, biceps (including bicipital tendinosis), patellar tendon, wrist extensors/flexors (e.g. De Quervain’s), and the plantar fascia.

Clinical Management

Onset of symptomatic tendinopathy mandates immediate cessation of the offending activity and relative tendon off‑loading.

Cryotherapy (20 minutes every two waking hours) serves to attenuate local inflammatory mediators.

Adjunctive immobilisation—such as a wrist brace for carpometacarpal presentations—may further reduce mechanical strain.

Advanced Non‑Pharmacological Interventions

Our approach integrates Specific Correction of Segmental Dysfunction to optimise proximal kinetic chain alignment, in concert with therapeutic ultrasound to enhance collagen remodelling and neovascularisation. These modalities offer robust, medication‑free management for both acute and chronic tendinopathic presentations.

Ergonomic Optimisation

For work‑related tendon overload—particularly typing‑induced wrist tendinopathy—ensure an ergonomic workstation: monitor at ocular level; keyboard tray height permitting natural arm adduction; lumbar‑supportive seating with occasional foot‑rest to off‑load thigh pressure; elbows maintained at 90–100° of flexion; wrists in neutral alignment; and input devices situated within a minimal radial arc to limit repetitive reaching. Implement hourly cervical–thoracic–upper‑limb stretches and, where feasible, rotate vocational tasks on a bi‑monthly schedule to mitigate cumulative tendon stress.