Want to join our team? We are hiring PT, OT, and ATC positions.


Tendinopathies of the Foot and Ankle

What is Tendinopathy?

Tendons connect muscle to bone and tendinopathies are irritations these tendons. Tendinopathies used to be referred to as tendinitis and sometimes still are. However, science, as shown us that inflammation, is rarely the main cause of tendon pain even though some inflammatory markers may be present at times. 

Tendon issues are common in the foot and ankle. In fact, 24% of athletes and 50% of runners will develop Achilles tendon pain. However, athletes are not the only ones who can develop tendinopathy. Obesity, high blood pressure, high cholesterol, and diabetes have all been linked to tendinopathies. Other common tendinopathies of the foot and ankle include peroneal, tibialis anterior, and tibialis posterior tendinopathies. 

How Can a Physical Therapist Help? 

A physical therapist can help develop a program to gradually restore the capacity of your tendon to withstand the demands of everyday life as well as to achieve your specific goals. There are many misconceptions and mistakes made in trying to manage tendon pain. A few include

  1. Resting the tendon too much

You may be surprised that your therapist encourages you to stay active. Many patients can continue to perform many of the activities they enjoy.

  1. Stretching tendons

This can put on due compression onto the tendon

  1. Using friction massage on the tendon

This too can put undue stress onto the already irritable tendon

  1. Rushing through rehab

Tendons take time to heal!

  1. Having needles injected into tendons

Tendons fail to fully heal for years after they have been pierced by a needle

What to expect?

Tendons tend to respond well to conservative treatment and loading programs over time.  Gradually recovery over the span of months can be expected and many patients see a reduction in pain or an increase in activity after a few weeks. However, it does take time. Normally 3 months or longer for the tendon to fully recover. 

More from the blog

Is Sleeping a Pain???

Is Sleeping a Pain???

Are you experiencing countless sleepless, restless nights because of pain? Are you tired of going to work feeling and looking like a zombie? In today’s age it seems that we are getting less sleep due to the fast pace of an ever-changing world. We are also obsessed...

Tennis Agility

Tennis Agility

Having issues with movement on the court? Agility: quick footsteps/movements and changes in body direction are an important part of the tennis game and can easily be worked on with a few simple drills.   Sideways shuffle: A quick sideways movement while staying...

Stay Safe During the Snow

Stay Safe During the Snow

The most common snow and ice injuries are low back injuries from shoveling and slipping and falling on the ice. Below are some tips to help you avoid those injuries. If you find yourself slipping, remember “tuck and roll." If you feel yourself losing balance, tuck...