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Tendonitis Physiotherapy London

If you’re looking for tendonitis physiotherapy, and need a therapist who is thorough and thinks outside the traditional physiotherapy box, then look no further!

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0207 175 0150 or use the form below and let me help you get better.

Just call my London team on 0207 175 0150 or use the form here.

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Physiotherapy for tendonitis

Your tendons are the strong, stringy and slightly stretchy ropes that attach your muscles to your bones.  They essentially transmit the force, produced by the muscle, to create movement around a joint.  For example, when you bend your elbow to show off your powerful biceps muscle in the gym, it’s the tendon between the biceps muscle and the radius bone of the forearm that produces the movement at the elbow.

But – tendons can get painful, and due to their funky physiology and lack of blood supply, they can be frustrating and slow to rehabilitate.  But – not all tendon problems are created equal, and I have my own take on why sometimes they take longer to recover than they ought to.  Most good musculoskeletal physios should be able to help you if the problem is truly coming from the tendon; but if the tendon is overloaded due to compensation patterns, then my assessment and treatment methods may help you where others don’t.

Tendonitis physiotherapy - what to expect?

My job is to work out whether the problem is coming from the tendon itself, or whether your poor tendon is trying to compensate for a problem somewhere else in your body.  This will of course depend on which tendon we’re looking at; but I’ve found in the past that tendons in the shoulder and elbow are often overloaded because of issues in the neck and upper back, whereas tendons around the knee are often overloaded due to issues around the hip, pelvis and foot. Each case of tendonitis has its own specific cause, and therefore the best treatment for your tendonitis may be completely different from the best treatment for someone else.

If the problem is genuinely coming from your tendon, then we are likely to work on strengthening it – tendons often respond really well to high quality loading, so I’ll be encouraging you to play with some weights. However, if the real issue is that your tendon is compensating for a problem elsewhere in your body, then we’ll start by working on the underlying cause first.

Next steps for tendonitis

Most cases of tendonitis will respond either to progressive loading (if the tendon itself is really the problem) or to rehabilitating the underlying source of the problem, so that the tendon is no longer pathologically overloaded.  However, some cases of tendonitis are genuinely stubborn, and if that’s the case, then we have options.

My first preferred option tends to be to get some imaging.  Helpfully, tendons are usually quite near the surface of the skin, which means they can be seen with an ultrasound scan.  I don’t do ultrasound scans myself but I know excellent ultrasonographers who can look at your tendon in more detail and help to work out what’s going on.

Depending on what the imaging shows and where the problem is, further and more invasive treatment may be required, potentially including shockwave therapy, steroid injections, needling and even surgery.  Again, these are not things I offer myself, but I know some of the best doctors and can coordinate and direct you to the right help.

Tendonitis physio assessments are 90 minutes

Follow-up sessions if required are usually an hour – it’s important to me to be very thorough when it comes to tendonitis, as I want to be the last physiotherapist you need.

Tendinitis physiotherapy - Client reviews

"The best physio in town! Nell has been helping with the rehabilitation of an aspiring tennis player following major knee reconstruction and cartilage graft and the results so far have been impressive. Always available for help, advice and those healing hands, Nell is hugely recommended. She has also helped two other members of the family with other issues, all with equal great success. Thanks Nell ;)"
Charlie Carrick
"Attempting to play tennis for 24 consecutive hours is no easy task. Especially with an arthritic knee and a replaced hip! But Nell and her team took care of all of my needs, and made sure that I was still walking (and functioning) at its conclusion. Great knowledge, and a real passion for their work. I would definitely recommend Nell...."
Bright Ideas for Tennis Charity
"I visited Nell recently, having met her a few weeks earlier and describing to her a long-running problem I'd had with my knee. Where others had failed to identify the cause or the cure, her Holmes-like investigative questions and observations soon isolated the cause of the problem (oddly enough a decades-old collarbone break) and she was able to treat it. Remarkable results and I couldn't recommend 'the best physio in London' highly enough. Thank you Nell "
Martin Gladdish

Tendonitis physiotherapy exercise blog

As a leading tendon physiotherapist in London, I regularly write about injuries, treatment and assessment techniques.

Matthew BeckfordMatthew Beckford
10:32 19 Nov 23
I call Nell the final boss of Physios! When I first began seeing here I had a wide variety of problems and pain. She is reassuring, will try out innovative and new ways of treating you and is determined to find the underlying problems which need addressing.
Sarah PembertonSarah Pemberton
13:43 06 Nov 23
Nell is fantastic. I was referred to her by a shoulder surgeon because I'd had serious impingement for several years and other things (e.g. steroid injections) had not helped. At the first appointment I was unable to lift my left arm above chin height. Nell traced the cause to asymmetry from a broken collarbone 16 years earlier. She got the shoulder moving again and I am now rock climbing harder than I was before I got injured. Her combination of manual therapy in clinic and giving me exercises to do at home has proved very effective. Every few months I get some other injury (e.g. broken hand from a fall) and she helps me to promptly rehab it. I've seen a bunch of physios over my lifetime but Nell is without any doubt the best!
Kirsty ClarkeKirsty Clarke
11:13 26 Oct 23
Game changer. Nell seems to have fixed a 10-year problem (plantar fasciitis) in one or two sessions and now we’re seeing what else she can help me improve! As well as being exceptional at what she does, Nell is clearly very passionate about continually learning and is absolutely delightful company too. Worth every penny - best physio I’ve ever seen by some distance, and I’ve seen a lot!
Jane KellyJane Kelly
18:21 04 Aug 23
Nell has an eye for detail and is good at solving complex problems. She is extremely knowledgable, professional and very kind.
Ben TurnerBen Turner
10:54 05 Jul 23
Nell is easily the best physio I’ve ever seen. Having had many disappointing physio sessions over the years, Nell made me feel confident that we really had got to bottom of my knee issue. Not only did she examine my knee, but all of my potential problem areas with instantaneous results. She just gets it, and she’s a lovely person too.
Howard BranleyHoward Branley
17:59 04 May 23
As a medical professional with a running injury, I knew that there was only one person that I needed to see. Nell’s approach was holistic and focussed on finding the source of the issue rather than just trying to treat a symptom in isolation. Nell’s approach was calm, professional and caring. She followed up the consultation with a number of exercises to do. Her treatment plan worked like a dream and I wouldn’t hesitate in recommending her to anyone who’s struggling with an injury, pain or stiffness. First class from start to finish.
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Symptoms can manifest anywhere in the body

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How To Be Your Own Physio, The New Book by Nell Mead