Tendinopathy can be challenging to treat but the mainstay of treatment remains rehabilitation with physiotherapists and load management.
In situations where this is not helping, then you might be offered Extracorporeal Shock Wave Therapy (ESWT) to help stimulate the tendon to heal itself, or in situations where tearing is noted within the substance, a Platelet-rich plasma (PRP) injection could be considered. Other injection treatments include prolotherapy or high volume tendon stripping. However, all injections, care must be taken to offload the tendon afterward.
A new treatment that I am hoping to start soon is the TENEX, where a needle is passed into the tendon and the degenerative tissue is removed, to allow the remaining tissue to heal itself. This is gaining good evidence in the USA and it should be with us in the next few months.
Hope this helps.
