{"id":8839,"date":"2022-08-01T11:10:28","date_gmt":"2022-08-01T10:10:28","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=8839"},"modified":"2026-08-17T12:09:50","modified_gmt":"2026-08-17T11:09:50","slug":"tendinopathy","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/musculoskeletalphysiotherapy\/knee-physiotherapy\/tendinopathy\/","title":{"rendered":"Tendinopathy"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">The estimated prevalence of tendinopathy in the lower limb is around 12 %. Patellar tendinopathy affects around 17% of people.&nbsp;&nbsp;&nbsp;Patellar tendinopathy primarily affected the younger population<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Signs<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>An Acute change in load preceding pain starting<\/li>\n\n\n\n<li>Localised pain<\/li>\n\n\n\n<li>Pain can easy after repetitive activity has started<\/li>\n\n\n\n<li>Pain going up or down stairs<\/li>\n\n\n\n<li>Persistent pain related to mechanical loading<\/li>\n\n\n\n<li>Age 15-30<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Tests<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pain on palpation<\/li>\n\n\n\n<li>Pain on contractile component over tendon area<\/li>\n\n\n\n<li>Tendinopathy is a clinical diagnosis<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><strong>Management<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Activity modification<\/li>\n\n\n\n<li>Offer advice on core treatments\n<ul class=\"wp-block-list\">\n<li>Activity and exercises \u2013 Physiotherapy<\/li>\n\n\n\n<li>Interventions to achieve weight loss if the person is Overweight<\/li>\n\n\n\n<li>Oral Analgesics<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>For clinical support and referral guidance for orthopaedics please see:\u00a0<a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/orthopaedics\/knee\/kneenohistoryoftrauma\/overuseinjuriesknee\/\" target=\"_blank\" rel=\"noreferrer noopener\">Overuse Injuries (Knee) \u2013 RefHelp<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<iframe src=\"\/refhelp\/list-resources-and-links\/?post_id=8839\"><\/iframe>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The estimated prevalence of tendinopathy in the lower limb is around 12 %. Patellar tendinopathy affects around 17% of people.&nbsp;&nbsp;&nbsp;Patellar tendinopathy primarily affected the younger population Signs Tests<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":8332,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[739],"class_list":["post-8839","page","type-page","status-publish","hentry","category-tendinopathy"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/musculoskeletal-physiotherapy\/knee-physiotherapy\/tendinopathy\/\" rel=\"tag\">Tendinopathy<\/a>","rttpg_excerpt":"The estimated prevalence of tendinopathy in the lower limb is around 12 %. Patellar tendinopathy affects around 17% of people.&nbsp;&nbsp;&nbsp;Patellar tendinopathy primarily affected the younger population Signs Tests","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8839","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=8839"}],"version-history":[{"count":3,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8839\/revisions"}],"predecessor-version":[{"id":29515,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8839\/revisions\/29515"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8332"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=8839"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=8839"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}