A painful & recalcitrant tendon is a frustrating problem for both sufferers and health professionals. Up until recently it was thought to be a simple diagnosis: tendinitis. Treatment would be aimed at decreasing inflammation and stretching the short tendon. General doctors would probably write a script for anti-inflammatories, advise complete rest and hope for the best.

Over the last 5-10 years our understanding of tendinitis has increased greatly and consequently the management has changed markedly too. We can now expect excellent outcomes if we have good patient compliance (but that is