Chronic tendon injuries are renowned for being difficult to manage, not only by physiotherapists, but also surgeons, sports physicians and sonographers. There has been an abundance of research conducted to evaluate the effectiveness of various treatments.
- Surgery offers “hit and miss” results with a high chance of recurrence after surgery.
- Cortisone injections are generally not beneficial to the tensile strength of the tendon which increases the chance of tearing and rupture. Injections can sometimes reduce pain levels.
- Physiotherapy involves manual therapy (massage, joint mobilization) and exercises which sees improvement in some people, while others still seem to struggle.