"Is Tendinitis and Tendinopathy the Same? Understanding the Differences"

November 17, 2025•3 min read

Tendon pain can be a debilitating condition, impacting your ability to move freely and perform everyday activities. Two common terms often used interchangeably when discussing tendon pain are tendinitis and tendinopathy. While they might sound similar, they refer to different issues within the tendon. Understanding these differences is crucial for effective diagnosis and treatment.

Tendinitis refers to the inflammation of a tendon, often resulting from acute injuries or repetitive strain. This condition is characterised by pain, swelling, and tenderness in the affected area. Tendinitis typically occurs due to sudden increases in physical activity or overuse of a particular tendon. It is an inflammatory condition, which means that rest and anti-inflammatory treatments are generally effective in managing the symptoms.

On the other hand, tendinopathy is a broader term that includes both tendinitis and tendinosis. Tendinosis refers to the degeneration of the tendon tissue without significant inflammation. This condition is more chronic and results from long-term overuse and wear and tear of the tendon. Unlike tendinitis, tendinopathy involves changes in the tendon structure, such as collagen degeneration, which makes the tendon weaker and more prone to injury.

Symptoms of tendinitis and tendinopathy can overlap, making it difficult to differentiate between the two without a thorough evaluation. Common symptoms include:

Pain and tenderness in the affected tendon
Swelling and warmth around the tendon
Stiffness, especially in the morning or after periods of inactivity
Weakness in the affected limb, making it challenging to perform certain movements

Despite these similarities, the underlying causes and treatment approaches for tendinitis and tendinopathy differ. Tendinitis is primarily caused by sudden, acute stress on the tendon, such as increasing your running mileage too quickly or performing repetitive activities without adequate rest. It is often seen in athletes, manual labourers, and individuals who engage in activities that require repetitive motions.

In contrast, tendinopathy results from chronic overuse and repetitive microtrauma to the tendon. Factors contributing to tendinopathy include improper technique in sports or exercise, inadequate warm-up, poor footwear, and muscle imbalances. Age-related changes also play a role, as tendons lose their elasticity and strength over time, making them more susceptible to degeneration.

Treating tendinitis and tendinopathy effectively requires a tailored approach based on the specific condition.

For tendinitis, the primary focus is on reducing inflammation and allowing the tendon to heal. Common treatments include:

Rest and avoiding activities that exacerbate the pain
Applying ice to the affected area to reduce swelling
Using nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain and inflammation
Physical therapy to improve flexibility and strengthen the surrounding muscles
Gradual return to activity, ensuring proper warm-up and technique

Tendinopathy, being a more chronic condition, requires a different approach to address the underlying tendon degeneration. Effective treatments for tendinopathy include:

Eccentric exercises, which involve lengthening the tendon under tension to stimulate collagen production and repair
Shockwave therapy, which uses sound waves to promote healing and reduce pain
Class IV laser therapy to reduce inflammation and accelerate tissue repair at the cellular level
Physical therapy to correct muscle imbalances and improve biomechanics
Custom orthotics to support the affected tendon and distribute pressure more evenly

Understanding whether you have tendinitis or tendinopathy is crucial for choosing the right treatment and preventing further injury. If you experience persistent tendon pain, it’s important to consult with a healthcare professional for a thorough evaluation and diagnosis.

If you’re struggling with tendon pain and are unsure whether it’s tendinitis or tendinopathy, our team at We Fix Feet can help. Contact us for a comprehensive assessment and personalised treatment plan to address your specific condition. Book an appointment online or call us at 0115 9328832 to start your journey towards pain-free living.

Stephen Carter

I'm Steve, an Extended-Scope Practitioner (non-HCPC registered) with over 20 years of specialised experience in Musculoskeletal issues, Sports Injuries, Rehabilitation, and complex foot pathologies. My background as an ex-military professional has instilled a disciplined approach to podiatric care, ensuring precise and effective treatments for all our clients. Expertise and Education I graduated with a Master’s degree and have pursued advanced certifications focused on sports injury rehabilitation and the management of musculoskeletal disorders. My commitment to continuous education keeps me updated with the latest advancements in podiatric care, allowing me to bring innovative treatments and technologies to our clinic. Professional Authoritativeness As a respected member of the British Association of Sports & Exercise Medicine and the British Medical Laser Association, my work emphasises non-surgical treatment options, sports rehabilitation, complex treatment issues, and the development of bespoke, 3D-printed insoles that cater specifically to individual patient needs. Experience in Practice Throughout my career, I have successfully treated thousands of patients, ranging from young athletes to the elderly, helping them regain mobility and enhance their quality of life. At We Fix Feet, we utilise modern technology and equipment, offering services from minor surgery to comprehensive sports fitness assessments and tailored rehab management plans. Commitment to Trustworthiness Our clinic is committed to maintaining the highest standards of trust and integrity. We are proud of our high ratings on Google Reviews, where numerous patients have testified to the effectiveness of our treatments and the professionalism of our care. We adhere strictly to the ethical standards prescribed by the Associations I am a member of, ensuring that your treatment and privacy are handled with the utmost care and responsibility. Our Mission My mission is to empower you to return to your most-loved activities. Whether recovering from a sports injury or managing long-term foot issues, our goal at We Fix Feet is to treat, improve, and help you move better. Let us help you take your next step towards pain-free living with confidence and support.

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