Tendonitis & Tendonosis
What You Need to Know
Tendon problems are among the most common causes of pain in active people and those with repetitive strain.
- Tendonitis is short-term inflammation caused by overuse or injury, leading to sharp pain, swelling, and tenderness.
- Tendonosis is longer-term degeneration, where collagen fibres weaken, causing stiffness, dull aching, and reduced strength.
Both can affect the shoulders, elbows, knees, or Achilles tendon, interfering with work, training, and daily life.
When tendon pain keeps returning, it doesn’t just stop your training — it limits how you move, perform, and feel confidence in your body.
Why Most Treatments Fail — and Why We’re Different
Too often, the “standard pathway” for tendon pain looks like this:
The Problem?
- These may calm pain temporarily, but they don’t repair the tendon or fix the overload that caused it.
- Tendons have limited blood flow — they need targeted stimulation and progressive loading to truly heal.
That’s where TW Chiropractic is different
- We don’t chase inflammation — we rebuild structure.
- Our approach restores strength, circulation, and resilience using advanced therapies and precision rehab.
Our Integrated Treatment Model
- Shockwave Therapy – accelerates tendon healing by stimulating collagen production, breaking down scar tissue, and increasing local circulation.
- Laser Therapy (Swiss DolorClast® GDT Method) – performed before Shockwave to reduce pain and “prime” tissue. Within minutes, it increases shockwave tolerance (from ~2.2 bar to 3.5–4.0 bar after 1 hr), allowing stronger, more comfortable, and faster results.
- Chiropractic Care – restores proper joint mechanics, removing overload and imbalance on the affected tendon.
- Targeted Rehab – progressive loading and strengthening exercises to remodel and restore tendon function.
- Lifestyle Coaching – practical advice on posture, training load, and recovery to stop the cycle of re-injury.
At TW Chiropractic, every plan is built around precision, time, and education.
By combining Shockwave + Laser (GDT method) with chiropractic and functional rehab, we don’t just ease pain — we rebuild tendon health from the inside out.
Quick Stats
A Smarter Way to Treat Tendonitis & Tendonosis
Step 1: Relieve the pain
Laser + Shockwave combination therapy reduces pain and reactivates your body’s repair system.
Step 2: Support your recovery
We identify the cause — biomechanics, training load, footwear, or posture — and correct it.
Step 3: Rebuild movement
Mobility and tendon-loading drills restore flexibility and strength without aggravation.
Step 4: Restore function
Progressive strengthening helps your tendon handle load, improving durability and performance.
Step 5: Reframe your beliefs
Chronic tendon pain isn’t “forever.” Tendons adapt and rebuild when treated correctly.
Step 6: Build long-term resilience
We provide structured recovery and prevention strategies to keep you performing pain-free.
Why Shockwave + Laser Are Game-Changers for Tendon Healing
Chronic tendon pain is notoriously slow to heal — but combining Laser + Shockwave unlocks faster, deeper recovery.
- Laser reduces pain and inflammation, allowing higher-energy Shockwave safely.
- Shockwave stimulates collagen repair and tendon remodelling.
- Together, they deliver faster healing and better outcomes than either alone.
- Non-invasive, drug-free, and clinically supported.
- Proven to accelerate recovery and cut return-to-sport time by up to 50%.
With Laser + Shockwave, we’re not just treating tendons — we’re re-engineering them for long-term strength and performance.
Tendonitis vs Tendonosis — What’s the Difference?
Tendonitis
Tendonosis
Type
Short-term inflammation
Long-term degeneration
Cause
Sudden overuse or injury
Repeated strain, poor healingeneration
Symptoms
Sharp pain, swelling, warmth
Dull ache, stiffness, weakness
Recovery
Heals faster with rest and early care
Requires targeted rehab and stimulation
Best Treatment
Laser + Shockwave + Chiropractic + Rest
Shockwave + Progressive Rehab + Chiropractic
At TW Chiropractic, we treat both — combining Shockwave Therapy, Laser Therapy, Chiropractic Care, and Progressive Rehab to help Tendons heal, strengthen, and stay resilient.