Physiotherapy for tendinopathy provides biomechanical assessment, tailored loading programmes, and addresses the training errors or postural factors that led to the condition.

Heavy slow resistance training is the most evidence-based treatment for tendinopathy — progressively loading the tendon through its pain-free range to stimulate collagen remodelling and restore load tolerance.

Managing the total tendon load — reducing volume and intensity of provocative activities while maintaining overall fitness — is the first step in tendinopathy recovery.

Eccentric loading — lengthening a muscle-tendon unit under load — was the original and most studied loading strategy for tendinopathy, with the Alfredson protocol for Achilles tendinopathy being the most cited.

Specific collagen peptides taken with vitamin C before exercise may enhance tendon collagen synthesis and improve recovery in tendinopathy.

Ice application after exercise reduces tendon pain by decreasing local blood flow and nerve conduction, providing short-term symptom relief during the reactive phase of tendinopathy.

Short-term NSAIDs reduce acute pain in tendinopathy, facilitating early loading — but long-term use may impair tendon healing.

PRP injections deliver concentrated growth factors from the patient's own blood to the tendon, stimulating tissue repair in chronic tendinopathy that has not responded to exercise.

Corticosteroid injections provide short-term pain relief in tendinopathy but are now understood to have no long-term benefit and may increase re-rupture risk — their use is now more selective.

Curcumin's anti-inflammatory properties may reduce tendon pain and support recovery, though direct tendinopathy evidence is limited.