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Heavy Slow Resistance Training (Tendon Loading)

for Tendonitis

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.

How it works

Mechanical loading stimulates tenocytes to produce new Type I collagen, reorganising the disorganised tendon matrix. Heavy slow resistance (3 seconds up, 3 seconds down) optimises tendon mechanical stimulus.

What to watch for

Pain during exercise is acceptable (up to 4–5/10) — some loading on the tendon is therapeutic. Pain that is significantly worse the next morning indicates too much load. Supervised by physiotherapist initially.

Community experience

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WikiRemedy surfaces community experience, not medical advice. Always consult a qualified health professional.