Recent load
Volume, intensity, frequency, surface, footwear and training change.
FRTendons & sport · Geneva
Tendinopathy and sports-injury rehabilitation in Geneva
Progression based on tissue capacity, real loading, sporting demands and treatment response—not simply rest.
Rue de Fribourg 7 · 1201 Geneva
✓More than 20 years of clinical practice✓ASCA-recognised therapist✓NVS Class A · ISPRM
01
A tendon needs appropriate loading
Tendinopathy often develops when demand exceeds current tendon capacity, while sleep, recovery, age, selected diseases or medicines and training changes can modify the presentation.
Examination connects pain, strength, loading tests and activity. Ultrasound may contribute structural or dynamic information without dictating treatment by itself.
Rehabilitation organises load progressively. Shockwave, laser, medical massage or manual treatment may be discussed as adjuncts in selected cases but do not replace functional progression.
02 · IMG CLINICAL REASONING
Build a loading profile
The same diagnosis may need different strategies according to sport and phase.
Capacity
Strength, endurance, jumping, running or region-specific tasks.
Tissue
Palpation, resisted tests and ultrasound when it can clarify the question.
Medical factors
Diabetes, medication, inflammatory disease, history and suspected rupture.
03 · CLINICAL PATHWAY
From symptom control to sport
Progression criteria are more useful than an arbitrary deadline.
Modify
Temporarily reduce loads that exceed capacity.
Load
Introduce tendon-appropriate progressive exercise.
Specialise
Reproduce the speed, energy and demands of the sport.
Test
Check response during and after load before full return.
04 · INDICATIONS
Regions commonly assessed
- Achilles and calf
- Patellar tendon
- Rotator cuff
- Elbow, adductors, hamstrings and other sporting overload
05 · FAQ
Tendinopathy questions
01Is complete rest necessary?＋
Not always. Targeted reduction and progressive reloading are often preferred when safe.
02Does ultrasound show when I can return?＋
It can document tissue, but return also depends on strength, function and load response.
03Does shockwave heal the tendon?＋
No modality guarantees healing. It may be discussed as an adjunct for selected indications.
04How long does recovery take?＋
Duration varies with tendon, chronicity, capacity, medical factors and sporting demands.
Your next step
Begin with a structured assessment
Contact IMG Clinic directly or complete the Clinical Pathway Engine™ beta to prepare an initial clinician-reviewed pathway.