EFFECTIVE tendinopathy & Pain MANAGEMENT

As Movement Specialists, we have developed a complete philosophy to target your tendinopathy & Complex pain issues. Helping you get on the road to recovery quickly and effectively.

Understanding the issue
Tendinopathy, also known as tendinitis or tendinosis, is a degenerative condition of a tendon, which is a flexible band of fibrous tissue that connects muscles to bones. It is a common condition that most often affects the shoulder (rotator cuff & biceps tendinopathy), elbow (tennis elbow & golfer’s elbow), wrist (De Quervain’s tenosynovitis), hip (gluteus medius tendinopathy), knee (patella tendinopathy/jumper’s knee), ankle (achilles tendinopathy) or foot (plantar fasciitis).

Tendinopathy is a common condition resulting from a long lasting ongoing stress to the tendon tissue and is very common for example in sportsmen or repetitive loading jobs but can affect anyone.

In the adult population (21-60 years), the incidence rate of Achilles tendinopathy is 2.35 per 1,000. In 35% of the cases, a relationship with sports activity was recorded (de Jonge et al, 2011). However, a quarter of all athletes, and over half of all endurance runners, suffer Achilles tendinopathy at some point (Institute of sport, exercise & health).

Tendinopathy isn’t a serious condition however it can be very painful and last for a long time, potentially 6-24 months, if it’s not addressed properly. However most of the clients fully recover in 3 to 6 months.

Your clinician may feel that Shock Wave Therapy is the right treatment for a number of other injuries including shoulder calcification or bursea issues, chronic muscle injuries and un responsive chronic back complaints. The key is that ESWT will allow your body to begin the healing process and with good management you can kick start your recovery.


There are plenty of different factors that can cause a tendinopathy. The most common reason is overuse of the tendon which can be a result of muscle weakness or muscle imbalance, poor control of body movement or too rapid an increase of loading.

Other risk factors includes e.g. hormonal changes in women, diabetes, thyroid problems, obesity, age over 30, gender: it is more common in men.

If you do sports or repetitive (heavy) work it’s important that your muscles and tendons are strong enough to tolerate the loading, you have good movement control, you have enough time to recover from the loading and you build up load wisely and slowly enough.

our first action: remove your pain

Body Logic Health, working with the latest evidence based treatment information, have put together a complete solution for tendinopathy treatment. It is clear now as the research builds that ESWT should be an integral part of that treatment pathway, especially in more complex and chronic issues. Our full treatment pathway will take you beyond the ‘quick fix’ and through the necessary phases to make sure you return to the activities your enjoy.

Important First Step
Your pain must be addressed first, it is important to be able to get on with your daily activities, and there are huge benefits to returning to normal activities. Your movement specialist will complete a full assessment to understand the best way forwards for your condition.

You will then have explained fully to you;
​The reason for your symptoms and the full diagnosis.

**It is important for the healing process that you DO NOT undertake strenuous activity in the 24 hours following your treatment that will excessively load or stress the treated area as this will affect your healing process. You should also stop taking anti-inflammatories during this period as it will interfer with your healing process too.

The first step to ‘remove your pain’

You will then begin the best treatment to help your recovery which will include ESWT, and our highly skilled physiotherapists will give you the best outline of the time frame for this first step.

ESWT alone will not resolve your problem however as part of the full rehabilitation programme it can dynamically change the course of your injury. 

If you have made it this far previously and find yourself in treatment again then there are a few key factors that you need to be aware of;

Have you continued to address the underlying factors?

ESWT alone will not resolve your problem, it will assist in settling pain levels and create a window of opportunity for your body to kick start the healing process. 

Build A Better You

Building your foundation is the key to step 2, having benefitted from your ESWT treatment and pain management you will have begun your rehabilitation phase. As you build your stability we need to identify the underlying movement faults that you have. You have a couple of options here depending on your specific requirements and end goals;

1. Movement Screen 

2. Pilates Discovery Session

3. Running Video Analysis – if running is your thing then this a great way to change the way you move to prevent future issues.

4. Walking  / Rehabilitation Evaluation

You will have the ‘how you move’ identified and explained in full detail to you, and this will allow your movement specialist to plan your next step.  This is such an important part of your recovery and making sure the gains from your ESWT treatment are supported by good muscle stability and strength for your long term benefit.

Advantages of ESWT

 Shockwave therapy can be used on both chronic and acute injuries

It is non-invasive

It is a safe treatment method

Significant clinical benefits often seen 6-8 weeks after treatment

Reduced muscle tension

Long term pain reduction

Reduction of calcifications

Strengthening of connective tissue

Start your journey today
and enjoy your life again.


We assess, analyse and correct movement patterns to improve your health and performance. If you have any questions please call us on 020 7924 6068

remove pain

The important first step is to address a clients pain and restrictions. This allows return to normal life, pain free, and ready for the step to build your foundation.


Did you complete the full treatment pathway?

Recurrence is the toughest area to address in back complaints, primarily if you only completed the first step previously then the chances are you have not changes how the body is moving to prevent recurrence.


Having removed your pain it is imperative that the reasons for your issue are now addressed. This is where recurrence can be truly prevented. It is the chance to address the core weaknesses, poor movement patterns and understand the habits that might be related to your current problem. It is important that both parties complete the full pathway, this is the area that helps you feel great again.

Arthur Leventhorpe
Arthur Leventhorpe
All staff are super friendly, Sergio has saved my shoulder, always enjoy coming here
Sharon Byrne
Sharon Byrne
Just finished a six week massage course with Andrew Walker; have to say that I’ve had many massages before with very little interaction and not knowing what was causing my back problems when I left, but Andrew was very different! Excercises to do every week, explaining what might be the cause and spoke to me in a manner that I knew what he meant! He’s definitely worth every star! Would also like to mention the lovely lady on reception, Harriet who is so welcoming and always has a smile on her face 🥰
James Lamper
James Lamper
Great professional team, excellent customer service. They helped me move from chronic pain and mobility issues, to being injury free, moving with confidence, and running with great technique. Body Logic will take care of you, and your health!
Chiara Cristoni
Chiara Cristoni
I had a running analysis with Andrew at BodyLogicHealth and found it very informative. The idea of dissecting my running style on a big screen was slightly uncomfortable but it turned out very interesting and useful! Andrew pointed out a few things that can be tweaked to improve my running efficiency as well lower injury risk, but also highlighted what I am doing right. It was a quite in-depth session and I would really recommend it! A big thank you to all staff at BLH, great service always!
Josef Wisniewski
Josef Wisniewski
I have been seeing Alex at Body Logic for around 9 months, rehabilitating my sports injury and have had excellent treatment so far. Everyone is very friendly, the gym equipment is good quality and the physios are extremely knowledgeable and supportive. I also had a running analysis session with another physio which was a really great experience. I am almost fully recovered and with the help that Alex that has given me I am hoping to be able to hike to Everest Base camp in a couple of months time. I would highly recommend Body Logic for physiotherapy to anyone!
Lucie Burns
Lucie Burns
I’ve been visiting Body Logic on and off for a few years (for different ailments). Every time I have received a friendly and professional service. It is one of the only physios where I feel they have a good understanding of what is wrong and present a solid plan for getting me back on track. With previous physios I always left feeling treatment was guess-work and have never really recovered. Body Logic’s ethos to correct body movements help you not only recover from injury but prevent future ones. This, supported by their high-quality Pilates instructors provides holistic support to ensure you are using your body correctly. Highly recommend.
Aidan McMahon
Aidan McMahon
Superb experience and got me returning to running after seeing another physio (unsuccessfully for 8 months previously!). Would highly recommend working with Andrew, Roisin & Alex - a great team!

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Body Logic Health

292 Battersea Park Rd
SW11 3BT