Tendon Injuries

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elbow pain

Tendon injuries (known as tendinopathies) can be extremely frustrating to deal with when returning to activity or sport. It’s one of those injuries that seem to linger. Hallmark symptoms of a tendinopathy include pain in the mornings, painful during a warm up, but eases with activity, and then pain returning once you stop the activity.

What is a tendon? 

Lets start with what a tendon is. A tendon is a structure that connects the muscle to the bone. It is made up collagen type I, which is a thick, strong fibrous structure. This is in contract to muscle fibre which can is a bit more elastic. The role of the tendon is to transfer force from the muscle contraction, to the bone. 

How does a tendon break down? 

Tendons break down, when their acitivity is higher than its capacity to take load. For example, if your tendon has a “capacity” of 30 km a week, but you run at 50 km a week, you could be at risk of a tendinopathy.

For that reason, when returning to your activity being mindful of your loads is important. Just because you are pain free does not mean that the tendon is ready to take your normal amount of load or activity. Talk to your physiotherapist about how much of your normal activity you should do. Maybe it means building up your running slowly, or a couple of hours of normal duties at work.

Types of Tendon Injuries

The most common type of tendon injury,is a tendinopathy. This process starts, with the tendon over work (as we mentioned above), which causes the tendon to sustain damage. The tendon will initial try to heal itself, however if it is overworked before it can heal, it will heal poorly, resulting in a weaker tendon. As a result, its capacity is reduced. This cycle repeats itself over and over again, until finally pain begins. 

This means, that when you finally do feel the pain, the problem probably started a long time before hand. 

The other type of tendon injury, is a rupture. This occurs when the tendon is severed, causing it to retract, and is most commonly seen in the achilles. A huge amount of force is required for this to occur


Tendinopathies are quite common, and most people who do have a tendinopathy recover within a couple of months. They are slow healers, due to the poor blood supply within a tendon.

Exercise is almost always the big part of treatment. The tendon needs stimulus to heal, and exercise when appropriate applied can provide this stimulus. Depending on your level of pain, one of two types of exercises may be prescribed

  1. Isometrics – An isometric exercise is an exercise where you push and hold against a resistance, for a certain amount of time (normally 30- 45 seconds). Research has shown that this type of exercise can reduce pain
  2. Eccentrics – An eccentric exercise is an exercise where the muscle is working, while getting longer. For example, the downwards part of a calf raise. This type of exercise has been shown to stimulate the tendon to heal. It is also a lot easier to do than a traditional exercise, and so you can put weight on it quickly

There are also other options as well, including shockwave, taping, and deloading (i.e. reducing the amount of load/exercise) in the short term. 

It is important to acknowledge, that tendinopathies are a natural part of aging, and do not always cause pain. There are large parts of the population with various tendinopathies who walk and lift, and do not (and may not ever) have pain. It is important to have a thorough examination prior to treatment, to rule out other structures that may be causing pain.

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rupsikha baruah
rupsikha baruah
11:26 25 Feb 20
Friendly staff. Lvl 8 in Rhodes Shopping Centre..accessible via lift. You have to pay..check for discounts.
Fahad Alotaibi
Fahad Alotaibi
00:10 28 Nov 19
Excellent service with dr Louis. Have really back pain due to having a bad massage previously. So he really... helped.Thanksread more
Mellissa Admin
Mellissa Admin
01:01 11 Sep 19
I work in the local area and have found Bodyfocus to be amazing and would highly recommend. I had the pleasure of... having Sarah as my physio and she was friendly, knowledgeable and professional. She explained my injuries to me in easy to understand language and was able to get me back on my feet quickly. Every interaction with staff at Bodyfocus has been extremely positive and helpful. Would not go anywhere else now for physio.read more
Vanessa reinmuth
Vanessa reinmuth
06:48 07 Sep 19
Would recommend this place in a heartbeat! The service and care provided is second to none. In particular, I'd like to... call out Lauren who has been nothing but amazing, supportive and genuinely interested in how I'm progressing. I injured my hip and initially went to a physiotherapist closer to where I live, but my condition didn't get any better, so I decided to come over to Rhodes and give Bodyfocus a try - right after the first session I felt an instant relief. That was a few weeks ago and my mobility has been steadily increasing, while the pain has become so much better. Lauren also motivated me to exercise and I actually enjoy it. Overall, it's just been a fantastic experience.read more
Yuyan Cai
Yuyan Cai
00:43 04 Sep 19
Highly recommend Sarah. Her attitude and knowledge has made my recovery a quick and easy process. She has a great... understanding of how the body works and teaches you the process to live life to the fullest.Do not hesitate to reach out and connect with this amazing physio!read more
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Lucy-May Pitt

Bachelor of Physiotherapy (Charles Sturt University)

Lucy is a passionate physiotherapist who graduated from Charles Sturt University Albury-Wodonga. Lucy studied ballet from age 11 and has danced both in Australia and in the UK. Lucy has enjoyed a variety of clinical settings, both public and private, encompassing cardiorespiratory, orthopaedics, vestibular/neurological physiotherapy, general musculoskeletal injuries and women’s health, where she found a keen interest in furthering her clinical skills.

With a 10 year background of full time ballet training, Lucy has gained an in-depth understanding of the demands sport puts on the body and what it takes to become a successful dancer and athlete. Lucy also has a strong interest in sporting injuries and worked as the Head Sports Trainer with an O&M league AFL team in Albury for 2 seasons. Lucy believes that the key to effective rehabilitation and future injury prevention is to empower patients to take control of their own health. 

Having recently moved to Sydney, Lucy is on the hunt for the best hiking locations! In her spare time, you can find her at the gym, exploring Sydney with friends or  getting stuck in a good book.

Sabina Bireroglu

BHlthSc/ MPodMed Podiatrist

Sabina has completed a Bachelor of Health Science/Mastering in Podiatric Medicine at University of Western Sydney. She has experienced working in different treatment settings including private practice, hospitals and mobile care. One experience in which takes forefront in her experiences is working in Ireland at Merlin Park Hospital.

She incorporates evidence based treatment plans in all scopes of podiatry including the general and chronic foot, injuries and pain, nail surgery, biomechanics and paediatrics. Outside of the clinic environment Sabina enjoys running, playing netball and playing the violin.

Dr Louis Darmizin


From early childhood, Louis was exposed to Chiropractic due to his scoliosis and constant back pain. Being only 10 years of age, he was unable to participate in social and sports activities in fear of being in pain. Upon seeing the benefits of Chiropractic for his back, Louis focused his life on helping others achieving a pain free and healthy lifestyle.

Louis graduated with a Bachelor and Masters of Chiropractic Science from Macquarie University. After practicing in the best clinics in Sydney, he is now the founder of Dynamic Spine Clinic. He is a very passionate and motivated practitioner that makes your problems his own.

Louis has a extensive knowledge in posture and back related injuries. He combines his treatment with soft tissue therapy, acupuncture, rehabilitation and lifestyle advice. His treatments are individualized to suit each patient in order to achieve the best outcome possible.

Louis has a passion for soccer, tennis and rugby. He also earned local, regional and state level competition titles as a squad swimmer.

His goal is to inspire, educate and encourage his patients to reach a happy and enjoyable lifestyle. He believes that Chiropractic care is an essential tool to maintain wellness, improve posture, eliminate pain and stress.

Sarah D’arcy

Physiotherapist - General & Women's Health Physiotherapy

Sarah is a passionate physiotherapist who graduated with distinction from Charles Sturt University, Orange, NSW. Sarah has worked within the public health system and has experience in orthopaedic, fracture clinic, medical, respiratory, musculoskeletal, rehabilitation, hydrotherapy, emergency department, intensive care and women’s health physiotherapy.

Sarah has an interest in all areas of musculoskeletal physiotherapy and is always looking for opportunities to expand her knowledge to grow as a clinician. Sarah is highly ambitious and applies herself in all areas of work and life. She is driven by her desire to become a go-to physiotherapist by providing the best evidenced-based care to all of her clients to achieve positive outcomes. Sarah enjoys staying active, being outdoors, and socialising. Sarah enjoys new experiences and is always willing to try new things. Sarah believes you can achieve anything if you put your mind to it and are willing to put in the effort.

Sarah has completed training in comprehensive assessment and treatment of the pelvic floor. This includes complete subjective and objective (including internal examinations) of pelvic floor problems, such as:

  • Bladder and bowel issues
  • Antenatal and postnatal pelvic floor
  • Pregnancy related back pain
  • Pre and postnatal exercise
  • ProlapseTears during child birth

Sarah consults from our Rhodes clinic.



Wilson graduated from University of Sydney as a physiotherapist and he has always been keen on learning new things so that he can do what is best for patients. On top of ongoing professional development, he completed a Master in Musculoskeletal Physiotherapy from University of Melbourne to gain further knowledge.

Wilson has worked in various private practices in the past and managed a variety of clienteles, from acute musculoskeletal and sports injuries to pre/post-op rehabilitation, and from injury prevention to performance enhancement. He has also done a range of sports coverage as a physiotherapist, such as City2Surf and Sydney Half Marathon etc.

Wilson has done extensive training and obtained certifications in multiple techniques and areas, below are some examples but not limited to:

  • Dry Needling
  • Mulligan’s Concepts
  • McKenzie Method of Mechanical Diagnosis and Therapy
  • Kinesio Taping
  • Sports Level 1 and 2

When Wilson is not working and not injured (if injured, rest and doing own rehab), he plays competitive table tennis. He is also a recreational road and trail runner.

Wilson can speak Cantonese and Mandarin.

Jay Kasthuriarachchi Senior Physiotherapist

Grad. Cert. of Sports Physiotherapy (La Trobe University)

Jay is a relaxed yet attentive and thorough physiotherapist whose passion lies in sports and musculoskeletal physiotherapy. He has worked in private practices in North Sydney and Richmond, as well as doing sports coverage work over a variety of sports including Gridiron, Football (Soccer), Rugby Union, Rugby League, AFL and is currently the lead physiotherapist of the West Tigers SG Ball (Under 18) and Harold Matthews Squads (Under 15). He was recently part of the medical team working at the Goldcoast Commonwealth Games in April 2018.

Jay is currently completing postgraduate qualifications in Sports Physiotherapy at La Trobe University as well as attending regular professional development courses. As a result, Jay is extremely knowledgeable and skilful with the ability to lead you to excellent results. He will find out why you cannot perform at your peak and develop a treatment plan that addresses your goals.

Jay also has had experience playing cricket, having played 1st grade cricket for the North-West Sydney Hurricanes in the Sydney Shires Competition and understands the frustration that “weekend warrior” athletes have with missing out on playing sports due to an injury.

He has completed advanced training in:

  • Trigger Point Dry Needling Level 1
  • Sports Level 2 (APA)
  • Rocktape Level 1
  • Strength and Conditioning Coach Level 1