Chronic tendonitis can significantly impact daily life and athletic performance. When simple treatments such as modified activity strengthening exercises and shockwave therapy fail, procedures like percutaneous tenotomy offer a minimally invasive alternative to surgery. So what is percutaneous needle tenotomy, and how can it improve tendon recovery? What is percutaneous tenotomy? Percutaneous needle tenotomy [...]
Platelet-rich plasma (PRP) has become an established injection treatment for arthritis and tendonitis. However, not all PRP systems are equal. The Arthrex ACP Max system delivers a much higher platelet dose than standard PRP — enough to treat most conditions with a single injection. Dr Masci offers Arthrex ACP Max at his London clinics, [...]
Proximal hamstring tendon injuries are common, particularly in explosive sports involving sudden bursts of speed. They occur when one or more hamstring tendons at the back of the thigh become swollen (tendinosis) or tear — partially or fully — from their origin at the ischial tuberosity, the "sit bone". Distinguishing a proximal hamstring tear [...]
Ciprofloxacin is a widely prescribed antibiotic in the fluoroquinolone class, used for bacterial infections such as urinary, respiratory, and skin infections. Other fluoroquinolones include ofloxacin, levofloxacin, and norfloxacin. They're effective — but linked to a serious, potentially life-altering side effect: tendon damage, particularly tendon rupture. So what's the link between Cipro and tendon rupture? [...]
The Achilles tendon is the largest tendon in the body and the most commonly injured. Exercise therapy is the most effective treatment for Achilles tendonitis, but in complex cases, we add treatments to support it — and one of the best-evidenced is shockwave therapy. So what is it, and how well does shockwave therapy [...]
Tendons attach muscles to bones, allowing movement by directing high forces from the muscle to the bone. Tendon disease, also known as tendonitis, develops due to overload and results in pain and reduced function. We offer a range of treatments for tendonitis, including exercise, GTN patches, shockwave therapy, and injections. A type of injection [...]
Running builds a stronger heart, lungs, and bones — but it loads the tendons hard, and the Achilles is especially vulnerable. Achilles tendonitis in runners is common, stubborn, and, contrary to popular belief, does not respond to complete rest. The most effective treatment is a progressive calf-strengthening programme. This guide sets out exactly how [...]
Tendonitis is a common tendon problem that causes pain with activity. We know tendons respond to exercise therapy, and we sometimes add ibuprofen, GTN patches, shockwave, and injections. Recently, interest has grown in collagen supplements for tendonitis to speed healing. So do supplements for tendonitis work, and should you take them? Supplements are one [...]
We use PRP (platelet-rich plasma) injections for arthritis and tendonitis. Because PRP comes from your own blood, what you do before and after the injection can make a real difference to how well it works. So what is the PRP injection recovery time, and what should you do before and after to get the [...]
A cortisone shot offers quick pain relief for joint and tendon problems. How we manage you afterwards depends on what was injected and how active you were beforehand. So do you need to rest after a cortisone injection, and when can you return to weight training and running? What are the side effects of [...]
