Our structured Tendon Recovery Packages combine advanced focused shockwave therapy with expert physiotherapy, backed by direct access to London's leading Sports Medicine Consultants with specialist interest in tendon health.
Clinical research shows focused shockwave combined with progressive loading achieves 70-85% success rates in chronic tendinopathy.
Direct referral to tendon specialists—appointments within days, no GP referral needed.
Three tiers from £740—know exactly what you're getting upfront.
Tendon pain usually develops when the tendon is exposed to more load than it can tolerate over time. Unlike muscle injuries, tendon problems often develop slowly and can persist for months or even years without the right treatment approach.
Common causes include:
Repetitive strain or overuse
Sudden increases in training or activity
Returning to sport too quickly
Previous injuries that never fully recovered
Long periods of rest followed by flare-ups
Over time, the tendon becomes weaker and less able to handle everyday loads. This is why pain often returns as soon as activity resumes.
This diagram shows why modern tendon rehabilitation focuses on progressive loading rather than inactivity.
Many people are told to "rest and let it heal," but with chronic tendon pain this rarely works. Prolonged rest can reduce tendon strength and lower load tolerance, increasing the risk of recurring pain.
Tendons need the right type of mechanical stimulus to heal and adapt. Our London-based tendon rehabilitation programmes combine:
Structured exercise therapy
Focused shockwave treatment
Objective strength testing
Early improvement and pain relief
Significant functional recovery
Full tendon remodelling
Tendon recovery takes longer than muscle recovery—this is completely normal. Progress is rarely linear. Occasional flare-ups are common and do not mean damage. What matters is steady improvement over time with the right treatment plan.
Is it safe to exercise with tendon pain? Yes—in most cases, exercise is essential for recovery. When prescribed correctly, exercise stimulates tendon healing, improves strength, reduces long-term pain, and helps prevent recurrence. Some discomfort during rehab is normal. At our Mayfair clinic, your loading programme is closely monitored and adjusted to ensure it is safe, effective, and appropriate for your stage of recovery.
Rest or activity modification
General physiotherapy
Injections
Online exercise programmes
The tendon wasn't loaded progressively
Exercises weren't specific enough
Rehab stopped too early
Progress wasn't objectively measured
Successful tendon rehabilitation requires a structured, long-term approach guided by clinicians experienced in managing chronic tendinopathy. At Physio Remedies in Mayfair, we provide dedicated programmes designed to deliver long-term results.
Piezowave2 Focused Shockwave
Gold standard technology delivering highly targeted energy to the precise area of injury, stimulating powerful healing deep within tendon tissue.
Specialist Physiotherapists
Highly experienced physiotherapists with body-specific expertise, delivering treatment with in-depth understanding of your condition.
Objective Progress Tracking
Using VALD Dynamo dynamometry, VALD ForceDecks testing, and MAT to objectively track progress and ensure measurable improvements in tendon capacity.
Evidence-Based Protocols
Progressive loading exercises based on the protocols of Peter Malliaras, world-leading physiotherapist in tendinopathy research, combined with focused shockwave therapy.
Trusted by Leading Consultants
London's top orthopaedic and sports medicine consultants with specialist interest in tendon health trust us with their patients—a testament to our clinical excellence.
Comprehensive Care Pathway
We address the root cause, providing a clear structured pathway from initial pain relief through to full return to activities.
Not all shockwave therapy is the same. Here's why it matters for your recovery.
Concentrated energy precisely to injured tendon at depth
More powerful therapeutic effect at exact injury point
Reaches deeper tendon structures and calcific deposits
Supported by higher-quality research for chronic tendinopathy
Why this matters: Focused shockwave therapy is specifically designed for the precise, high-energy treatment that chronic tendinopathy requires. This is why our packages deliver superior outcomes compared to "gun on the tendon" approaches you may have tried elsewhere.
We specialise in the treatment of chronic tendon pain and related musculoskeletal conditions.
Achilles Tendinopathy
Insertional & Mid-portion
Pain and stiffness in the Achilles tendon, often worse in the morning or after activity.
Plantar Fasciitis
Heel Pain
Sharp pain in the heel or arch of the foot, typically most severe with the first steps of the day.
Patellar Tendinopathy
Jumper's Knee
Pain just below the kneecap, common in jumping sports like basketball and volleyball.
Gluteal Tendinopathy
Lateral Hip Pain
Pain on the outside of the hip, often making it difficult to lie on that side at night.
Hamstring Tendinopathy
Proximal / High Hamstring
Deep pain in the buttock or upper thigh, often aggravated by sitting or running.
Tennis & Golfer's Elbow
Lateral & Medial Epicondylitis
Pain on the outside or inside of the elbow, often related to gripping or repetitive arm use.
Rotator Cuff Tendinopathy
Shoulder Pain
Pain and weakness in the shoulder, often making it difficult to lift the arm or sleep.
Calcific Tendinopathy
Shoulder & Other Areas
Calcium deposits within the tendon causing significant pain and restricted movement.
Three distinct packages designed around evidence-based frameworks to ensure optimal recovery. The cost of the initial consultation (£190) is included in all package prices.
3 months
Foundation for early-stage tendonopathy
1 x Initial Assessment (60 mins)
Up to 3 Shockwave Sessions
2 x Follow-up Physio (30 mins)
Progressive Loading Exercise Program
(Save £220)
6 months
Comprehensive care for chronic conditions
1 x Initial Assessment (60 mins)
Up to 5 Shockwave Sessions
4 x Follow-up Physio (30 mins)
Biomechanical Assessment
2 x VALD Performance Testing and reporting (30 mins)
Return to pre-injury activities/sports training
Video Library Access & Email Support
Metabolic, Hormonal & Lifestyle Assessment
Compex & BFR Available
(Save £350)
9 months
Ultimate solution for athletes & complex cases
1 x Initial Assessment (60 mins)
Up to 6 Shockwave Sessions
8 x Follow-up Physio (30 mins)
Advanced Biomechanics & Movement Video Analysis
3 x VALD Performance Testing and reporting (30 mins)
Periodised Exercise Plan with Sport Specific Strength & Conditioning
Return-to-Sport Protocol
Email & Phone Support
Compex & BFR Available
Free CHOICE: Sports Specific Analysis / Massage
16-Week Review Included
Take the first step towards pain-free movement. You're never alone in your recovery—we have direct access to London's top Sports Medicine Consultants and can arrange appointments in days, not weeks.
Phone: 020 3012 1222
Location: Mayfair, London
Booking: Call 020 3012 1222 to book your initial assessment
A True Team Approach: If at any stage we feel physiotherapy and shockwave aren't working as expected, we have direct access to London's leading Sports Medicine Consultants and Orthopaedic Surgeons with specialist interest in tendon health. Our integrated team approach ensures you always have a clear path forward, including diagnostic imaging, guided injection procedures, or surgical consultation if required.
Most patients experience some discomfort during treatment, but the intensity is adjusted to your tolerance. Sessions are short (typically 8-12 minutes with focused shockwave), and discomfort usually subsides quickly.
Research and our clinical experience show that 3-6 sessions of focused shockwave are typically required for optimal results, which is why our packages are structured this way.
We use VALD Dynamo dynamometry, VALD ForceDecks testing, and MAT (Muscle Activation Techniques) to measure your tendon's ability to tolerate load. This gives us objective data on your progress, not just subjective feedback. Patients and insurers value seeing measurable improvements with real numbers.
Many patients notice improvements within 2-3 weeks, with significant pain reduction and functional gains typically occurring over 8-12 weeks. However, full tendon recovery and remodeling can take 6-12 months. Our objective load testing helps track your progress throughout this journey, ensuring you progress safely at each stage. Remember: tendons heal slower than muscles, but with the right treatment and patience, they heal stronger.
Your journey begins with a comprehensive 60-minute assessment including movement analysis and diagnosis. Shockwave sessions (8-12 minutes) are typically scheduled weekly or bi-weekly, combined with progressive physiotherapy to gradually rebuild tendon capacity. You'll receive a personalized home exercise program and ongoing support. Treatment is structured in phases: pain reduction, tissue healing, strength building, and return to full activity.
This depends on your condition severity. We'll provide clear guidance on activity modification—some activities may need temporary reduction while others can continue. The goal is to keep you as active as possible while allowing healing. As your tendon strengthens, we progressively increase load to prepare you for full return to sport, work, or daily activities.
Many patients have tried radial shockwave (the "gun" approach common in gyms) without success. Piezowave2 focused shockwave is fundamentally different—it delivers higher energy precisely to the injured tendon at depth. Combined with our progressive loading program and objective tracking, patients who failed previous treatments often achieve excellent results with our approach.
Many private health insurance providers cover physiotherapy and shockwave therapy. We can provide itemised receipts to submit to your insurer. We recommend checking with your provider about your policy specifics.
No referral is required to start. If imaging or further investigations are indicated, we can refer you directly to our Sports Medicine Consultants with specialist interest in tendon health.
We have direct access to Sports Medicine Consultants and Orthopaedic Surgeons with specialist interest in tendon health and can arrange appointments in days, not weeks. Our established pathways include diagnostic imaging, guided injection procedures, or surgical consultation if required. You'll never be left without a clear next step.
If you are unsure whether your condition is a tendinopathy, our initial assessment will provide a definitive diagnosis and determine the most appropriate treatment plan for you.
Package Duration & Validity
Essential Package:
Timeframe: 3 months
Validity: 6 months from purchase
Advanced Package:
Timeframe: 6 months
Validity: 12 months from purchase
Performance Reset Package:
Timeframe: 9 months
Validity: 18 months from purchase
Refund Policy
Full refund available within 14 days of purchase if no sessions have been used
Cancellation Policy
24 hours notice required for appointment changes
Late cancellations (< 24 hours) or no-shows will be charged at full session rate
Emergency cancellations considered case-by-case
Clinical Responsibility
Patients must disclose all relevant medical history and current medications
Patients must follow prescribed exercise programs for optimal results
Patients should report any adverse reactions or concerns immediately
We reserve the right to refer to Sports Medicine if condition requires specialist input
