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What You Need to Know to Prevent and Treat Tendonitis

Is that nagging elbow or ankle pain more than just soreness? If it flares up with movement and doesn’t ease with rest, it could be tendonitis — and you’re not alone.

We treat tendonitis every week at our Upper Manhattan clinics, helping patients recover from repetitive strain and get back to pain-free movement. Whether you're an athlete, a student, or someone who just returned to a new activity too fast, our job is to help you heal and stay active for the long term.

>>>Request your one-on-one session today and get the personalized care your body needs.

What Is Tendonitis, Really?

Tendonitis is the inflammation of a tendon — the strong cord that connects muscle to bone. It’s often caused by overuse, improper movement, or sudden increases in activity, and it shows up most commonly in:

  • Elbows (tennis or golfer’s elbow)
  • Shoulders
  • Knees (jumper’s knee)
  • Achilles tendons
  • Wrists

We see it often in people who’ve recently changed routines — like new gym-goers, busy parents, or students carrying heavy bags around campus. The good news? You don’t have to live with it or wait it out.

Why Tendonitis Happens

Tendonitis rarely appears without warning. It usually results from accumulated stress and small mechanical inefficiencies. Common causes include repetitive activities such as typing, weightlifting, or running, especially when done with poor posture or movement patterns. Overloading the body too quickly, skipping proper warm-ups, or allowing muscle imbalances to build over time can also set the stage for tendon irritation.

In our clinics, we’ve seen students at Columbia pushing through long hours on laptops without ergonomic setups, and Harlem-based professionals who return to intense workouts after a long break. Both are common pathways to tendon inflammation if the body isn’t prepared.

How to Know If You Have Tendonitis

Not all aches are tendonitis, but certain patterns help us recognize when a tendon is involved. Symptoms usually begin with a mild ache at a joint — like the elbow, knee, or ankle — that intensifies with repetitive movement. There may be a distinct tenderness when pressing on the tendon, and in some cases, swelling or a sensation of crackling when the area moves.

Stiffness is another common sign, especially after periods of inactivity. If any of these symptoms are sticking around for more than a few days, it’s worth having them assessed before they become a long-term issue.

How We Treat Tendonitis (and Help Prevent It from Coming Back)

Tendonitis responds best when we address both the pain and the pattern behind it. We don’t believe in cookie-cutter protocols — we design care plans that meet you where you are and help you get where you want to be.

We often begin with Manual Therapy and Active Release Technique (ART) to decrease tissue tightness and improve blood flow around the tendon. These hands-on approaches are especially useful for breaking up adhesions and restoring more natural movement.

For more persistent or chronic cases, we may incorporate NEUBIE Therapy to reset dysfunctional neuromuscular patterns and stimulate tissue regeneration. This technology allows us to work deeper and faster without increasing pain.

We also use Pilates for Rehab to build movement control, reduce compensations, and stabilize the surrounding joints. In addition, Cupping Therapy and Low-Level Laser Therapy help support circulation and reduce inflammation during the recovery process.

When needed, we monitor Heart Rate Variability (HRV) to track recovery patterns and avoid overtraining. All of this comes together in one customized program built around your unique body, goals, and timeline.

The Daily Habits That Make a Difference

Small adjustments in your routine can go a long way in preventing tendonitis and protecting your long-term mobility. We regularly help patients in Harlem and Morningside Heights make these changes to reduce stress on their tendons and avoid re-injury. Some of the most impactful habits include:

  • Warming up properly before physical activity
  • Using ergonomic setups at work and at home
  • Taking regular movement breaks during repetitive tasks
  • Strengthening underactive muscles and improving flexibility
  • Addressing tightness and minor pain early, before it escalates

These aren’t just recovery strategies — they’re part of a lifestyle that supports strength, balance, and injury resistance.

Why Location-Specific Care Matters

Every neighborhood has its own rhythm. Our patients in Harlem often face physically demanding jobs or full family schedules that make recovery tricky without the right support. In Morningside Heights, many of our patients are students, professors, or performers managing high mental loads and inconsistent physical activity.

That’s why we tailor not just the treatment — but the delivery. We offer convenient, community-rooted care that meets you where you are, with programs designed for real life in Upper Manhattan.

Take the Next Step Toward Relief

Tendonitis can go from annoying to debilitating if left untreated — but it’s also one of the most treatable conditions we see. With early, focused care, most of our patients return to full activity quickly and with better body awareness than before.

Our team combines advanced therapies with personalized care that goes deeper than just temporary relief. Creative Physical Medicine for Health and Healing is more than our philosophy — it’s the way we help your body move forward, stronger and smarter.

Call us at 212-222-6525 or request your appointment online. Whether you're in Harlem or Morningside Heights, expert care for tendonitis is just around the corner.