Tendon injuries are among the most common overuse injuries. Historically, tendon injuries were commonly thought to be a tendinitis, with the “itis” suffix indicating inflammation, hence conventional management was aimed at reducing the inflammatory process with things such as RICE (Rest, Ice, Compress, Elevate) or anti-inflammatory medications or injections. Unfortunately this is commonly unsuccessful, particularly in the long term. What is now understood is that tendon disorders are generally degenerative, as a result of too much stress on the tendon (either from overuse, or from a sudden change in use that traumatizes the tendon), and injury-related, disease-related or age-related changes. Often there can be an anatomical cause for tendon disorders – some people just have a problem with the way they are built or the way they move…and that needs to be addressed. All of these conditions may be associated with a tendon’s lack of ability to properly heal itself.