Heavy Load Exercise: The Key to Beating Tendinopathy?
Published: Feb 27, 2024
Heavy load exercise is emerging as a game-changer in treating chronic tendinopathy. This approach challenges traditional rest-based treatments, offering hope for faster, more effective recovery.
Contents
What is Heavy Load Exercise?
Heavy load exercise involves performing controlled, progressive resistance training using relatively heavy weights. The exercises are done slowly, emphasizing both the lifting and lowering phases. This method applies significant strain to the tendon, stimulating its repair and remodeling processes.
How Does It Work?
The controlled strain from heavy loading triggers a process called mechanotransduction in the tendon. This stimulates the production of new collagen and other healing factors. Over time, this leads to improved tendon structure and function. The heavy loads also help desensitize the area, reducing pain.

Implementing the Program
A typical program starts with lighter loads and progresses gradually. Exercises are usually performed 2-3 times per week. It's crucial to work with a knowledgeable therapist who can ensure proper technique and progression. While some discomfort is normal, pain should be kept at a moderate, manageable level.
Frequently Asked Questions
Yes, when done correctly under professional guidance.
Some discomfort is normal, but shouldn't be severe.
Many notice improvements within 6-12 weeks.
Initial supervision by a therapist is recommended.
Key Takeaways
Heavy load exercise offers a scientifically-backed, effective approach to overcoming stubborn tendinopathy.
Ready to try heavy load exercise for your tendinopathy? Consult with Doctronic to develop a safe, personalized program.Related Articles
References
Malliaras P, Barton CJ, Reeves ND, Langberg H. Achilles and patellar tendinopathy loading programmes : a systematic review comparing clinical outcomes and identifying potential mechanisms for effectiveness. Sports Med 2013; 43:267.
Beyer R, Kongsgaard M, Hougs Kjær B, et al. Heavy Slow Resistance Versus Eccentric Training as Treatment for Achilles Tendinopathy: A Randomized Controlled Trial. Am J Sports Med 2015; 43:1704.
Always discuss health information with your healthcare provider.