Medically reviewed by Derek Wimmer, PA
Tendinopathy is chronic tendon pain from overuse or degeneration, common in the elbow (tennis/golfer's elbow), Achilles, patellar tendon, and rotator cuff. Wimmer treats it non-surgically with focused shockwave therapy and PRP, guided by in-office imaging (ultrasound or fluoroscopy) when it adds precision.
| What it is | Chronic tendon pain (tendinopathy) |
|---|---|
| Common sites | Elbow, Achilles, patellar, shoulder |
| Top options | Focused shockwave, PRP |
| Guidance | In-office imaging as needed |
Common causes & symptoms
- Tennis elbow and golfer's elbow
- Achilles tendinopathy
- Patellar (knee) tendinopathy
- Rotator cuff tendon pain
- Pain that lingers despite rest
When to seek care
If tendon pain is limiting your activity, lingering for more than a couple of weeks, waking you at night, or causing swelling or instability, it's worth a proper evaluation. Early, accurate assessment often opens up more — and less invasive — options.
How we evaluate it
Your visit begins with an in-office evaluation, with imaging — ultrasound or fluoroscopy — when it's needed, so we can see the area clearly. Occasionally we'll arrange additional imaging elsewhere. From there, Derek builds a personalized, honest plan — and walks you through the options for your situation.
Non-surgical options we may consider
- Focused shockwave therapy — a leading non-surgical option for stubborn tendons
- PRP injections — to support tendon repair signaling
- Image-guided injections — precise targeting
- Load & activity guidance — to rebuild tendon resilience
Keeping you active
For golfers, pickleball and tennis players, boaters, and active retirees, the goal isn't just less pain — it's getting back to the life you love and staying there. That's the heart of how we plan your care.
Frequently asked questions
Tendinopathy often persists because the tendon has degenerative changes that rest alone doesn't resolve. Targeted therapies like focused shockwave and PRP address the tissue directly.
Both are valuable; the right choice depends on the tendon, severity, and your goals. Sometimes they're combined. We'll recommend after evaluation.
Tendon healing takes time and varies by person. Many patients improve gradually over several weeks as part of a structured plan.
