Runner lacing up shoes on a coastal boardwalk at sunrise, Achilles in focus

Medically reviewed by Derek Wimmer, PA

Quick answer

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 ultrasound.

What it isChronic tendon pain (tendinopathy)
Common sitesElbow, Achilles, patellar, shoulder
Top optionsFocused shockwave, PRP
GuidanceIn-office ultrasound

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 unhurried conversation and an in-office ultrasound, so we can see the area clearly. From there, Derek builds a personalized, honest plan — and explains exactly what each option can and cannot do 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 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.