Generalised Tendinopathy

Chronic tendinopathy can affect tendons at many sites, such as the quadriceps, hamstring and pectoral tendons, and typically causes pain with loading and reduced function. PRP (Platelet-Rich Plasma) is prepared from a small sample of your own blood and injected into the affected tendon under ultrasound guidance. It aims to reduce inflammation, which may lead to less pain.

PRP is generally considered when symptoms have persisted for three months or more despite a structured loading program. Treatment is combined with rehabilitation, which remains the foundation of tendon care. Results vary between individuals and suitability is assessed at consultation. Dr John sees patients with tendinopathy in Bowral, serving the Southern Highlands, and at Norwest Private Hospital in Bella Vista.

PRP Treatment Process

Tendon Mapping
Ultrasound identifies pathology

PRP Preparation
High platelet concentration

Peppering Technique
Multiple needle passes

Recovery and Pain Relief
Protecting the ligament during treatment with a knee brace may be required depending on grading of the injury

Treatment Eligibility

Ideal Candidates:
✔ Chronic tendon pain >3 months
✔ Ultrasound-confirmed degeneration
✔ Failed loading programs

Exclusions:
✘ Acute tendon ruptures
✘ Insertional tendinopathies

Pricing

Initial Consultation

30 minutes

$270

PRP Treatment

20 minutes

$550

PRP + Hyaluronic Acid

20 minutes

$750

Frequently Asked Questions

What is "Generalised Tendinopathy," and how does PRP aim to treat it?

Generalised tendinopathy refers to chronic pain and dysfunction affecting one or more tendons anywhere in the body (e.g., shoulder, elbow, hip, knee, ankle). It’s not primarily an inflammatory condition, but rather involves degeneration and disorganisation of collagen fibres within the tendon, often due to overuse or repetitive strain. Platelet-Rich Plasma (PRP) involves injecting a concentrated solution of your own blood platelets, which are rich in various growth factors, directly into the affected tendon. PRP aims to reduce inflammation in the affected area, which may lead to less pain.

Am I a suitable candidate for PRP treatment for generalised tendinopathy in Australia?

PRP treatment for tendinopathy is generally considered for individuals who have chronic tendon pain (typically lasting more than 3-6 months) that has not responded adequately to traditional conservative treatments. These often include rest, activity modification, specific rehabilitation exercises (like eccentric loading), physiotherapy, and sometimes other interventions. Your doctor will conduct a thorough assessment, which may include physical examination specific to your painful tendons, to confirm the diagnosis of tendinopathy and rule out other underlying issues. PRP is usually explored as a non-surgical option when conventional approaches have not provided sufficient relief for your chronic tendon pain.

What does a PRP injection for tendinopathy involve, and what's the typical recovery process like?

The procedure for a PRP injection for tendinopathy usually begins with a small amount of blood being drawn from your arm. This blood is then processed in a centrifuge to separate and concentrate the platelets, creating the PRP solution. The concentrated PRP is then precisely injected directly into the affected tendon. This injection is almost always performed under ultrasound guidance to ensure accurate placement within the diseased tendon. You might experience some mild discomfort or a feeling of pressure during the injection. After the procedure, it’s common to have some localised soreness, tenderness, or bruising at the injection site for a few days. Your doctor will provide specific post-injection instructions, which generally involve a period of reduced load or activity on the treated tendon, followed by a gradual and structured rehabilitation program. This rehabilitation is an important part of treatment. Improvement in symptoms often develops gradually over several weeks to many months

How many PRP injections are usually needed for tendinopathy, and is it covered by Medicare or private health insurance in Australia?

The number of PRP injections needed for tendinopathy can vary depending on the individual’s response, the specific tendon involved, and the chronicity/severity of the condition. While some patients may find relief with a single injection, many protocols suggest a course of 1 to 3 injections, often spaced a few weeks apart, to achieve optimal and more sustained results. Your treating doctor will advise on the most appropriate number of injections for your specific tendinopathy. In Australia, PRP treatments for tendinopathy are generally not covered by Medicare. This means the cost of the PRP procedure itself is typically an out-of-pocket expense for the patient. Similarly, most private health insurance funds in Australia currently do not provide rebates for PRP therapy for tendinopathy. It is always advisable to discuss the full costs involved and confirm any potential out-of-pocket expenses directly with your clinic and your private health fund prior to commencing treatment.

Book an appointment

 PRP aims to reduce inflammation, leading to pain reduction. Book a consultation in Bowral or Norwest to find out whether it is suitable for you.

Related reading

Learn more in our detailed guide: Can PRP Therapy Help Chronic Tendon Pain? Insights for Patients.