Tendinopathy is described as an overuse tendon pathology. The Achilles, rotator cuff, patella and elbow extensor tendons being the most commonly affected. Much research into how to best manage tendon pathology is currently evolving. This research is based on the continuum model presented by Cook and Purdam. This model describes 3 stages of tendon pathology (tendinopathy). Reactive, disrepair and degeneration stage. (Cook et al, 2008).