What We Treat

Tendinitis treatment in Vancouver.

The tendon that burns every time you reach, grip, or lift. The ache that started small and quietly took over. It’s fixable, and it starts with a cause-first evaluation, not a guess.

Overuse pain Tendon flare-ups Grip pain Talk to a Specialist

Sound Familiar?

Does this sound like you?

  • A burning ache that flares every time you reach overhead
  • Tendon pain that started small and now shows up with every grip
  • Stiff and sore first thing in the morning until you work it loose
  • Setting things down early because holding on just aches
  • Pain that creeps in a few hours after the yard work, not during it
  • Skipping the workout because the same tendon lights up every time

Two or more sound familiar? Keep reading.

Why It Happens

Tendinitis is a symptom. Something causes it.

Your tendon doesn’t flare for no reason. Tendinitis is an irritated, overloaded tendon: it’s been asked to do more than it could recover from. It’s usually a mix of culprits: a jump in activity the tendon wasn’t ready for, weak supporting muscles, stiff joints nearby, and daily habits that keep reloading the same spot before it heals.

None of that shows up on a quick glance. It takes a real, cause-first evaluation to sort out what’s actually overloading the tendon. That’s why rest, ice, or a generic stretch sheet so often falls short: they treat the symptom, not the source. Find the real cause, and the fix gets obvious.

Person holding their own wrist in discomfort

The Honest Truth

Waiting on a tendon doesn’t make it wait on you.

If you keep waiting

  • A short-term flare settles into a months-long, stubborn problem
  • Flare-ups stop being an occasional thing and start being a daily one
  • You use the arm less to dodge the pain, which weakens the exact muscles meant to protect the tendon

If you start this week

  • You know the actual cause by the end of visit one
  • Hands-on care and smart load changes start calming the tendon right away
  • You get a plan with an endpoint: a real one, not an open tab of visits

Nobody regrets starting too early. Every week, someone in our clinic says they regret waiting.

How We Fix It

The same four phases. Built for your tendon.

Every plan has an endpoint. Here’s what the four phases look like for an irritated tendon.

Weeks 1–2

Pain

Calm the inflammation down.

Load changes and hands-on care take the edge off the irritated, inflamed tendon, starting your very first visit.

Weeks 2–6

Prime

Get your motion back.

Targeted mobility restores the motion the sore tendon and stiff joints have been guarding.

Weeks 6–10

Perform

Rebuild the tendon’s strength.

A progressive tendon-loading plan rebuilds strength so the tendon holds up under real demand.

Weeks 10+

Prevent

Return better than before.

Your reaching, gripping, and lifting mechanics get tested under real load before you’re cleared to go all-in: that’s the endpoint, not just another appointment.

I had injured my hand about a month back. Andrew was very thorough explaining everything I needed to do to be able to fix my pain the fastest and took the time to explain things to me and answer all of my questions. I would highly recommend him!

Shared by Sarah S. · Hand injury

Week 1: a month-old hand injury and pain with everyday tasks

Week 6: clear on the plan and back to pain-free hands

Hand injury 6 weeks

Related Conditions

Pain rarely stays in one place.

Compensation patterns often show up nearby. Here’s what else we treat.

1

Carpal Tunnel Syndrome

Numbness, tingling, and a grip that fades right when you need it.

Learn More 2

Tendinitis

Reaching overhead or gripping flares a tendon that will not calm down.

Learn More 3

Nerve Pain

Burning, tingling, or numbness down your arm that no one has explained.

Learn More

Questions, Answered

What people ask before booking for tendinitis.

No. You can book directly, no referral needed. Most tendinitis is diagnosed hands-on, and imaging rarely changes the first steps of care. We start with a cause-first evaluation to find what is overloading the tendon, and if imaging ever becomes genuinely necessary, we will help you get it. You don't have to wait on a scan to start feeling better.

Usually not. Tendons that have been irritated for weeks or months still respond well to the right loading plan. The sooner you start the better, but it is rarely too late to calm it down and rebuild it. We work one-on-one with a Certified Hand Therapist, every visit, to find the cause and build the plan around it.

Most people feel meaningful change within a few visits. Tendons need time to rebuild, so a full plan runs through all four phases, Pain, Prime, Perform, and Prevent, typically over 8 to 12 weeks, depending on how long you've been dealing with it. Either way, you get a plan with an endpoint: you'll always know which phase you're in and what's left, not an open-ended string of appointments.

Book Your Visit

Ready when you are.

Request a time and a real person calls you back, usually within two business hours. No phone tree. No ‘someone will reach out.’ Just a plan.

  • Hours Mon - Fri: 8am - 5pm
  • (360) 309-0176 Prefer to talk now? Call us.
  • Same-week appointments available

5.0 · 19 Google reviews

Typical response: under 2 business hours

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Dynamic Arm & Hand Therapy

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