Tendon Repairs: Restoring Strength, Motion, and Stability

Tendons are the critical connectors between muscles and bones—they transfer the force needed for movement. When a tendon tears, whether in the shoulder, knee, elbow, or foot, it won’t heal properly without surgical repair. Dr. Todd Pitts explains what tendon injuries are, how they’re repaired, and what recovery looks like after surgery.

Common Tendon Injuries We Treat:

  • Patellar tendon rupture (often in younger athletes)

  • Quadriceps tendon rupture

  • Achilles tendon rupture

  • Distal biceps tendon rupture (elbow)

  • Rotator cuff tears (shoulder)

  • Tendons are strong, flexible tissues that connect muscles to bones. When a muscle contracts, it pulls on the tendon, which in turn moves the bone. Tendons are essential for every step, lift, and reach you make. But when they tear—especially completely—they often require surgical repair to restore function.

  • Tendon repairs involve:

    • Bringing the torn ends back together using strong sutures

    • Anchoring the tendon to the bone if it has fully detached

    • Protecting the repair so the tendon can heal over time

    The repair itself is straightforward—but recovery is where the real work begins.

  • Tendon healing is a gradual process that unfolds in three phases:

    1. Immobilization & Protection (First 6–8 Weeks):

      • No weight-bearing or active use of the repaired tendon

      • Gentle passive motion only to maintain joint flexibility

    2. Early Recovery & Mobility:

      • Start using the joint actively once cleared

      • Begin supervised physical therapy

    Strengthening & Return to Activity:

    • Gradual increase in resistance and activity

    • Return to full function or sport over 3–6 months, depending on location and severity

    Recovery for a rotator cuff or sports-related repair may take 4–6 months or longer for full return to overhead or high-impact use.

    • Tendons don’t heal well on their own

    • Surgical repair restores strength and structure

    • Recovery requires patience, protection, and guided therapy

    • Most patients return to full activity once healing is complete