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:
Immobilization & Protection (First 6–8 Weeks):
No weight-bearing or active use of the repaired tendon
Gentle passive motion only to maintain joint flexibility
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