EPI + eccentric exercise: the most effective treatment for tendinopathies

EPI + eccentric exercise: the most effective treatment for tendinopathies

The combination of EPI (Percutaneous Intratissular Electrolysis) y eccentric exercise is currently one of the most effective treatments for chronic tendinopathies. chronic tendinopathiesespecially in active patients and athletes.

At MIVI Healthwe use this approach to treat the source of the problem and accelerate functional recovery.

 

What is eccentric exercise?

 

The eccentric exercise is one in which the muscle contracts while lengthening.

This type of therapeutic training:

  • Improved tendon tolerance to loading

  • Promotes recovery in chronic injuries

  • It is key in advanced physical therapy programs

 

👉 It is considered one of the bases of modern treatment of tendinopathies.

 

Why combine EPI and eccentric exercise?

 

The efficacy of this treatment lies in the fact that it acts both on the damaged tissue and on its function.

Combined action

 

  • EPI (Percutaneous Intratisular Electrolysis)

    It acts directly on the degenerated tendon tissue, stimulating its regeneration.

  • Eccentric exercise

    • Improves tendon loading capacity

    • Reorganizes collagen fibers

    • Strengthens the muscles involved

     

 

👉 This combination is considered to be one of the gold standard in sports physiotherapy.

 

Which lesions benefit from this treatment?

 

The EPI + eccentric exercise protocol is especially indicated in:

  • Patellar tendinopathy

  • Achilles tendinopathy

  • Epicondylitis (tennis elbow)

  • Plantar fasciitis

 

It is an effective option in lesions that do not improve with conventional treatments.

 

How long does the treatment last?

 

The usual duration is:

  • Between 4 and 8 weeksdepending on the type of injury

  • Adapted to the patient’s evolution and response

 

 

Is it possible to exercise with pain?

 

Yes, but in a controlled manner.

The exercise should:

  • Adjusting to the recovery phase

  • Be supervised by a physical therapist.

  • Avoid overloads that worsen the injury.

 

👉 The objective is to. load the tendon progressively and safely..

 

Recovery without surgery: the MIVI Salud approach

 

At MIVI Health we are committed to advanced conservative treatments that allow the patient:

  • Return to your sporting activity

  • Long-term reduction of pain

  • Avoid surgical interventions when possible

 

Author: Hugo Quintana

Director of MIVI Advanced Physical Therapy