{"id":66034,"date":"2026-04-14T12:05:10","date_gmt":"2026-04-14T10:05:10","guid":{"rendered":"https:\/\/mivisalud.com\/blog\/epi-eccentric-exercise-the-most-effective-treatment-for-tendinopathies\/"},"modified":"2026-04-14T12:05:10","modified_gmt":"2026-04-14T10:05:10","slug":"epi-eccentric-exercise-the-most-effective-treatment-for-tendinopathies","status":"publish","type":"post","link":"https:\/\/mivisalud.com\/en\/blog\/epi-eccentric-exercise-the-most-effective-treatment-for-tendinopathies\/","title":{"rendered":"EPI + eccentric exercise: the most effective treatment for tendinopathies"},"content":{"rendered":"<p class=\"p1\">The combination of <span class=\"s1\"><b>EPI (Percutaneous Intratissular Electrolysis)<\/b><\/span> y <span class=\"s1\"><b>eccentric exercise<\/b><\/span> is currently one of the most effective treatments for chronic tendinopathies. <span class=\"s1\"><b>chronic tendinopathies<\/b><\/span>especially in active patients and athletes.<\/p>\n<p class=\"p1\">At <a href=\"chatgpt:\/\/generic-entity?number=0\"><span class=\"s2\">MIVI Health<\/span><\/a>we use this approach to treat the source of the problem and accelerate functional recovery.<\/p>\n<hr>\n<p>&nbsp;<\/p>\n<h2><b>What is eccentric exercise?<\/b><\/h2>\n<p>&nbsp;<\/p>\n<p class=\"p1\">The <span class=\"s1\"><b>eccentric exercise<\/b><\/span> is one in which the muscle contracts while lengthening.<\/p>\n<p class=\"p1\">This type of therapeutic training:<\/p>\n<ul>\n<li>\n<p class=\"p1\">Improved tendon tolerance to loading<\/p>\n<\/li>\n<li>\n<p class=\"p1\">Promotes recovery in chronic injuries<\/p>\n<\/li>\n<li>\n<p class=\"p1\">It is key in advanced physical therapy programs<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p class=\"p1\">\ud83d\udc49 It is considered one of the bases of modern treatment of tendinopathies.<\/p>\n<hr>\n<p>&nbsp;<\/p>\n<h2><b>Why combine EPI and eccentric exercise?<\/b><\/h2>\n<p>&nbsp;<\/p>\n<p class=\"p1\">The efficacy of this treatment lies in the fact that it acts both on the damaged tissue and on its function.<\/p>\n<h3><b>Combined action<\/b><\/h3>\n<p>&nbsp;<\/p>\n<ul>\n<li>\n<p class=\"p1\"><b>EPI (Percutaneous Intratisular Electrolysis)<\/b><b><\/b><\/p>\n<p class=\"p2\">It acts directly on the degenerated tendon tissue, stimulating its regeneration.<\/p>\n<\/li>\n<li>\n<p class=\"p1\"><b>Eccentric exercise<\/b><b><\/b><\/p>\n<ul>\n<li>\n<p class=\"p1\">Improves tendon loading capacity<\/p>\n<\/li>\n<li>\n<p class=\"p1\">Reorganizes collagen fibers<\/p>\n<\/li>\n<li>\n<p class=\"p1\">Strengthens the muscles involved<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p class=\"p1\">\ud83d\udc49 This combination is considered to be one of the <span class=\"s1\"><b>gold standard in sports physiotherapy<\/b><\/span>.<\/p>\n<hr>\n<p>&nbsp;<\/p>\n<h2><b>Which lesions benefit from this treatment?<\/b><\/h2>\n<p>&nbsp;<\/p>\n<p class=\"p1\">The EPI + eccentric exercise protocol is especially indicated in:<\/p>\n<ul>\n<li>\n<p class=\"p1\">Patellar tendinopathy<\/p>\n<\/li>\n<li>\n<p class=\"p1\">Achilles tendinopathy<\/p>\n<\/li>\n<li>\n<p class=\"p1\">Epicondylitis (tennis elbow)<\/p>\n<\/li>\n<li>\n<p class=\"p1\">Plantar fasciitis<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p class=\"p1\">It is an effective option in lesions that do not improve with conventional treatments.<\/p>\n<hr>\n<p>&nbsp;<\/p>\n<h2><b>How long does the treatment last?<\/b><\/h2>\n<p>&nbsp;<\/p>\n<p class=\"p1\">The usual duration is:<\/p>\n<ul>\n<li>\n<p class=\"p1\"><span class=\"s1\"><b>Between 4 and 8 weeks<\/b><\/span>depending on the type of injury<\/p>\n<\/li>\n<li>\n<p class=\"p1\">Adapted to the patient&#8217;s evolution and response<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr>\n<p>&nbsp;<\/p>\n<h2><b>Is it possible to exercise with pain?<\/b><\/h2>\n<p>&nbsp;<\/p>\n<p class=\"p1\">Yes, but in a controlled manner.<\/p>\n<p class=\"p1\">The exercise should:<\/p>\n<ul>\n<li>\n<p class=\"p1\">Adjusting to the recovery phase<\/p>\n<\/li>\n<li>\n<p class=\"p1\">Be supervised by a physical therapist.<\/p>\n<\/li>\n<li>\n<p class=\"p1\">Avoid overloads that worsen the injury.<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p class=\"p4\"><span class=\"s4\">\ud83d\udc49 The objective is to. <\/span><b>load the tendon progressively and safely.<\/b><span class=\"s4\">.<\/span><\/p>\n<hr>\n<p>&nbsp;<\/p>\n<h2><b>Recovery without surgery: the MIVI Salud approach<\/b><\/h2>\n<p>&nbsp;<\/p>\n<p class=\"p1\">At <a href=\"chatgpt:\/\/generic-entity?number=1\"><span class=\"s2\">MIVI Health<\/span><\/a> we are committed to advanced conservative treatments that allow the patient:<\/p>\n<ul>\n<li>\n<p class=\"p1\">Return to your sporting activity<\/p>\n<\/li>\n<li>\n<p class=\"p1\">Long-term reduction of pain<\/p>\n<\/li>\n<li>\n<p class=\"p1\">Avoid surgical interventions when possible<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Author:<\/strong> <a href=\"https:\/\/www.linkedin.com\/in\/hugo-quintana-lavado-76a3a0175\/\">Hugo Quintana<\/a><\/p>\n<p>Director of MIVI Advanced Physical Therapy<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The combination of EPI (Percutaneous Intratissular Electrolysis) y eccentric exercise is currently one of the most effective treatments&hellip;<\/p>\n","protected":false},"author":11,"featured_media":66033,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[563],"tags":[],"class_list":["post-66034","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categorizar"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u25b7 EPI + eccentric exercise: the most effective treatment for tendinopathies | Mivi<\/title>\n<meta name=\"robots\" content=\"index, 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