Overuse
Tendon and overuse
A physical therapist looks at how your training adds up, tests the strength around the sore spot and plans how to load it.

Is this for you?
This care is for you if
Pain builds as a ride or run goes on
We look at the load you have been adding and the strength behind it.
It eases once you warm up, then comes back
A pattern worth testing, so the plan fits it.
Rest helped, and it returned with training
Rest alone often stops short of building what the tendon needs.
You are not sure whether to train through it
We help you decide what to keep, change or pause.
A visit
What a visit looks like
A first visit is about an hour with a physical therapist.
- 01
Step 1: Tell us how it started
What changed in your training, your gear or your week.
- 02
Step 2: We test and press
Strength, movement and the sore spot itself, so we know what we are working with.
- 03
Step 3: We explain what we find
In plain words, with what is likely to help and what is not known.
- 04
Step 4: Leave with a plan
Exercises, how much of your sport to keep and what we will check next time.
What we do
How we work with you
Load planning
How much you do, how often and how fast it builds, set around your calendar.
Strength work
Exercises that ask the tendon and the muscles around it to do more, in steps.
Hands-on care
Manual therapy to ease stiffness when it helps you do the work.
Good to know
What decides how many visits
It depends on what we find, how long it has been going on, what you want to get back to and how the first weeks go. We tell you what we expect after your first visit and review it with you as we go.
Who treats you
A physical therapist at every visit. Each of our therapists holds a Vermont license, and the lines are on the team page and in the footer.
Meet the teamHow it is paid for
We bill many kinds of plans for evaluation and treatment visits, and you can pay yourself. The fees page explains how.
How fees workWhen to see a doctor first or call 911
See a doctor first if pain started after a crash or a fall, if an arm or leg is numb or weak, or if pain wakes you at night. Tell us if a sore spot is hot, swollen and red, or if you cannot put weight on it. Call 911 for chest pain, trouble breathing, or a head injury with confusion or a loss of consciousness.
Questions
A few questions about this care
Do I have to stop training?
Not always. We tell you what to keep, what to change and what to pause, and we revisit it as you go.
Will you give me an injection or a scan?
No. We are physical therapists. If we think you need an imaging study or a doctor's opinion, we say so and explain why.
Can I come in before it gets worse?
Yes. Early is a fine time to come in, and a movement screen is an option if nothing hurts yet.
Sore and still training?
Tell us what you do and how it feels, and we will plan a first visit around it.