Prevent Tennis Court Conditions

Prevent Tennis Court Conditions

Integrated Physical Medicine by Naval Mair

For us here in London, the world’s oldest tennis tournament, the Wimbledon Championships, provoke sentiment and patriotism. For many of us as ‘once a year amateur fair whether tennis players’ we develop a strong competitive edge so as to break each other’s service through several sets of tennis, we leverage spin at one another on the court, we lob in defence and overhead smash with gusto along that centre service line.

Injuries naturally ensue and at Integrated Physical Medicine, London we are kept very busy with patients who suffer these tennis court ailments. Here are some common injuries we see help during this season.


These are a range of conditions with restriction of movement and pain between the heel bone or calcaneus and the calf muscle. Imaging of the region often reveals degenerative changes that are the result of long-term excessive strain or inappropriate mechanical stress through the region.

Healing is impaired if the structure of the tendon changes and circulatory nutrient delivery to the area is disturbed.

Commonly, but not always, achillodynia affects men more than women, and those aged 35 to 45 who also may have foot mal-alignment, and perhaps those who exercise on hard surfaces like clay tennis courts.

Athletic stabilising taping and contrast compression using ice then heat packs for 10 minutes alternatively might assist as self-help measures in the early stages of these conditions.

Later stages may require steroid injections but often respond well to a course of radial shockwave therapy and adjunct integrated physical medical approaches by an experienced clinician.

Tibial Stress Syndrome

This is often caused by exercise-induced pain over the anterior shin bone or tibia and is an early stress injury which may develop into tibial stress fractures.

Modifying physical activity to being less repetitive and bearing less load through the shin will be the first step to self-help.

Ice compression, stretching the shin muscles can help, together with acquiring gait analysis and associated retraining advice from a clinician. Investigate possible benefits from calcium and vitamin D use. Extracorporeal shockwave therapy is a natural non-invasive treatment choice that is shown to work.

Trochanteric Tendinopathy

This is a painful collection of conditions causing difficulty of the thigh and outer hip regions.

Tissues covering the area of the thigh bone (aka the greater trochanter) become irritated. Tendons and bursae become inflamed and become the epicentre of pain.

To self-help, slow down the progressive loading upon the soft tissues here through exercise that strengthens the muscles involved.

Ensure equal 50:50 weight bearing between feet. Avoid crossing legs in a lotus position and avoid deep seats. Side lying sleep on the pain free side will rest the afflicted side.

This can take some months to stabilise and regulate, but focused integrated physical medicine approaches will accelerate recovery to weeks.

Calcific Tendinitis

Calcific tendinitis is commonly found in the shoulder girdle but also around the body. Calcium deposits build up within tendons. There is also associated inflammation of the bursae around the tendons that contributes to the pain.

It is more common in patients with other calcium-related disorders, such as kidney stones or even hyper-parathyroidism.

Subject to clinical orthopaedic examination, evidence supports shockwave therapy to break up a calcific deposits and allow the body to resorb the calcium. Here, shockwaves are delivered through the skin over a course of treatment over several weeks with a high recovery rate.

In any event feel free to reach out for advice or treatment, we are here to help.

Integrated Physical Medicine by Naval Mair

Studio 5 Royal Victoria Patriotic Building, John Archer Way, SW18 3SX

020 8812 3733,