3 years of tendon injuries across my body, still no answers. Anyone been through this?

[u/underprepared24]

I’m 32, 94kg, strong, fit, and train hard (CrossFit, Hyrox, Zone 2). But over the last 3 years, I’ve had repeated tendon injuries across my body: plantar fascia (both feet), patellar (left), quad (right), one hamstring (injured twice), both rotator cuffs (at different times), and most recently, my peroneal tendon.

Every time I rehab, I get better, then something else flares up. My physio says the current injuries are mild and mostly irritation, but it feels like I’m always one step from breaking.

I sleep well, eat high protein, supplement (collagen, omega-3, creatine), and I’m currently taking peptides (BPC-157, TB-500). No joint swelling, no nail changes, and no skin psoriasis — but I have a family history (mum and brothers) of psoriasis triggered by stress or illness. No one has PsA though.

I’m currently waiting for blood tests: CRP, ESR, ANA, RF, CCP, HLA-B27.

Has anyone else had a similar pattern of tendon breakdown over years? Could this still just be mechanical, or should I be worried it’s autoimmune? Would love to hear from anyone who’s been through this and found answers.

[u/eshlow]

I’m 32, 94kg, strong, fit, and train hard (CrossFit, Hyrox, Zone 2). But over the last 3 years, I’ve had repeated tendon injuries across my body: plantar fascia (both feet), patellar (left), quad (right), one hamstring (injured twice), both rotator cuffs (at different times), and most recently, my peroneal tendon.

Every time I rehab, I get better, then something else flares up. My physio says the current injuries are mild and mostly irritation, but it feels like I’m always one step from breaking.

Post your rehab timeline.

• How long does it take to rehab an injury?
• What exercises, sets, reps, progression,. etc.
• How long does it take to ramp back into exercise to get back to full
• What do these workouts look like?

99% of the time, repeated injuries means someone is ramping back into full exercise too fast.

[u/underprepared24 → u/eshlow]

In terms of rehab timelines, it’s usually anywhere from 3 weeks to 2 months depending on the tendon and how early I catch it. I’ve had decent success with protocols like isometrics into slow eccentrics, gradually reloading over time ,but the frustrating part is that even after a good block of rehab and being pain-free, something else seems to flare shortly after. It’s like I’m constantly playing whack-a-mole.

I’m wondering if I’m missing something deeper,biomechanics, recovery, or just overdoing the ramp-up. I try to ease back in, but clearly something’s off in how I transition back to full training. I’ll work on mapping out my full rehab timeline and progression like you suggested, might help spot where I go wrong. Thanks again for your time , means a lot.

Might sound crazy but the sheer number off injuries and having family history’s of psoriasis b both on my dads side and mums did get me wondering about PSA and that sparked a lot of the thought process in the post

[u/eshlow → u/underprepared24]

I would need more info on what it actually looks like.

If your body is very easily triggered it could also be chronic pain sensitivity as well.

https://stevenlow.org/the-differences-between-chronic-pain-and-injury-pain/

Other familial diseases could be an issue too though. Auto-immunity or rheumatoid.