Reclaim Your Mobility: Best Supplements for Tendonitis 2025

  • By Performance Lab
  • 10 minute read
Reclaim Your Mobility: Best Supplements for Tendonitis 2024. A man's arm and elbow joint is in a brace. He is on a tennis court.
  • image of Kinga Jasiak, ANutr, BSc Nutrition and Health
  • Expert reviewed by Kinga Jasiak, ANutr, BSc Nutrition and Health

Overuse injuries are common among athletes, and can impact their performance and recovery.

Whether you're perfecting your baseball swing or aiming for a PR on your front squat, inflammation is part of the recovery process. However, when it becomes chronic, it can lead to tendonitis, affecting your mobility and performance.

If tendonitis is something you’ve never heard of before, keep reading to learn how to manage it naturally and reduce pain while alleviating your symptoms.

Key Takeaways

  • Tendonitis is the inflammation or irritation of tendons, often caused by repetitive movements or overuse. It leads to pain, swelling, and difficulty in joint mobility, most commonly affecting areas like the shoulder, elbow, wrist, knee, hip, and ankle.
  • Causes of tendonitis include repetitive motions in sports, aging, injuries, and certain medical conditions or medications.
  • Common types of tendonitis include Achilles tendonitis, tennis elbow, rotator cuff tendonitis, and swimmer’s shoulder.
  • Initial treatment options for tendonitis include the RICE method (Rest, Ice, Compression, Elevation), physical therapy, and pain relievers. While these can offer short-term relief, natural supplements can offer long-term support.
  • Omega-3 fatty acids may help reduce inflammation, supporting tendon repair and overall joint health. Curcumin and Boswellia are also potent anti-inflammatories, that may help to ease pain and promote healing in tendons.
  • Collagen supplements, particularly hydrolyzed collagen, aid in tendon repair by supporting collagen synthesis, essential for tendon strength and flexibility. Vitamin C is also critical for collagen production.
  • MSM and glucosamine-chondroitin sulfate are key supplements for improving joint function and aiding tendon recovery, thanks to their anti-inflammatory properties and ability to support cartilage and tendon health.
  • Rest and recovery are essential, and Performance Lab Flex offers a highly effective supplement solution with ingredients like Boswellia and curcumin to soothe and protect tendons.
  • For long-term joint health and recovery, using a combination of natural supplements, physical therapy, and proper rest can help prevent and treat tendonitis, ensuring sustained mobility and performance.
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What Is Tendonitis and What Causes It?

What Is Tendonitis and What Causes It? Female runner kneeling down on a road holding her knee. Inflammation and joint pain is implied by a red glow around the joint.

Tendonitis refers to the inflammation or irritation of a tendon—the thick, fibrous tissue that connects muscle to bone.(1).

It causes acute pain, swelling, and tenderness, often making it difficult to move the affected joint.

The joints most commonly affected by tendonitis include the shoulder, elbow, wrist, hip, knee, and ankle. While the pain tends to worsen with movement, it can also radiate to areas away from the joint, which differentiates it from arthritis, where pain is typically centered around the joint itself.

The most common cause of tendonitis is repetitive motion.

Athletes who repeatedly perform the same movements are particularly at risk, as this can lead to tendon irritation and inflammation. When movements are performed incorrectly or with poor technique, the risk of developing chronic tendon disorders, such as tendinopathy and tendonitis increases.

For non-athletes, other common causes of tendonitis include:

  • Aging: Tendons become less flexible and more prone to injury with age.
  • Injury: Acute injuries can inflame tendons.
  • Medical Conditions: Conditions like rheumatoid arthritis and diabetes can increase the likelihood of tendonitis.
  • Medications: Certain antibiotics have been linked to tendon inflammation.

Bursitis, though often mentioned alongside tendonitis, is slightly different and involves inflammation of the bursa—a small fluid-filled sac that cushions areas where bones, muscles, and tendons move against one another. When the bursa becomes inflamed, it can cause sharp pain, even without movement, especially where muscles or tendons pull over bony areas.

Common Types Of Tendonitis

While any tendon in the body can become inflamed, with athletes, there tend to be some that are more common than others:

  • Achilles tendonitis
  • Patellar tendon (kneecap)
  • Rotator cuff (shoulder)
  • Posterior tibial tendonitis
  • Lateral epicondylitis (tennis elbow)
  • Wrist tendonitis

These common types of tendonitis are named after the activity or location where the injury occurs, such as ‘golfer’s elbow’ or ‘swimmer’s shoulder.

Treatment Options For Tendonitis

Treatment Options For Tendonitis and Pain Relief. Therapist Using Ultrasound Applicator on a patient’s lower back

The most common initial treatment for tendonitis is the RICE method, designed to reduce inflammation and improve blood circulation, promoting faster healing.

However, other traditional methods, such as corticosteroid injections and nonsteroidal anti-inflammatory drugs (NSAIDs), are often used to manage inflammation, though they may not be the most effective or best long-term solutions.(2)

The primary goal of tendonitis treatment is to relieve pain, reduce inflammation, and maintain mobility. Here are some key approaches:

RICE method

Rest, Ice, Compression, and Elevation (RICE) is a go-to for soft tissue injuries. Rest allows the tendon to heal, ice reduces swelling, compression supports the injured area, and elevation minimizes fluid buildup.

Physical therapy

Depending on the injury's severity, a physical therapist may use hot/cold therapy, ultrasound, laser treatments, or water therapy to accelerate healing. Manual therapies like joint or soft tissue mobilization can also support recovery.

Pain relievers

Over-the-counter (OTC) painkillers such as ibuprofen or NSAIDs are often prescribed to manage the discomfort caused by inflammation. However, these are short-term solutions and do not address the root cause.

Additional treatments

Other therapies, including stretching, strengthening exercises, corticosteroid injections, glycerol trinitrate patches, and growth factors, have been explored for tendonitis relief. However, these may not always be necessary for mild cases.

For long-term relief and healing, natural supplements are a healthier and safer alternative. They effectively reduce chronic inflammation and support joint and tendon health without the side effects associated with conventional medications.

Best Supplements For Tendonitis and Overall Tendon Health

If you’re looking to avoid the prescription route for treating your joint and tendon health, these supplements can help reduce inflammation and support the recovery process:

Omega-3

Omega-3. Wooden spoons with fish oil capsules on an orange background.

The potent anti-inflammatory effects of omega-3s make them an excellent supplement for tendonitis and other inflammatory conditions.

Several studies have found that long-chain fatty acids influence inflammation through several mechanisms. Still, many are at least in part mediated by changes in the fatty acid composition of cell membranes.

Altering the composition of cell membranes can modify membrane fluidity, cell signaling and gene expression, and the pattern of lipid mediator production(3).

Many of the cells involved in the inflammatory response are rich in the omega-6 fatty acid arachidonic acid and the omega-3s eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), but oral administration of EPA and DHA can alter the membrane concentrations.

Eicosanoids produced from arachidonic acid degradation are thought to contribute to inflammation, while EPA and DHA give rise to resolvins, which are anti-inflammatory(3).

Therefore, changing the fatty acid composition of cells affects the production of compounds that mediate inflammation.

Unlike fish oil supplements that may contain toxins or contaminants Performance Lab Omega-3 offers clean, sustainable DHA+EPA derived from algae in an ideal 2:1 DHA to EPA ratio.

These vegan softgels are free from heavy metals such as mercury, environmental toxins like PCBs, and other harmful substances often found in traditional fish oil supplements.

Curcumin

Curcumin. Wooden spoon with turmeric curcumin capsules on grey background.

Like omega-3 fatty acids, curcumin is a great supplement for treating any inflammatory condition.

Curcumin, the active constituent of turmeric, has potent anti-inflammatory properties that help to soothe and support achy joints, reduce joint pain, and help mitigate the effects of inflammation.

Despite being part of the Zingiberaceae (ginger) family, turmeric contains different bioactive compounds responsible for its specific properties.

Turmeric and its derivatives possess potent anti-inflammatory activities, but unlike other anti-inflammatories that modulate COX-1 activity, turmeric modifies NF-κB signaling, pro-inflammatory cytokines, COX-2, and 5-LOX activity(4).

A rodent study looked at the effects of curcumin for tendon healing and found that 200 mg/kg orally for 28 days elicited better results for total tendon healing both histologically and biomechanically(5), suggesting that curcumin may be an effective treatment for healing tendon conditions.

Another study used human tenocytes to study the mechanism of curcumin’s action on inflammatory signaling(6).

At concentrations of 5-20μm, curcumin appeared to inhibit IL-1β-induced inflammation and apoptosis; it helped down-regulate gene products that mediate matrix degradation, prostanoid production (COX-2), apoptosis, and stimulated cell survival.

As well, curcumin also suppressed IL-1β-induced NF-κB activation. Research concluded that curcumin helps to counteract significant inflammatory pathways involved in the development of tendonitis.

Boswellia

Boswellia serrata extract on a wooden spoon.

Because the goal of any supplements used for tendonitis is to reduce inflammation, Boswellia is another effective option. Also known as Indian Frankincense, Boswellia serrata and its gum-resin extracts have been used for centuries to treat various chronic inflammatory conditions.

According to studies, the four boswellic acids are largely responsible for inhibiting pro-inflammatory enzymes; acetyl-11-keto-β-boswellic acid appears to be the most potent inhibitor of 5-lipoxygenase, an enzyme responsible for inducing inflammation(7) It may also modulate the expression of pro-inflammatory cytokines and reduce reactive oxygen species (ROS) involved in the inflammatory process.

BA also prevents the TNF α-induced expression of matrix metalloproteinases MMP-3, MMP-10, and MMP(8).

Taken together, by modulating levels of pro-inflammatory cytokines, Boswellia appears to be an effective treatment for tendinopathies.

Collagen

Collagen pills and hydrolysed collagen supplement in powder form is shown on a metal spoon against a a pink background.

Collagen is an essential protein that plays a key role in maintaining the structure of tendons and other connective tissues.

Collagen supplements, particularly hydrolyzed collagen, have been shown to support tendon repair by promoting collagen synthesis, which is critical for tendon strength and flexibility. When combined with physical activity, collagen can help accelerate recovery from tendon injuries and improve overall tendon health.

Along with collagen, vitamin C is essential for collagen production, making it beneficial to pair collagen supplements with a vitamin C-rich diet or a vitamin C supplement to maximize tendon recovery.

MSM

MSM dietary supplements displayed as white powder and capsule form against a wood backdrop.

Methylsulfonylmethane ( MSM) is a naturally occurring organosulfur compound that’s used in the management of pain, inflammation, allergies, infections, and many other conditions.

MSM is one of the top supplements for treating conditions of the joints and has been shown to be highly effective for rapidly reducing pain, swelling, and improving the functional ability of joints(9).

Research suggests that MSM's potent anti-inflammatory effects result from its inhibitory effect on NF-κB, resulting in downregulation of interleukin (IL)-1, IL-6, and tumor necrosis factor-α (TNF-α) synthesis—all markers of inflammation.

Due to its ability to inhibit NF-κB transcriptional activity, it also reduces the expression of enzymes and cytokines involved in free-radical formation(10); high levels of circulating free-radicals is an underlying factor for the development of many inflammatory conditions.

Glucosamine Sulfate

Glucosamine and chondroitin are two of the most popular supplements when it comes to joint health. They are two building blocks of cartilage, the tissue that cushions joints, and supplementing with them may help to prevent breakdown associated with natural wear and tear or conditions affecting the joints.

Studies support the use of glucosamine-chondroitin sulfate in treating tendon injuries; it appears to enhance tendon-to-bone healing by increasing hyaline cartilage formation and decreasing the formation of capillary vessels(11).

Similarly, another study found that supplementation with glucosamine chondroitin sulfate improved results of Achilles tendon healing in rodents, which may be due to decreased inflammation and stimulation of collagen synthesis(12).

Should I Keep Training If I Have Tendonitis?

It's tempting to push through an injury, thinking you'll take it easy and be fine, but continuing to train with tendonitis can often make things worse, especially for injuries like Achilles tendinopathy, which require careful management to avoid further aggravation.

Painkillers may mask the discomfort, but they can also prevent you from realizing the injury is getting worse.

If you're looking to stimulate healing and get back to training quickly, Performance Lab Flex should be part of your recovery protocol.

Flex is one of the most effective joint supplements to support active lifestyles.

Whether you're recovering from an injury or looking for long-term joint health, Flex’s advanced formula targets the demands of active joints, tendons, and ligaments.

Performance Lab Flex bottle against a yellow background.

It combines easy-on-the-stomach botanicals like AprèsFlex® Boswellia Serrata and CurcuWIN® curcumin with powerful joint lubricants like Phytodroitin™ chondroitin, OptiMSM®, and corn glucosamine—all delivered in vegan-friendly, prebiotic-infused capsules.

Shop Performance Lab® Flex

Final Thoughts

Whether you’re an athlete who trains multiple times per day or work in a profession where repetitive movements cause pain and stiffness, getting the right supplements is key to maintenance, prevention, and treatment.

While there are many options available when something like tendonitis flares up—manual therapy, NSAIDs, analgesics, and more—these supplements work two-fold to prevent and treat, providing a long-term solution for healthy soft tissues no matter your daily activities.

  1. G Riley. The pathogenesis of tendinopathy. A molecular perspective. Rheumatology. 2004 Feb;43(2):131-142.
  2. BM Andres, GA Murrell. Treatment of tendinopathy: what works, what does not, and what is on the horizon. Clin Orthop Relat Res. 2008;466(7):1539-1554.
  3. PC Calder. Omega-3 fatty acids and inflammatory processes. Nutrients. 2010;2(3):355-374.
  4. JW Daily, M Yang, S Park. Efficacy of Turmeric Extracts and Curcumin for Alleviating the Symptoms of Joint Arthritis: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. J Med Food. 2016;19(8):717-729.
  5. A Güleç, Y Türk, BK Aydin, OF Erkoçak, S Safalı, C Ugurluoglu. Effect of curcumin on tendon healing: an experimental study in a rat model of Achilles tendon injury. Int Orthop. 2018;42(8):1905-1910.
  6. C Buhrmann, A Mobasheri, F Busch, et al. Curcumin modulates nuclear factor kappaB (NF-kappaB)-mediated inflammation in human tenocytes in vitro: role of the phosphatidylinositol 3-kinase/Akt pathway. J Biol Chem. 2011;286(32):28556-28566.
  7. MZ Siddiqui. Boswellia serrata, a potential anti-inflammatory agent: an overview. Indian J Pharm Sci. 2011;73(3):255-261.
  8. F Fusini, S Bisicchia, C Bottegoni, A Gigante, F Zanchini, A Busilacchi. Nutraceutical supplement in the management of tendinopathies: a systematic review. Muscles Ligaments Tendons J. 2016;6(1):48-57.
  9. PR Usha, MU Naidu. Randomised, Double-Blind, Parallel, Placebo-Controlled Study of Oral Glucosamine, Methylsulfonylmethane and their Combination in Osteoarthritis. Clin Drug Investig. 2004;24(6):353-363.
  10. K Sengupta, KV Alluri, AR Satish, et al. A double blind, randomized, placebo controlled study of the efficacy and safety of 5-Loxin for treatment of osteoarthritis of the knee. Arthritis Res Ther. 2008;10(4):R85.
  11. A Taşkesen, B Ataoğlu, M Özer, I Demirkale, S Turanli. Glucosamine-chondroitin sulphate accelerates tendon-to-bone healing in rabbits. Eklem Hastalik Cerrahisi. 2015;26(2):77-83.
  12. H Ozer, A Taşkesen, O Kul, HY Selek, S Turanlı, K Köse. Glukozamin kondroitin sülfatın onarılmış tenotomize sıçan Aşil tendonları üzerine etkisi . Eklem Hastalik Cerrahisi. 2011;22(2):100-106.