healthPi is becoming RECURIO – Dr. Gruther & Team Dear patients, the former practice of Dr. Gruther / healthPi is now RECURIO – Dr. Gruther & Team. Your location and contact persons remain the same – the medical focus is becoming even clearer: We specialize in precise medical diagnostics and physician-led, structured therapy programs. RECURIO stands for "return to strength" – through medicine that understands the causes and implements therapy in a structured manner.

What this program is designed to do

Tendinopathy is rarely a “more massage” problem.

It is a load-management problem.

TENDI is designed to replace the relapse loop with a real progression system:

Reset load → define pain rules → rebuild capacity → return with criteria

This program may fit you if

  • Start-up pain and load pain keep coming back
  • After-pain lasts for hours or into the next day
  • Every attempt to increase load ends in relapse
  • You need a clear return-to-sport or return-to-work plan

Who this program is for — and not for

TENDI fits chronic tendinopathy patterns.

It is not the right first pathway for:
– rupture
– dominant bone pathology
– major neurological drivers
– primarily inflammatory-systemic cases

What this program is — and what it is not

TENDI is a physician-led progression pathway.

It is not:
– endless passive treatment
– random one-off sessions
– a device-based subscription

How the program works

1) Medical indication check

  • Pattern and stage
  • Load profile
  • Differential diagnosis screen
  • Baseline outcomes

2) Intensive start cycle

  • Load reset
  • Pain rules
  • Isometrics where useful
  • Bridge modules selectively

3) Progression and decision

  • HSR progression
  • Return-to-load criteria
  • Deload rules
  • Escalation rules

What we measure

  • VISA-based region-specific outcomes
  • Pain profile
  • Load tolerance
  • Functional milestones

Common Questions

Can a tendon hurt during training?

Yes. The question is whether the pain stays within the agreed rules.

Why does the program often begin with isometrics?

Because they often reduce pain enough to start rebuilding.

Do I need shockwave?

Not necessarily. It is a bridge module, not the core.

How long does tendon improvement take?

Usually weeks to months. The point is to make that window more efficient.

Is this still useful if I have already done a lot of physio?

Especially then. Often what is missing is steering, not effort.

This page is for information only and does not replace a personal medical examination. Red flags require prompt medical assessment.

Get in touch

Ready to start the TENDI Program: Physician-Led Tendon Load Management & Return-to-Sport? Book Now