One of the most common things Pilates instructors hear from clients is: "My physio said I've got tendinitis." Or perhaps: "I've been told my rotator cuff is inflamed." "My Achilles has been sore for months." "I've got gluteal tendinopathy." Modern tendon rehabilitation focuses on progressive loading not prolonged rest. For many instructors, these conversations immediately create uncertainty. Should they remove certain exercises? Should they avoid loading the tendon altogether