The part nobody prescribed
1. Rest works. Loading works. Your physio is right about both — keep doing exactly what they told you.
2. But rest only stops the aggravation, and loading is only the stimulus. Your strength adapts before your tendon does. In a three-month training study, strength rose 40.5% — while tendon stiffness didn't measurably change until the very end. The stronger you get, the longer your tissue spends behind.
Adapted from Kubo et al., J Strength Cond Res 2010 (n=8, isometric knee extension).
3. And remodeling needs raw material. Muscle gets its own every time you eat protein — tendon doesn't. Glycine, proline and hydroxyproline barely exist in a normal training diet. You've been running a rebuild with no building material.
4. That's why it keeps coming back in the same spot. Every plan fixed the load; none of them fed the tissue. Rest healed the pain — nothing fed the rebuild.
It was never your rehab. And it was never your fault.