Hi fishtaco,

Obviously without examining you I cant get into much detail but just to say that if you were continueing through the pain for a year and it is indeed a tendonopathy then it is likely to be fairly well developed with significant structural changes that will take a lot of time and energy to reverse.

Its not clear how long you have been doing the eccentric strengthening (6 months? or just since seeing the PT 6 weeks ago?) but often times it will take 12 weeks or more. In your case it may be even longer than that due to the continued exercising.

You mention steroid injections but in my experience these are not greatly effective with tendinopathies. Depending on your resources and determination to get back cycling you could investigate other treatments such as PRP, prolotherapy or sclerosing injections.

The other posibility is that its referred pain from your back although I imagine this has already been investigated fully.

Anyway hope this helps and just keep plugging away at it.