Patellar Tendinopathy

What is Patellar Tendinopathy?

Patellar Tendinopathy Overview

Patellar tendinopathy is a source of anterior knee pain, characterized by pain just below the knee cap. -	Pain is aggravated by loading and increased with the demand on the knee extensor muscles (quadriceps), especially in activities that store and

Patellar Tendinopathy Description

  • Patellar tendinopathy is a source of anterior knee pain, characterized by pain just below the knee cap.

  • Pain is aggravated by loading and increased with the demand on the knee extensor muscles (quadriceps), especially in activities that store and release energy in the patellar tendon.

  • Patellar tendinopathy is most commonly seen in young athletes aged 15-30 and is more in the male population.

  • This condition is particularly seen in people that participate in sports such as basketball, volleyball, athletic jump events, tennis, and football, which require repetitive loading of the patellar tendon.

  • The prevalence of this condition in elite volleyball and basketball players has been found to be over 40%.

Patellar tendinopathy is a source of anterior knee pain, characterized by pain just below the knee cap. -	Pain is aggravated by loading and increased with the demand on the knee extensor muscles (quadriceps), especially in activities that store and

Symptoms of Patellar Tendinopathy

Patellar Tendinopathy Presentation

  • Pain is localized at the inferior pole of kneecap.

  • Aggravated with activities that store and release energy in patella tendon (jumping, landing, cutting, pivoting, early to mid-squat.

  • Tenderness commonly just below the kneecap and occasionally at the top of the shin bone.

  • Pain typically at the start of activity, settles after warm-up and painful after activity when they have cooled down.

  • Pain after exercise or the following morning.

  • Giving way occasionally due to quadriceps inhibition.

  • Generalized quadriceps weakness.

Managing Patellar Tendinopathy

Patellar Tendinopathy Treatment

Patellar Tendinopathy Treatment
  • It is essential that people recognize that tendinopathy that has been present for months may require a considerable period of treatment associated with rehabilitation before symptoms disappear.

  • Prognosis: A person presenting with persistent painful patellar tendinopathy for the first time may require 3–6 months to recover. A patient with a longstanding history may require 6–12 months to return, pain-free, to competition without recurrence.

  • Patellar Tendinopathy Treatment methods:

    • Strengthening exercises

    • Load reduction

    • Correcting biomechanical errors

    • Soft tissue therapy

Nick Stamatiou

Nick has a strong interest in sports and musculoskeletal physiotherapy and is motivated to help people reach their desired goals and to achieve their full potential.

His experience includes:

  • Sports and musculoskeletal physiotherapist in a private practice setting

  • Orthopaedic and Rehabilitation inpatient physiotherapist at Brisbane Private Hospital

  • Clinical Reformer and Mat-work Pilates instructor

  • Football gameday physiotherapist

While Nick is skilled in managing all areas of musculoskeletal physiotherapy, he has a particular interest in the rehabilitation of muscle strains, hip, knee and lower back conditions. Nick offers dry needling, massage and joint mobilisation to compliment exercise prescription.

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Patellofemoral Pain / Runner’s Knee

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Shoulder Dislocation