Patellar Tendinopathy
What is Patellar Tendinopathy?
Patellar Tendinopathy Overview
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%.
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
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