Patellar Tendinopathy or Tendinitis: Causes, Symptoms, and Treatment

Reviewed By – Dr. Sameer Gohir
PhD, MSc, PG Cert MSK ultrasound, PG Cert. Non-Medical Prescribing, MCSP, MAPPN

What Is Patellar Tendinopathy?

Patellar tendinopathy, commonly known as jumper’s knee, is a painful condition affecting the patellar tendon, which connects the kneecap (patella) to the shinbone (tibia).

It is characterized by degeneration of the tendon as a result of repetitive stress and is particularly prevalent among athletes involved in sports that require frequent jumping, such as basketball and volleyball.

If knee pain from patellar tendinopathy is limiting your daily activities, expert help is close by. With clinics near Kent and Essex, Joint Injection Clinic offers advanced treatments to help you move comfortably and return to the activities you enjoy.

Schedule your consultation now!
Patellar Tendinopathy Treatment near Kent and Essex

Common Causes of Patellar Tendinopathy

Patellar tendinopathy typically develops due to several factors:

  • Repetitive Overuse: The primary cause is repetitive stress on the patellar tendon from activities involving jumping, running, or sudden changes in direction, leading to small tears in the tendon.
  • Intensity and Frequency of Activity: Sudden increases in training intensity, frequency, or volume can overload the tendon without adequate time for recovery.
  • Muscle Imbalances and Weakness: Weakness in the quadriceps or hamstrings can lead to an increased load on the patellar tendon. Additionally, tightness in these muscles can further exacerbate the strain.
  • Biomechanical Factors: Poor biomechanics, such as incorrect jumping techniques or abnormal foot mechanics (like flat feet), can contribute to tendon strain.
  • Chronic Illness: Certain conditions, such as diabetes or rheumatoid arthritis, may affect blood flow to the tendon, increasing the risk of tendinopathy.
  • Age: Increased age can lead to tendon degeneration and reduced elasticity.

Symptoms of Patellar Tendinopathy

Common symptoms include:

  • Pain: A dull pain below the kneecap that worsens during physical activities such as jumping, climbing stairs, or squatting.
  • Tenderness: Tenderness felt when pressing on the patellar tendon.
  • Stiffness: Stiffness in the knee, especially after periods of rest or inactivity.
  • Swelling: Mild swelling around the knee may be observed.

If left untreated, patellar tendinopathy can lead to further degeneration of the tendon and possibly a rupture.

How Is Patellar Tendinopathy Diagnosed?

Diagnosis typically involves a physical examination where the healthcare provider evaluates:

  • The location and severity of pain.
  • The range of motion in the knee.
  • Any signs of swelling or tenderness.

Imaging tests such as X-rays or MRI may be utilized to assess the tendon’s condition and rule out other injuries.

Treatment Options

Treatment for patellar tendinopathy focuses on alleviating symptoms and restoring functional strength. Options include:

Non-Surgical Treatment for Patellar Tendinopathy

  • Rest: Avoid activities that worsen your symptoms to allow the tendon to heal. Gradual reintroduction to activity is essential.
  • Ice Therapy: Applying ice packs to the knee can reduce pain and swelling. Ice should be applied for 15-20 minutes several times a day, especially after activities.
  • Compression: Using a knee brace or elastic wrap can provide support and reduce swelling.
  • Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs), like ibuprofen or naproxen, can help manage pain and inflammation.
  • Physiotherapy: A physical therapist can provide a tailored exercise program to strengthen the muscles around the knee and improve flexibility. Eccentric strengthening exercises—where the muscle lengthens under tension—are particularly effective.
  • Activity Modifications: Adjusting training regimens and incorporating low-impact cross-training can help maintain fitness while allowing the tendon to recover.

Advanced Treatment Options for Patellar Tendinopathy

  • Injection Therapies: In cases where conservative management fails, options such as corticosteroid injections or platelet-rich plasma (PRP) injections may be considered to promote healing.
  • Surgery: Surgical intervention is rare, but may be required for chronic cases or if there is a significant tendon tear. Surgery might involve repairing the damaged tendon or removing degenerative tissue.

Recovery and Prognosis

Recovery from patellar tendinopathy can vary widely; many individuals begin to feel improvement within a few weeks with proper management. However, full recovery and return to activities can take several months, particularly for athletes. Gradual return to sports, along with ongoing conditioning, is essential to prevent recurrence.

Prevention Tips

To decrease the risk of developing patellar tendinopathy:

  • Gradual Training: Increase intensity and volume of training gradually to allow the tendon to adapt.
  • Proper Technique: Focus on biomechanics, particularly in jumping and landing.
  • Strength Training: Strengthening the musculature around the knee can help absorb shock and reduce strain on the tendon.
  • Flexibility: Incorporate stretching routines to maintain muscle flexibility and reduce tension on the tendon.

Conclusion

Patellar tendinopathy is a manageable condition with a proactive approach to treatment and rehabilitation. Understanding the underlying causes and adhering to effective prevention strategies can lead to successful outcomes, allowing athletes and active individuals to return to their preferred activities pain-free.

Get Help for Patellar Tendinopathy at Joint Injection Clinic

If patellar tendinopathy is making it hard to walk, exercise, or enjoy your usual activities, you don’t have to manage the pain alone. At Joint Injection Clinic, our experienced team provides evidence-based treatments to reduce knee pain and support recovery.

We welcome patients at all three of our clinics:

Dartford Clinic – ideal for those in Kent and South East London

Address: Unit 30, 1st Floor, The Base Dartford Business Park, Victoria Road, Dartford, DA1 5FS.

Romford Clinic – easily accessible from Essex and Greater London

Address: Room no 8, Alliance Office Space 2-4 Eastern Road, Romford, Essex, RM1 3PJ.

Canterbury Clinic – serving East Kent and surrounding areas

Address: 12-17 Upper Bridge Street, Canterbury, CT1 2NF, United Kingdom.


From ultrasound-guided treatments to tailored physiotherapy and rehabilitation plans, our specialists can help you manage knee pain effectively and get back to your active lifestyle.

Schedule your consultation now!