WHAT IS IT? PATELLAR TENDONITIS / PATELLAR TENDINOPATHY

Patellar tendinopathy in the past has been frequently referred to as Jumper’s Knee or Tendonitis.  It involves degeneration of the patellar tendon, a process termed tendinosis.  The patellar tendon attaches from the patella to the tibial tuberosity.
 

Signs and symptoms

  • Pain and tenderness below the patella (specifically where the tendon attaches to the inferior pole of the patella).
  • Aggravated by jumping, hopping, changing direction, and squatting
  • Pain occurs at the beginning of exercise, decreases with warming-up, and return post-exercise.
  • Possible wasting of quadriceps muscles

​WHAT CAUSES IT?
  • Tightness in quadriceps and hamstrings
  • Abnormal biomechanics
  • Increased pronation
  • Weakness of the calves

 

HOW TO SELF MANAGE
  • Ice

  • Activity/training modification

  • Increasing stretching of leg muscles (quads, hamstrings, calves)

  • Strengthen lower limb muscles (quads, glutes, calves)

  • Trial a patellar strap to decrease the load on the tendon.

  • See a physiotherapist for further assessment and an eccentric loading program.

PROGNOSIS
  • Return to sport time varies between 3-12 months depending on how chronic the injury is.

  • Ultrasound or MRI investigation may be used for diagnosis purposes.

  • Surgery is an option, whereby scraping of the tendon can significantly reduce sensitivity.

HOW PHYSIO HELPS?
  • Assess the patellar tendon to determine if it is the source of pain
  • Biomechanical review
  • Muscle imbalance correction
  • Eccentric loading program for the patellar tendon
  • Prescription of a brace to offload the patellar tendon
  • Deep transverse frictions
  • Stretching of hamstrings, calves, ITB, and calf muscles
  • Strengthening of quadriceps, glutes and gastrocs.
  • Neural mobilisation

 

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OPENING HOURS

Monday-Friday: 8:00am - 8:00pm

​Saturday: 8:00am - 12:00pm

Sunday: By Appointment​

 

ADDRESS

Sammy Margo Physiotherapy

444 Finchley Road

London

NW2 2HY

Email: physiophysio@hotmail.com

Tel: ​020 7435 4910​​​
Fax: 020 7435 0461

Web: sammymargophysiotherapy.com

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Disclaimer: Information made available by AskPhysio (Sammy Margo Physiotherapy) is provided for guidance only and should not be considered as medical recommendations or advice.  AskPhysio is not responsible for errors or omissions in the information. Please consider what the best options for your healthcare are, based on the urgency of your condition and nature of your condition. Please consult a GP or Healthcare Specialist to discuss any specific concerns that exist prior to using the information provided.