Therapy for Patellar Tendonitis

The tendon connecting the kneecap to the shin bone is called the patellar tendon.

It works with the thigh muscles to extend the knee. This mechanism is used when kicking, running, and jumping.
Patellar tendonitis occurs when the patellar tendon becomes inflamed. This condition is also called jumper’s knee because it frequently occurs in athletes or people who perform jumping repetitive jumping activities. It can also develop in people who repeatedly overuse their knee joint.
Patellar tendonitis starts as weakness in the tendon. If left untreated, this condition can lead to tears in the tendon as well.

The following are the most common symptoms associated with patellar tendonitis:

  • Weakness in the knee area that can turn into discomfort and pain.
  • Pain where the tendon in the kneecap attaches to the shin bone.
  • Tenderness around the patellar tendon or behind the lower part of the kneecap.
  • Swelling in the kneecap area.
  • Pain worsens when jumping, running, or even walking
  • Pain worsens when the leg is straightened or bent.
  • Pain may get progressively worse until activities like climbing stairs are affected.

In severe cases where there is a large tear of the tendon or when the tendon has completely separated from the kneecap, the individual may hear a popping sound or feel a popping sensation. This will make even straightening of the leg very difficult.
These symptoms may resemble other similar conditions. It is best to have a medical professional diagnose the condition accurately.

Why You Suffer

Patellar tendonitis is most commonly associated with overuse. Repeated stress on the patellar tendon can weaken the connection and eventually lead to tears. The body first attempts to repair these tiny tears but continued stress can lead to more serious injuries.
As the tears get larger and multiply, the pain and inflammation causes further weakening of the tendon.

The following are risk factors that may increase the likelihood of developing jumper’s knee:

  • Tight leg muscles – The tightness of the quadriceps and hamstrings can directly increase the stress placed on the patellar tendon.
  • Repeated stress – Physical activities like running and jumping are the most commonly associated causes of patellar tendonitis. Changes or sudden increases in the intensity of these activities may also place unusual stress on the tendon causing tears.
  • Muscular imbalance – Similar to the tightness of the thigh muscles, if some parts of the leg have stronger muscles than others, it may cause uneven stress on the patellar tendon which can lead to tendonitis.
  • Chronic Illness – In some cases, an illness may block or reduce blood flow to the knee which effectively weakens the tendon and makes it susceptible to tendonitis.

Traditional Treatments for Patellar Tendonitis

Traditional treatment options generally focus on reducing or relieving pain. This includes the following:

  • Rest – Doctors may advise against continuing activities that worsen the pain in the leg.
  • Ice – Ice packs reduce the swelling in the affected area, alleviating pain in the process.
  • Medication – Over-the-counter nonsteroidal anti-inflammatory drugs may also be recommended to manage the pain.
  • Brace – Doctors may also advise the use of braces for three to six weeks to better rest the affected leg. They may even need the use of crutches to better support their weight.
  • Surgery – If the more conservative options do not work, especially if there is a complete tear, doctors may recommend surgery. This increases the recovery time to six months.

Superior Physical Therapy

While the treatment options previously mentioned may be effective in managing short-term pain, without addressing the actual underlying cause, patellar tendonitis may return in the future.
At Superior Physical Therapy, we understand how the body is a complex system of moving parts that require a more holistic evaluation and solution. Muscular imbalance, for example, should be addressed to make sure patellar tendonitis does not recur.

We offer the following treatment options:

Dry Needling
Local contractures in the muscle tissue may be triggered using monofilament needles. This process alleviates pain safely and virtually painlessly.

Deep Muscle Stimulation
Using mechanical vibrations aimed to penetrate deep into the muscle tissue, circulation as well as lymphatic flow are improved. This promotes tissue regeneration and pain relief.

Heat and Cold Therapy
Aside from using ice packs to control the swelling, heat packs can also be used to improve circulation, relax the muscles, and promote the healing of damaged tissue.

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