Patellar Tendinopathy by Physio LDN physio John Daly
What is patella tendinopathy?
Patella tendinopathy is a condition which refers to pain from the tendon which lies just below the knee-cap (patella). A tendon attaches muscle to bone.
How does it happen?
Patella tendinopathy results from overuse of the patella tendon particularly from activities which involve jumping and landing. Repetitive use of the muscles on the front of the thigh (quadriceps) or insufficient rest to allow the tendon to heal between training sessions can lead to a change in tendon structure.
Common training errors
Increasing running distance too soon
Too frequent hill running
Lack of variation in training
Too frequent weight training e.g. excessive squats
How does it feel?
Pain is felt initially when performing activities involving jumping and hopping but can become easier as you warm up
Pain disappears quickly once the activity is stopped but can often return the day after
Pain is rarely present at rest in the early stages but can become more continuous as the tendinopathy progresses
How is it managed?
Following assessment from a Chartered Physiotherapist to determine a diagnosis, the severity will be determined and also why the problem developed initially
The most effective way to treat patella tendinopathy is with a progressive loading program.
Treatment may also include advice on making changes to your activity levels and manual therapy techniques to help relax the surrounding structures
How long does it take?
Recovery can vary from 3 weeks to 9 months depending on the severity. Early diagnosis is essential as this helps to reduce the likelihood of prolonged pain form the tendon and will result in a quicker return to sporting activities.
