Patellar Tendinopathy
Patella Tendinopathy
Patellar tendinopathy is a common cause of pain at the front of the knee. It is often referred to as jumper’s knee. The pain is specific to the patellar tendon, just below the knee cap. The prevalence is particularly high amongst athletes, especially those involved in jumping sports such as basketball and volleyball. It tends to affect young boys and men and those who have better jumping ability. Patellar tendinopathy can result due to the repetitive nature of the sport causing excessive load on the tendon.
Tendinopathy research has developed a lot over recent years and this pathology is thought to be caused by changes within the properties of the tendon, rather than acute inflammation. Overload is a key factor in the onset of the pain. This can be from an increase in volume of jumping or a return to sport after a period of downtime. There are some intrinsic factors related to patellar tendinopathy such as reduced quadriceps/hamstring flexibility and reduced ankle/foot mobility which should be addressed.
As with any other tendinopathy, it is important to address the pain first. There is recent evidence for the use of shockwave therapy for patellar tendinopathy. This can help the unhealthy tissue regenerate and accelerate tissue healing. The results are promising and have a positive effect on pain and function. This is something that we can offer here within the clinic at JT Physiotherapy. However, exercise should always be the main form of treatment and tendons respond best to a graduated and specific loading programme. It is important to work closely with your physiotherapist in order to get the best selection of exercises to help gear you towards your goals.
