Tendon & Joint
Patellar tendinopathy: knee pain below the kneecap
Often called jumper’s knee, patellar tendon pain can interfere with sport and everyday activity. Recovery centres on building the capacity to tolerate load.
Which part of the knee is affected?
The patellar tendon links the kneecap to the shin. Repeated jumping, running or changes in training can be associated with pain around this tendon. The older name patellar tendonitis is familiar, but tendinopathy better describes many persistent tendon problems.
Why an assessment matters
Pain at the front of the knee does not always arise from the patellar tendon. An assessment should consider the location of pain, recent activity changes, strength and function. Bring details of training volume, previous injuries and what happens during activity and the following day.
Progressive rehabilitation
A physiotherapist can guide a gradual strengthening programme and adjustments to activities that currently overload the tendon. Complete rest is not usually the long-term solution. The programme should progress with your response, eventually addressing the demands of running, jumping or work. There is no single exercise dose that is right for everyone.
Additional treatment options
ESWT is used in some services for persistent patellar tendon symptoms. It should not replace a loading programme or be described as a guaranteed quick fix. Ask about the evidence for your situation, possible discomfort, alternatives and how the outcome will be measured. Do not assume that the recommendations for heel or Achilles pain apply unchanged to this tendon.
When to seek medical help
A sudden injury with a pop, marked swelling or difficulty straightening the knee needs prompt assessment. For gradual symptoms, agree functional goals and a realistic review point. If you are not improving, the diagnosis and programme should be reconsidered rather than simply repeating treatments indefinitely.
Speak with our musculoskeletal team
For shockwave therapy and EMTT assessment enquiries, call our dedicated secretary on 01223 901005. Suitability is decided after clinical assessment.
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