PATELLAR TENDINOPATHY (JUMPERS KNEE) This condition used to be known as patellar tendonitis – suggesting an inflammatory problem of the tendon as it leaves the bottom of the patella (knee cap). Research conducted over the past few years has radically influenced how physios and doctors view the condition and ultimately treat it. This work has demonstrated that the pain often has more to do with ‘wear and tear’ of the tendon brought on by over-use or unaccustomed activity and, as a result, it is more common in the 30+ age group. Essentially the tendon is ‘overloaded’ which results in ‘micro-tears’ and without adequate recovery time the pain develops. So the term 'tendinitis' has been dropped in favour of the term 'tendinopathy' which makes us all feel a lot better!
It is common in runners or where jumping is repeated. The pain is usually felt in the area just below the patella – unusually the area is swollen but it always sensitive to touch. The pain can be mild but in some cases it can be so bad that it prevents athletes from playing their sport. In extreme cases, the patellar tendon may become damaged to the point of complete rupture which, of course, needs surgical repair.
Treatment includes relative rest, icing, medications to reduce inflammation and pain, a carefully graded strengthening exercise programme and a variety of physiotherapy techniques. The condition is eased by off-loading the tendon by the use of a patellar tendon strap as well as reducing activities like jumping and running sports as well as by using good training techniques. Off-season strength training of the legs, particularly the quadriceps muscles, can also help. Our physiotherapists are specially trained in treating this type of overuse injury and will outline a specific treatment plan to help you through this injury.
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