Patellar Tendinopathy and How Physiotherapy Can Help

Patellar tendinopathy, commonly known as “jumper’s knee,” is a condition characterised by pain in the patellar tendon, which connects the kneecap (patella) to the shinbone (tibia). This overuse injury is prevalent among athletes, particularly those engaged in sports requiring frequent jumping, such as basketball, volleyball, and track and field events.

Too high a volume of repetitive stress from jumping and running can cause degeneration and inflammation of the tendon. Symptoms typically include pain and tenderness at the base of the kneecap as well as stiffness that worsens with activity. If left untreated, it can significantly impair athletic performance and, if severe enough, daily activities like walking or getting up
from a chair.

The primary goals of physiotherapy are to alleviate pain, promote tendon healing, restore function, and prevent recurrence. Here are several key components of a physiotherapy regimen for patellar tendinopathy:

 

Exercises:

Isometric Strength Exercises:

Loading the tendon in a stationary position at a low enough level of intensity to avoid flaring up symptoms. This often has a pain-relieving effect.

Heavy/Slow Resistance Exercises:

Once ready, the tendon should be loaded with more intensity and through a full range of motion. This will help stimulate a remodelling process in the tendon which improves strength and capacity for activities like jumping.

Progressive Jumping/Hopping Activities:

Gradually increasing the intensity of these activities when the individual is ready.

Manual Therapy:

Techniques such as deep tissue massage and myofascial release can help reduce muscle tension and improve blood flow to the affected area, facilitating healing.

Mobility:

Improving the flexibility of the quadriceps and hamstring muscles can alleviate additional stress on the patellar tendon.

Activity Modification:

Reducing or modifying activities that exacerbate symptoms is crucial. Athletes may need to limit jumping and high-impact activities temporarily.

Education and Prevention:

Training modifications to prevent recurrence. This may include advice on footwear, surface selection, and the importance of gradual progression in training
intensity.

Through a combination of the above, recovery can be significantly enhanced, enabling a return to activity with a reduced risk of recurrence.

Come visit us at Physico City if you are experiencing patellar tendinopathy!