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Tendinosis describes the gradual damage that repeated movement or ageing causes in a tendon. It is common in the knee, wrist, and elbow. Tendonitis and tendinitis refer to inflammation of the tendon. An inflamed tendon is very rarely the cause of knee pain. While research suggests that patellar tendinosis is a more accurate term, patellar tendonitis is still the one most commonly used. Other activities that can increase the risk of patellar tendonitis include suddenly doing more exercise, or training on hard surfaces such as concrete.
People who are taller and heavier may have a greater risk, as more weight can increase the pressure on the knees. The pain usually starts after exercise, and continued exercise will likely increase the discomfort. Jumping, running, and landing are likely to make the pain worse. A person may begin to notice weakness in the knee, particularly during exercises that put pressure on this part of the body. When the leg is straight, the area below the knee may feel tender when touched.
The area around the knee can also feel tight or stiff, particularly first thing in the morning. A large tear of the patella tendon is a serious injury, and a complete tear will separate the tendon from the kneecap. A person may hear a tearing or popping sound, and will feel significant pain. The knee may also swell and bruise. Walking may be difficult and a person may be unable to straighten the leg. Ongoing knee pain or discomfort should not be ignored. Treating patellar tendonitis early can ensure a quick and complete recovery.
A doctor or physical therapist will diagnose this condition, after asking about symptoms, medical history and exercise routines. They will also perform an examination, during which a person may be asked to move or straighten their leg. The doctor will gently press the area round the knee, as the tendon often feels thicker on the affected side.
The doctor may also request magnetic resonance imaging MRI or an X-ray to examine a serious tear and to determine whether the kneecap is in the right position. Treatment for patellar tendonitis is usually focused on pain reduction. Your mileage may vary, so just experiment to find out what works best for you. Only you and your physician know where you stand. According to academic research slow strengthening exercises are a great way to rehab patellar tendonitis.
Slow strengthening exercises include the slow squat, slow leg presses, and isometric holds on the leg extension machine. To do the slow version you simply execute the exercises slowly, taking about 6 seconds per repetition. These exercises may cause a little bit of discomfort, but they should never cause pain.
You also need to wait until your pain has stabilized before starting tendon strengthening work. Successful treatment starts with tendon strengthening exercises, but for long-term results you need to work on more than just the tendons. If you do too much in your first few weeks back, you may cause a setback that undoes weeks of progress. Carefully figure out how much stress your knees can safely handle during your tendon training and inch your way forward from there.
The irony is that some people train hard with the intention of progressing quickly, but they end up causing a setback, which destroys some of their training progress.
Self-massage is a great starting point for everyone. It works even for easily irritable tendons. The muscles you want to work on are the calves, the hamstrings, the quads, and the gluteal muscles. Tightness in the calves, hamstrings, and quadriceps muscles can contribute to tendon overload.
So we will stretch these muscles. If your tendons are easily irritated you need to be careful with the quadriceps stretch. Skip it if necessary. Here are the results:. With these first two steps we can take some stress off the tendon, but to make it strong enough for sports we need to do more.
You can pick from a number of tendon strengthening exercises to make this happen. The classic choice is doing slow squats on a slanted board:. Patellar tendonitis is a chronic overuse injury to the patellar tendon. The injury, commonly found in people who play basketball or volleyball, causes inflammation as a result of chronic, repetitive jumping and excessive exertion of the knees.
The repetitive stress of continued play can lead to micro-tears or a complete rupture of the patellar tendon. If this happens, surgery is required to repair the tendon. Surgery for patellar tendonitis is a last resort. It is best to recognize and treat the condition early to minimize lost time due to the injury. Find a Knee Specialist. To prevent patellar tendonitis, athletes should have a thorough pre-, mid- and post-season strength and conditioning exercise program, as well as maintain lower extremity flexibility.
The athlete can still use many machines in the gym or ride a bicycle. You want to stay active to avoid muscle atrophy. In addition, an over-the-counter anti-inflammatory, such as ibuprofen, is used as part of the treatment.
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