Patellar/Quadricep Tendinopathy
Tendinopathy results from micro tearing or degeneration of the attachment of the patellar tendon from its origin at the bottom of the patella. Patellar tendinopathy is often called jumper's knee due to the high loads of impact during high frequency, repetitive jumping. However, any activity that puts the tendon under rapid acceleration or deceleration also places the tendon at risk.
Pain is often felt over the bottom of the patella.It will have no obvious onset and come and go over months to years. The symptoms are made worse by activity but most athletes will play through the pain. Pain is usually worse when rising from a seated position, stair climbing or squatting.
Treatment for patellar tendinopathy is focused around reducing inflammation and progressively loading the tissue. Various modalities can be used to help reduce the inflammation such as ice, laser, or electric stimulation. Loading starts with isometric contractions consisting of 5 sets of 45 second holds. (1) This helps rebuild the load tolerance of the tissue. Load then slowly continues until full return to activity. Stretching and myofascial release techniques help increase tissue mobility and manipulation helps restore proper joint mechanics.
If you have an issue that you would like some guidance with, give us a call at (616) 301-1702.
Rio E, Kidgell D, Purdam C, Gaida J, Moseley GL, Pearce AJ, Cook J. Isometric exercises induces analgesia and reduces inhibition in patellar tendinopathy. Br J Sports Med. 2015 Oct 1;49(19):1277-83.
Davi SM, Lepley AS, Denegar CR, DiStefano LJ, Edgar CM, Lepley LK. Quadriceps Inhibition After Naturally Occuring Patellar Tendon Damage and Pain. Journal of Athletic Training. 2020 Apr 29