Patellar tendonitis, often referred to as “jumper’s knee,” is a common overuse injury that affects the patellar tendon, a crucial structure connecting the kneecap (patella) to the shinbone (tibia). While this condition is frequently seen in athletes who engage in activities involving repetitive jumping or running, it can also affect individuals whose lifestyles or occupations place prolonged stress on the knee joint. At Precision Pain Care and Rehabilitation, we emphasize tailored, patient-centered care, including the use of advanced interventional pain management techniques, to help individuals manage and recover from this debilitating condition.
What is Patellar Tendonitis?
Patellar tendonitis occurs when the patellar tendon becomes inflamed or irritated due to excessive stress or strain. Over time, repetitive microtrauma can lead to tendon degeneration, causing pain and functional limitations.
Key Symptoms
- Pain at the front of the knee: Often localized just below the kneecap.
- Tenderness: Particularly when pressing on the patellar tendon.
- Swelling: Around the knee joint, especially after activity.
- Stiffness: Notably after periods of inactivity or prolonged sitting.
- Weakness: Difficulty performing activities like squatting, climbing stairs, or jumping.
Common Causes of Patellar Tendonitis
- Repetitive Stress: High-impact activities like basketball, volleyball, and running can overload the patellar tendon.
- Muscle Imbalances: Weak quadriceps or hamstrings can increase stress on the tendon.
- Improper Training Techniques: Sudden increases in activity intensity, lack of proper warm-up, or incorrect footwear.
- Biomechanical Issues: Flat feet, poor alignment, or improper joint movement.
- Aging Tendons: Tendons lose elasticity over time, making them more prone to injury.
Diagnosis of Patellar Tendonitis
A thorough diagnosis involves a combination of physical examination, patient history, and imaging studies. During the evaluation:
- Physical Tests: The physician assesses tenderness, swelling, and pain through movement and palpation.
- Imaging: Ultrasound or MRI may be recommended to detect inflammation, microtears, or tendon degeneration.
At Precision Pain Care and Rehabilitation, we prioritize accurate diagnosis to tailor treatments effectively for long-term recovery.
Treatment Options for Patellar Tendonitis
Conservative Approaches
- Rest and Activity Modification
- Avoid activities that aggravate the pain.
- Gradual return to activity with proper warm-up routines.
- Physical Therapy
- Strengthening and stretching exercises for the quadriceps, hamstrings, and calves.
- Eccentric exercises (lengthening the muscle under tension) are particularly effective for tendon healing.
- Bracing or Taping
- Knee braces or patellar straps can offload stress from the tendon.
- Anti-inflammatory Medications
- Non-steroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation.
Interventional Pain Management Techniques
For patients who experience persistent pain despite conservative treatments, interventional pain management offers advanced solutions to accelerate healing and restore function.
- Corticosteroid Injections
- Targeted injections reduce inflammation and provide temporary pain relief.
- Platelet-Rich Plasma (PRP) Therapy
- PRP involves injecting concentrated platelets from the patient’s blood into the injured tendon, promoting tissue repair and regeneration.
- Ultrasound-Guided Procedures
- Ensures precision when administering injections or performing therapeutic interventions.
- Extracorporeal Shockwave Therapy (ESWT)
- High-energy sound waves stimulate tendon repair by increasing blood flow and promoting healing.
- Tenotomy
- A minimally invasive procedure where a needle is used to break up scar tissue, stimulating the natural healing process.
At Precision Pain Care and Rehabilitation, we specialize in using these interventional techniques to address chronic cases of patellar tendonitis. Our approach focuses on reducing pain, improving mobility, and preventing future injury.
Preventing Patellar Tendonitis
- Strengthen Supporting Muscles
Regularly perform exercises to strengthen the quadriceps, hamstrings, and calves, ensuring balanced support for the knee joint.
- Stretch Regularly
Incorporate stretches for the lower body to improve flexibility and reduce tension on the patellar tendon.
- Practice Proper Technique
Ensure correct posture and movement mechanics during sports and daily activities. Consider consulting a coach or physical therapist for guidance.
- Gradual Progression
Avoid sudden increases in activity intensity. Build up gradually to allow your body to adapt to increased demands.
- Wear Supportive Footwear
Choose shoes that provide adequate arch support and cushioning to reduce impact on the knees.
Living with Patellar Tendonitis
Chronic patellar tendonitis can significantly affect quality of life, making routine tasks and recreational activities difficult. However, with a comprehensive treatment plan, most patients experience substantial improvement.
The team at Precision Pain Care and Rehabilitation is dedicated to guiding patients through their recovery journey. Our combination of conservative and interventional approaches ensures that each individual receives personalized care tailored to their specific needs and lifestyle goals.
When to Seek Medical Attention
If you experience persistent knee pain that does not improve with rest or worsens over time, it’s essential to seek medical evaluation. Ignoring the symptoms can lead to chronic tendon degeneration and prolonged disability.
Final Thoughts
Patellar tendonitis is a treatable condition that, when addressed promptly, allows individuals to return to their daily activities and sports with confidence. By leveraging the expertise of Precision Pain Care and Rehabilitation, patients can benefit from state-of-the-art interventional pain management techniques that promote healing and enhance overall knee function.
Precision Pain Care and Rehabilitation has two convenient locations in Richmond Hill – Queens, and New Hyde Park – Long Island. Call the Queens office at (718) 215-1888 or (516) 419-4480 for the Long Island office to arrange an appointment with our Interventional Pain Management Specialists, Dr. Jeffrey Chacko or Dr. Sonny Ahluwalia.
Note: This article is for informational purposes only and should not be considered medical advice. Consult a healthcare professional for personalized recommendations.