Patella Tendinopathy – Jumpers Knee | London Osteopath and Sports Massage

Patella Tendinopathy – Jumpers Knee

The patellar tendon/ligament connects the kneecap (patella) to the shin bone (tibia). The tendon is continuous with the quadriceps muscle and functions to straighten the leg when the quadriceps contract. The quadriceps straighten the knee in jumping to propel the individual off the ground and function to stabilize the landing. The tendon is put under high stress in individuals who participate in sports that involve direction changing and jumping movements. With repetitive strain, micro-tears as well as collagen degeneration can occur.

Symptoms

Pain at the bottom and front of the kneecap especially when direct pressure applied
Pain aggravated by direct pressure
Post exercise pain
Pain aggravated when using quadriceps muscle
Visible swelling/enlargement of tendon
Calf weakness possible

Early intervention is extremely important as if the condition is left untreated it can be very difficult to treat and may require surgery.

What you can do

Ice therapy
Avoidance of aggravating activities i.e. high impact activities. Substitute with non weight bearing activities; swimming, cycling or hydrotherapy

What we can do

Local deep tissue massage to boost circulation and promote healing
Massage and stretching to quadriceps to reduce tension on patella tendon
Prescription of eccentric exercises that involve the muscle working as it is lengthening can speed recovery
Prescription of muscle strengthening of other muscle groups in legs to decrease loading on patella tendon