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Patellar Tendinitis Physiotherapy



Also known as "jumper's knee", patellar tendinitis is a condition that results from an inflammation of the patellar tendon.

Our patellar tendon is the connecting structure that bridges the patella (also known as knee cap) to our tibia (our shin bone). If you look at the knee and knee cap, you'd find that our knee cap is a "loose and floating" bone (known as sesamoid bone) which connects our quadriceps (thigh front muscles) to the tibia via the patellar tendon.

So that means that our patellar tendor is the connecting rope of the strong front of thigh muscles (quadriceps) which is instrumental in the way we move - it helps our quadricep muscles to straighten/extend the lower leg so that we can:

  • walk, jog, run, sprint
  • kick a ball or throw a kick
  • pedal a bicycle
  • and more

Patellar Tendinitis symptoms

The main symptoms of patellar tendinitis are generally:

  1. pain
  2. swelling

- over the patellar tendon area.

Sharp pain is usually experienced during activity/sports doing jumps or runs/sprints and tends to "linger" as a dull aching pain after the activities.

In the early part of the injury, the pain may only be experienced during the

  • start
  • during
  • end

of the sports/activities, but as patellar tendinitis, if left untreated and if it progresses, it will become increasingly painful and uncomfortable. Even "normal" everyday activities such as

  • climbing down and upstairs or
  • sitting down or standing up from/to a chair/car seat
  • getting up or down from a kneeling position

can be painful.

Upon testing and palpations, patient often find that direct pressure on the patellar tendon can be very sore or even painful, and this is usually the tell-tale sign. Sometimes, you may need to do an X-ray to rule out the possibility of bone spurs, or if your patellar tendinitis has been very chronic (been affecting you for months or years), you may want to consider doing an MRI to rule out tendon degeneration.

cause of patellar tendinitis

The simplest and commonest cause of patellar tendinitis is basically overuse and wear-and-tear.

This happens usually in individuals who participate in sports/activities that involves in lots of jumping such as:

  • basketball
  • volleyball
  • high jump/triple jump/long jump

hence that's why it was called "jumper's knee".

But frankly, it can happen to individuals who run, play soccer, dance or skate too.

Another and less common cause is direct trauma/injury to the patellar tendon.

Other common causes are as below:

Factors Causes
(Training Related)

  • too quick to increase in the frequency of training
  • too quick to increase in the intensity of training
  • too quick to transition from one sport to another without adequate training
  • repeated training on a rigid surface (high impact)
  • insufficient flexibility exercises
  • insufficient base strength of the quadriceps muscle

Biomechanical Factors

  • reduced flexibility of the thigh muscles (quadriceps and hamstring muscles)
  • muscle imbalance, if some muscles in your leg are much stronger than others than normal
  • patella alta, a condition in which the knee cap is structurally much higher than the knee joint
  • being obese or overweight
  • foot conditions, either a flat foot or a raised arch can impose high strain on the patellar tendon

patellar tendinities physiotherapy treatments

Rest

  • Consider increasing/introducing more rest time during activity and between each sessions
  • Cut back from activities that includes jumping and running but continue other non-pain-inducing activities
  • Consider ice/cold therapy too decrease inflammation during and post sports/activities

Physiotherapy, Correcting Improper Habits And Body Mechanics

  • regular deep tissue release therapy to loosen tight muscles especially in hamstrings and quadriceps
  • then regular deep stretching and mobilizing of the thigh muscles and hamstrings that tends to tighten up with sitting, to normalize and equalize force generation and distribution in our legs
  • strengthening the quadriceps muscle
  • learning and solidifying proper form in take off and landing techniques
  • ultrasound therapy to accelerate soft tissue healing

Patellar Tendon Strap

  • strapping or taping techniques may help unload pressure from your hurt patellar tendon and prevent aggravation. Useful especially before race/exercises (swing by and we can help tape you up)

Orthotics



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book your physio appointment or enquire now

Email questions and your preferred physiotherapy timings to nigel@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here

Phoenix Rehab physio Services

Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.



HAND THERAPY &  SPLINTING

Patients who sustained injuries to their elbows, forearms, hands, wrists (sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand following injuries or post-operations as well as custom made hand splints.

Commonly treated hand pain injuries includes



CLINICAL PILATES & WELLNESS PILATES

Clinical Pilates is a form of physical exercise that focuses on

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  • breathing

It is a system of safe and effective exercises, which meet specific individual needs, to treat a wide range of injuries and conditions.

You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.



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DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY

Sports and deep tissue release massage helps to increase nutrient-rich blood flow to tired, tight and tense muscles to

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It also prevents muscles from scar tissue micro-tears (and potential ruptures), and increases muscle performance.

Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.



ALTERNATIVE THERAPIES

All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).

See our entire team here with introductions and their specializations.

At the first session, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover as well as provide treatment in the same session.

Follow up sessions are inline to provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

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book your physio appointment or enquire now

Email questions and your preferred physiotherapy timings to nigel@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here