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Patellar Tendinopathy (Jumpers Knee) 


Patellar Tendinopathy 

Patellar tendinopathy (or tendonitis) is a painful condition that affects the patellar tendon across the knee. Because of the great stress that is placed on the patellar tendon during jumping sports, it is often referred to as Jumper’s Knee 


What is patellar tendinopathy?

Patellar tendinopathy describes damage to and subsequent inflammation of the patellar tendon. This is the tendon that runs across the front of the knee and attaches the quadriceps and the patella (kneecap) to the tibia (shin bone). It works to both help straighten the knee from a bent position, as well as to protect the knee joint by helping keep the patella in place. The patella tendon (and quadriceps from where it originates) play an essential role in our ability to run, kick, jump, and generally move our legs.  

 

What causes damage to the patellar tendon?


Patellar tendinopathy is typically an overuse injury in high-impact sports, occurring when the tendon is repeatedly stressed and overloaded. This results in small tears through the tendon fibres and the onset of symptoms. An example of such overloading is repetitive jumping (and landing) like in volleyball or netball, as well as sports where players start and stop quickly, and often change direction. Additional causes include:

  • Poor training technique
  • Increased impact on hard surfaces
  • Poor foot biomechanics
  • Sudden increases in training intensity without adequate preparation
  • Muscular imbalances (e.g. tight hamstrings or weak quads)

Without adequate management and recovery, the damage to the patellar tendon may result in long-term weakness with ongoing issues. This is the case for most of the older population that develop patellar tendinopathy, where damage to the patellar tendon has accumulated over time.  

What are the symptoms?

Symptoms of patellar tendinopathy can include:

  • Knee pain around the anterior knee and particularly below the kneecap
  • Gradual onset of pain
  • Swelling
  • Stiffness
  • Tenderness and aching, especially following activity
  • Pain on walking and activities that extend the knees, such as squatting

 

Why it’s important to effectively treat patellar tendinopathy

If you have knee pain and suspect you may have patellar tendinopathy, you’ll want to take care and ensure to get it checked by your podiatrist. While it may start out as an uncomfortable niggle, it can weaken significantly and become a longstanding (chronic) tendinopathy with a very long recovery time to get the tendon back to its full strength and function. Proper care and management at the early stages stops this progression and helps restore your tendon to its healthy, fully functioning state in a much faster time and with much less effort.  

How is treated?

Patellar tendinitis, often referred to as “jumper’s knee,” is an overuse injury affecting the tendon that connects the kneecap (patella) to the shinbone. It’s commonly seen in athletes and active individuals — especially those involved in running, jumping, or sudden directional changes. Effective treatment focuses on reducing inflammation, improving tendon health, and correcting biomechanical load.

Depending on your symptoms and how long they’ve been present, your treatment may include:

  • PRICE Protocol
    Protection, Rest, Ice, Compression and Elevation can help settle acute inflammation and pain in the early stages of injury or flare-up.
  • Orthotic Shoe Inserts
    Custom orthotics may be recommended to correct poor lower limb alignment (e.g., flat feet or overpronation) that places excessive strain on the patellar tendon during walking, running or sport. Offloading stress at the knee joint helps promote better tendon recovery.
  • Stretching
    Gentle stretching of the quadriceps and hamstrings helps reduce tension pulling through the patellar tendon. Tight hip flexors and calves may also be addressed, depending on your movement patterns and muscle imbalances.
  • Strengthening
    Progressive tendon loading is key to recovery. You’ll be guided through a personalised strengthening program focusing on the quadriceps, glutes, and core. Eccentric and isometric exercises are often used early on to stimulate tendon repair without aggravation.
  • Footwear Assessment
    Supportive, shock-absorbing footwear can make a big difference in managing patellar tendinopathy — especially in runners and those on hard surfaces. We'll review your footwear to ensure it's helping, not hindering, your recovery.
  • Shockwave Therapy
    Targeted shockwave therapy helps stimulate tendon healing, promote circulation, and break down thickened or degenerated tissue. It’s particularly effective for chronic patellar tendinopathy that hasn’t responded to conventional care.
  • Laser Therapy
    Our Class IV medical laser promotes rapid healing by reducing inflammation, increasing blood flow, and stimulating cellular repair in the tendon and surrounding tissues.
  • Acupuncture or Dry Needling
    These techniques are used to release tight muscle groups (such as quads and calves), reduce localised pain, and improve circulation — often helping to speed recovery when used alongside strength-based rehab.
  • Load Management & Return to Sport Planning
    We’ll guide you through safe activity modifications and help plan a gradual return to sport or high-impact activity. Preventing re-injury is just as important as resolving your current symptoms.

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