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Patellar tendon issues are quiet common among the athletic and active adult populations.

Here are some tell tale signs that you are dealing with a patellar tendon issue:

Focal Inferior Patellar Pole Pain
The pain is very localized and sharp
The task you participate in requires a lot of repetitive running, jumping, or stopping. You may have been performing these tasks for a long period of time (weeks/months) or you performed these tasks much more frequently than you usually do in a short period of time.
Patellar Tendinitis or Tendinosis can affect both adolescents and adults, and the onset tends to vary between presentations.

A major differential diagnosis we want to also be considering is patellar femoral pain syndrome (PFPS). This is a different subset of knee pain that usually presents as a diffuse ache about the knee cap and feels deeper or undernieth the patella. Both patellar femoral pain syndrome and patellar tendinitis have moderately different treatment strategies.

For patellar femoral pain syndrome (PFPS) we need to focus our attention on more of the biomechanics of the knee to help reduce the pain levels. Then optimize a loading strategy to the joint and muscles to improve capacity and functional capabilities.

For Patellar Tendinitis we need to first control the amount of load the knee joint and tendon is undergoing. Which may require activity modification for the time being. Optimizing both resistance and dynamic loads to the knee to minimal-moderate pain levels is the first step in managing this injury and decreasing pain.

The second step includes finding the optimal loading strategy to return the knee back to previous levels of capacity. During this process, you also want to be sure and check that no biomechanical factors may be contributing to tendon overloading. But if the issue is 100% a tendon problem, changing biomechanics will have a much lower impact decreasing pain than with a person who displays patellar femoral pain (PFPS).

Below is a video demonstrating two exercises that I like to utilize for patellar tendon progressive loading. In general, one will move from an isometric exercise to a isotonic exercise that has progressive loading principals applied to it.
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My name is Greg Schaible and I am a Physical Therapist & Strength Coach who works with a lot of athletes and active individuals to overcome injuries! Common location of injuries I treat on a daily basis are: Shoulder, Back, Hip, Knee, and Foot/Ankle. This channel aims to help athletes and regular people prevent injuries as well as speed up and increase the recovery rates!

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