Understanding Patella Tendonitis


Patellar tendonitis, also known as jumper’s knee, is a common knee condition that affects athletes and individuals involved in activities that require repetitive jumping or knee movements. This condition can be painful and debilitating, but with proper understanding and management, it is possible to recover and return to your regular activities. In this blog, we will delve into the causes, symptoms, diagnosis, and treatment options for patellar tendonitis.

What is Patella Tendonitis

The patellar tendon is a strong band of tissue that connects the kneecap (patella) to the shinbone (tibia). This tendon plays a crucial role in the extension of the knee, allowing you to kick, jump, and perform other leg movements. Patellar tendonitis occurs when this tendon becomes inflamed or irritated due to overuse or excessive stress.

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Causes of Patellar Tendonitis


  • Overuse: One of the primary causes of patellar tendonitis is overuse or repetitive stress on the knee joint. This often happens in athletes who engage in sports that involve frequent jumping, such as basketball or volleyball.
  • Muscle Imbalances: Weakness or imbalances in the muscles surrounding the knee joint can also contribute to patellar tendonitis. When the quadriceps muscles are too strong or too weak relative to the hamstrings, it can put additional strain on the patellar tendon.
  • Sudden Increases in Activity: Rapidly increasing the intensity or duration of physical activity can lead to patellar tendonitis, as the tendon may not have enough time to adapt to the increased demands.
  • Poor Biomechanics: Abnormal movement patterns or poor biomechanics during activities like running or squatting can increase the risk of patellar tendonitis.

Symptoms of Patellar Tendonitis


The symptoms of patellar tendonitis can vary in severity, but they typically include:

  • Pain just below the kneecap, especially during activities that involve jumping or bending the knee.
  • Swelling or tenderness in the area around the patellar tendon.
  • Stiffness in the knee, particularly after periods of inactivity.
  • Weakness in the quadriceps muscles.
  • Pain when pressing on the patellar tendon.


Physiotherapy, is a critical component of the treatment plan for patellar tendonitis. It plays a pivotal role in relieving pain, improving strength, and enhancing the overall function of the knee. Here, we will explore the various aspects of physiotherapy for patellar tendonitis and how it can help individuals on their road to recovery.

1. Initial Assessment:

The first step in physiotherapy for patellar tendonitis involves a thorough assessment by a licensed physical therapist. During this assessment, the therapist evaluates the patient’s overall physical condition, assesses the extent of the tendon damage, identifies muscle imbalances, and discusses the patient’s specific symptoms and goals.

2. Pain Management:

One of the primary objectives of physiotherapy is to alleviate pain and reduce inflammation in the affected area. Physical therapists may use various techniques, such as heat therapy, hands on treatment and shockwave.

3. Exercise Prescription:

Physical therapists design tailored exercise programs to address the individual needs of each patient. These exercises focus on:

  • Strengthening: Strengthening the muscles around the knee, particularly the quadriceps and hamstrings, is crucial for reducing strain on the patellar tendon. Exercises may include leg lifts, squats, lunges, and resistance training using bands or weights.
  • Flexibility: Stretching exercises help improve the flexibility of the knee joint and surrounding muscles. Stretches may target the quadriceps, hamstrings, and calf muscles to enhance range of motion.
  • Balance and Proprioception: Balance and stability exercises are essential to prevent future injuries. These exercises challenge the patient’s ability to control their movements and maintain balance, reducing the risk of further strain on the tendon.

4. Manual Therapy:

Physical therapists often incorporate manual therapy techniques into their treatment plans. These may include:

  • Massage: Soft tissue massage can help relax tight muscles and improve blood flow to the affected area.
  • Joint Mobilization: Gentle manipulation of the knee joint can enhance its mobility and reduce stiffness.

5. Biomechanical Assessment:

Many cases of patellar tendonitis are linked to biomechanical issues, such as poor gait or movement patterns. Physical therapists assess the patient’s movement mechanics and provide guidance on improving these patterns. They may also recommend orthotic inserts or footwear modifications to enhance alignment.

6. Education:

Educating the patient about their condition, proper body mechanics, and injury prevention strategies is a fundamental aspect of physiotherapy. Patients learn how to manage their condition and make lifestyle adjustments to reduce the risk of recurrence.

7. Return to Activities:

The ultimate goal of physiotherapy for patellar tendonitis is to enable the patient to return to their desired level of physical activity, whether that involves sports, work-related tasks, or everyday activities. The physical therapist provides guidance on safely reintegrating these activities into the patient’s life.


In conclusion, physiotherapy is a comprehensive and effective approach to managing patellar tendonitis. Through a combination of pain management techniques, tailored exercise programs, manual therapy, and patient education, physical therapists play a crucial role in helping individuals recover from this condition, regain strength and function, and prevent future recurrences. Contact us now to see how we could help you recover at one of our specialist clinics in Solihull, Edgbaston, Birmingham, Kings Heath and Moseley!

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