Knee (Patellar) Tendonitis | Signs, Diagnosis & Treatment | Beaumont

Tendonitis (also spelled tendinitis) is the inflammation of a tendon. A tendon is a thick cord made up of tiny fibers that connect muscles to bones. When people have inflamed or irritated tendons, they may experience pain, tenderness and mild swelling
near the affected joint. Tendonitis can happen in any tendon in the body, but it’s most likely to occur in shoulders, knees, elbows, wrists, and heels.

Knee tendonitis results from an irritated or inflamed tendon in the knee, which can cause significant pain. You may have heard of knee tendonitis referred to as runner’s knee or jumper’s knee. A common type of knee tendonitis is called patellar
tendonitis, which happens when the tendon that connects your kneecap (patella) to your shin gets injured.

Tendonitis is usually caused by repetitive motions in your knee that put excessive stress on a tendon, such as playing a sport or doing physical labor.  

How does knee tendonitis happen?

Tendonitis is common in people who play certain sports, like volleyball or basketball. Activities that involve repetitive running, jumping, and squatting can put extra stress on the patellar tendon in the knee. This causes tiny tears over time that inflame
and weaken the tendon, which can lead to tendonitis. 

Tendonitis can be more common when people who do these activities have:

• Tight muscles in their legs
• Uneven muscles strength 
• Misaligned feet or ankles
• Obesity 
• Chronic diseases that weaken the tendon
• Shoes without enough padding

What are the symptoms of knee tendonitis?

Symptoms of knee tendonitis include:

• Knee mobility issues
• Dull pain in your knee during physical activity
• Tenderness and swelling
• Pain that slowly begins to interfere with daily activities

The first symptom is often pain in the front of your knee at the base of the knee cap. At first, it may only be noticeable after intense physical activity. But the pain can worsen over time and begin to make your sport or workouts difficult. It may eventually
start to interfere with your daily life. 

How do doctors diagnose knee tendonitis?

If your doctor thinks you could have knee tendonitis, they will start by giving you a physical examination. Your doctor will examine your knee, putting pressure on it to see where it hurts, and testing your range of motion (to see how well your knee moves).
Your doctor may also ask you questions about your medical history and the kind of sports you play or physical activity you do.

Your doctor may also give you other tests to look more closely at your knee or rule out other conditions, such as a bone fracture. This could include:

• X-ray
• MRI
• Ultrasound

Beaumont offers treatment for knee tendonitis

Beaumont knee specialists can help you determine the best course of action for your knee tendonitis. Treatment depends on how serious your condition is. Many people with knee tendonitis can care for it on their own by using RICE therapy (Rest, Ice, Compression,
Elevation) and taking over-the-counter pain medication. But some people may need to see a doctor to get relief. Beaumont’s knee care team will work with you to develop a nonsurgical treatment plan — which may include a pain management
program and physical therapy. You’ll receive the kind of expert care you can expect from a top orthopedic program. 

If you are experiencing more serious complications from knee tendonitis, you and your doctor may decide knee surgery is the best treatment plan for you. Orthopedic surgeons at Beaumont can help. Our orthopedic knee surgeons care for patients with a full
range of disabling knee joint disorders. Our knee surgeons use the latest technology and techniques combined with decades of experience — and Beaumont is among a select group of American hospitals approved for advanced fellowship training in
both joint reconstruction and sports medicine.

Advanced Treatment: Tenex Tenotomy

The Tenex tenotomy procedure is a non-surgical procedure used to treat chronic pain associated with tendinitis/tendinopathy and plantar fasciitis/fasciosis. The minimally invasive technique can reduce tendon pain by breaking down and removing damaged tissues with high-frequency ultrasound energy. The procedure is commonly used to treat tendinitis/tendinopathy of the elbow, hip, knee, shoulder, ankle, and plantar fascia.  The procedure is performed using local anesthetic and ultrasound guidance which makes it extremely safe. The procedure is minimally invasive and allows patients to return to normal activities faster than surgery.

The procedure is performed though a small skin puncture (2-3mm) and the device is advanced to the diseased tendon or plantar fascia using ultrasound guidance. The device then removes the diseased tissue and stimulates your bodies normal healing response. The device is then removed and small bandage is applied. Patients go home shortly after the procedure and typically have a short course (3-7 days) of relative immobilization in a sling or walking boot.

Make an appointment at Beaumont 

If you have knee pain or immobility, or other symptoms of knee tendonitis, contact a Beaumont knee specialist to make an appointment. Our specialists offer a full range of treatments for patients of all ages and all types of knee pain and dysfunction. 

Beaumont’s orthopedic program is available throughout Metro Detroit. No matter which type of knee condition you may have, we have a team of specialists ready to determine the best treatment option for you.

Call 800-633-7377 to make an appointment. 

Patellar Tendonitis (Jumper’s Knee) | Johns Hopkins Medicine

Patellar Tendonitis (Jumper’s Knee) | Johns Hopkins Medicine

What is jumper’s knee?

Jumper’s knee, also known as patellar tendonitis, is a condition characterized by inflammation of your patellar tendon. This connects your kneecap (patella) to your shin bone (tibia). Jumper’s knee weakens your tendon, and, if untreated, can lead to tears in your tendon.

What causes jumper’s knee?

Jumper’s knee is caused by overuse of your knee joint, such as frequent jumping on hard surfaces.

It’s usually a sports-related injury, linked to leg muscle contraction and the force of hitting the ground. This strains your tendon. With repeated stress, your tendon may become inflamed.

What are the symptoms of jumper’s knee?

Following are the most common symptoms of jumper’s knee. However, you may experience symptoms differently. Symptoms may include:

• Pain and tenderness around your patellar tendon
• Swelling
• Pain with jumping, running, or walking
• Pain when bending or straightening your leg
• Tenderness behind the lower part of your kneecap

The symptoms of jumper’s knee may resemble other conditions or medical problems. Always see your healthcare provider for a diagnosis.

How is jumper’s knee diagnosed?

In addition to a complete medical history and physical exam, your healthcare provider may use an X-ray to help diagnose jumper’s knee.

How is jumper’s knee treated?

The best treatment for jumper’s knee is to stop any activity that’s causing the problem until the injury is healed. Other treatment may include:

• Nonsteroidal anti-inflammatory medicines (NSAIDs, like ibuprofen or naproxen)
• Rest
• Elevating your knee
• Ice packs to your knee (to help reduce swelling)
• Stretching and strengthening exercises

Key points

• Jumper’s knee is inflammation of your patellar tendon, the tendon that connects your kneecap (patella) to your shin bone (tibia).
• Jumper’s knee is a sports-related injury caused by overuse of your knee joint.
• Common signs of jumper’s knee include:
  • Pain and tenderness around your patellar tendon
  • Swelling
  • Pain with jumping, running, or walking
  • Pain when bending or straightening the leg
  • Tenderness behind the lower part of the kneecap
• Jumper’s knee is diagnosed by taking a medical history and doing a physical exam. Sometimes an X-ray may be needed.
• The best treatment for jumper’s knee is to stop any activity that’s causing the problem until the injury is healed. Other treatment may include:
  • Nonsteroidal anti-inflammatory medicines
  • Rest
  • Elevating the knee
  • Ice packs to the knee (to help reduce swelling)
  • Stretching and strengthening exercises

Next steps

Tips to help you get the most from a visit to your healthcare provider:

• Know the reason for your visit and what you want to happen.
• Before your visit, write down questions you want answered.
• Bring someone with you to help you ask questions and remember what your provider tells you.
• At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
• Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
• Ask if your condition can be treated in other ways.
• Know why a test or procedure is recommended and what the results could mean.
• Know what to expect if you do not take the medicine or have the test or procedure.
• If you have a follow-up appointment, write down the date, time, and purpose for that visit.
• Know how you can contact your provider if you have questions.

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Treatment.

Knee-joint. Tendinitis company blog

Description of the disease, symptoms and causes, methods of treatment.

This is inflammation of the tendon. In this case, the tendon that connects the patella and the main bone of the lower leg (tibia) becomes inflamed. This tendon plays a key role in the movements of the lower leg to straighten. The movements of the lower leg, made when hitting the ball, riding a bicycle and jumping high, are carried out by the muscles of the thigh with the help of this tendon.

Causes of inflammation of the tendon

There are many reasons leading to inflammation of the ligament, among which injuries and their constant impact are of paramount importance. That is why patellar ligament tendinitis occurs in athletes and in people engaged in intense physical activity with the work of the muscle group of the knee joint. A number of scientists consider the development of this pathological process as a complication of degenerative-dystrophic changes, which are more typical in old age.

Symptoms of tendinitis

Like many other inflammatory processes in our body, the leading place in clinical symptoms is occupied by pain, taking into account varying intensity and duration. In the first stages, patients are worried about barely noticeable pain, which often appears in the evening after excessive exercise. Gradually, the pain intensifies, arises in the midst of “complete well-being”, at rest. The temperature with tendonitis practically does not rise, most often this occurs when the inflammatory process is generalized and neighboring anatomical structures are involved in it. It should be noted that a rupture of the patellar ligament is a frequent and, unfortunately, very dangerous complication for the patient.

Make an appointment with a traumatologist-orthopedist Ondar Temir Evgenievich and get an effective treatment program :

Treatment of tendinitis: description

Tendinitis of the patellar ligament does not immediately and unequivocally lead to rupture of the ligament, but the gradual inevitable progression of inflammation implies a weakening of those structures that were involved in inflammation.

Conservative treatment

Treatment for patellar ligament tendinitis depends on the stage of the disease. The first and second stages, as a rule, respond well to conservative, i.e., non-surgical treatment. It includes:

• change of training regimen;
• ice compresses;
• a short course of anti-inflammatory drugs (indomethacin, orthophene, etc.) that relieve symptoms, but there is no evidence that these drugs affect the development of tendinitis.

Anti-inflammatory drugs should be used with caution in elderly patients and should not be used in concomitant diseases of the gastrointestinal tract. Local injections of glucocorticoids (kenalog, diprospan, hydrocortisone) for patellar ligament tendonitis are not recommended due to possible atrophy of the ligament and its subsequent rupture.

• An important role in the treatment of tendinitis of the first and second stages is played by physical exercises aimed at strengthening and stretching the quadriceps femoris, which allows you to gradually return to sports activities, but this can take from several weeks to several months;
• in addition to exercises, taping can be very effective – gluing special tapes on the knee that unload the patella ligament. Taping is a special section of sports traumatology.

The essence of taping comes down to the fact that a special sports tape is glued – teip, which unloads the patellar ligament. If the tape is not available, then you can use a wide adhesive plaster, for example, from Hartmann. Unloading the patellar ligament with tape can be done by sticking the tape across the ligament, on the sides of it, crosswise with fixing the long ends of the tape on top or bottom. The tape can also be applied along the ligament with the tape fixed below the normal attachment site of the ligament to the tibial tuberosity. Of course, combinations of taping methods are also possible.

Surgical treatment

With persistent patellar tendinitis, pain persisting despite adequate treatment, surgery may be required.

Essence of operation:

• Perform arthroscopic (through 1-2 cm incisions) or open (through a traditional incision) removal of chronically altered tissues, usually at the apex of the patella. The choice of arthroscopic or traditional open surgery depends on which parts of the ligament are damaged.

If there is a bone outgrowth on the patella, leading to impingement (strangulation of the ligament), then it can be removed arthroscopically.
If cysts and other volumetric changes have formed in the ligament itself, then they can be corrected only with the help of an open operation.

Of course, the treatment of tendinitis of the patellar ligament in this case is prognostically more favorable, which promises an early discharge for the patient and a return to the previous working days.

• In addition to the removal of altered parts of the ligament, in most cases during surgery, curettage (scraping) of the lower part of the patella is performed to cause tissue repair (recovery process) through inflammation.
• Sometimes additional partial excision of the ligament, wide excision with re-fixation of the remnants of the ligament, and multiple longitudinal tenotomies (notches on the ligament) are performed. However, any of these operations is fraught with rupture of the ligament in the future.
• At stage 4, timely surgical reconstruction of the ligament allows you to restore the strength of the quadriceps muscle and range of motion and return to the previous level of activity, and a delay of several weeks significantly reduces the strength of the quadriceps femoris

Many surgeons during operations for chronic tendonitis prefer to always resect, i.e. shorten the lower pole of the patella, assuming that there is always impingement (strangulation) of the patellar ligament in tendinitis. In general, you should not be afraid of open operations on the knee joint, although such treatment of tendinitis of the patellar ligament is delayed and gives more noticeable discomfort to the patient. Again, if the situation is inevitable, the clinical therapy is ineffective, it is necessary to prevent complications, namely the rupture of the very ligament, which will inevitably require surgical intervention. Based on this, it is much more rational to prevent the consequences than to treat them at the height of the disease.

You can sign up for a consultation by phone +7 (495) 477-55-40 or through the online feedback form .

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Treatment Tendonitis of the patellar ligament (“jumper’s knee”)

Full range of orthopedic services: from diagnosis to complete recovery

Patellar ligament tendinitis is commonly referred to as “jumper’s knee” due to its prevalence among jumping athletes. It is an inflammation of the tendon that connects the tibia to the kneecap.

This is one of the most common injuries in sports. As is common with most overuse injuries, patellar ligament tendonitis develops in three stages:

• first (mild): pain is felt only after activity and does not affect performance;
• second (moderate): pain is felt during and after activity;
• third (severe): pain during and after activity is more prolonged and can be felt during daily activities.

Jumper’s knee symptoms:

• gradual development of symptoms
• pain just below the kneecap, especially when sitting
• pain after activity involving running
• swelling
• the knee may become stiff after being in one position
• limited ability to jump
• in the final stages pain is felt all the time

Causes:

• repetitive jumping and muscle contractions
• weak and inelastic thigh muscles predispose to this condition

Due to the poor blood supply to the tendon, the healing process is very slow, making this injury one of the most difficult to treat.

With age, as a result of overstressing, degeneration and weakening of the ligament fibers occurs. Some fibers are worn out, some are torn, and as a result, the tendon loses its strength. The body tries to somehow restore strength to the tendon and with the help of scar tissue, the tendon thickens. As a result, areas of altered tissues are formed instead of tendon tissue. This condition is called tendonitis or tendinosis. Such areas are much weaker than healthy areas and are often painful. If timely and correctly treated, then you can recover completely.

Patellar tendonitis treatment

Conservative:

• ice application
• peace
• taking anti-inflammatory drugs

Physiotherapy:

treatment of “jumper’s knee” by shock wave therapy – the course of treatment consists of 4-6 sessions of shock wave therapy lasting 15-20 minutes with an interval of 5-7 days.

Operational:

the end of the tendon sheath is surgically opened to give it more space, and the inflamed tissue is cut off.

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