How does knee tendonitis develop. What are the most effective treatments for patellar tendinitis. Which exercises can help alleviate knee tendon pain. When should you see a doctor for knee tendon issues. How long does it typically take to recover from knee tendonitis.

Understanding Knee Tendonitis: Causes and Symptoms

Knee tendonitis, also known as patellar tendinitis or jumper’s knee, is a common condition that affects the tendon connecting the kneecap (patella) to the shinbone (tibia). This painful inflammation often results from repetitive stress on the patellar tendon, particularly in athletes who engage in activities involving frequent jumping or sudden changes in direction.

The primary symptoms of knee tendonitis include:

• Pain localized around the kneecap, especially between the patella and tibia
• Discomfort when bending or straightening the leg
• Difficulty performing activities like walking or squatting
• In severe cases, a burning sensation indicating potential nerve involvement

Are certain individuals more prone to developing knee tendonitis? Indeed, several factors can increase the risk of this condition:

1. Overuse of the tendon without adequate rest periods
2. Sudden changes in physical activity levels
3. Improper footwear or changes in footwear
4. Muscle imbalances in the lower body
5. Poor training techniques or errors in exercise form

Diagnosing Patellar Tendinitis: When to Seek Medical Attention

Accurate diagnosis of knee tendonitis is crucial for effective treatment. While mild cases may respond to home remedies, persistent or severe symptoms warrant professional medical evaluation. Healthcare providers typically employ a combination of physical examination and imaging studies to confirm the diagnosis.

During a physical examination, a doctor may:

• Assess the range of motion in your knee
• Apply pressure to various points around the kneecap to identify areas of tenderness
• Observe your gait and overall lower body mechanics

Imaging studies that may be used to diagnose patellar tendinitis include:

• X-rays to rule out bone-related issues
• Ultrasound to visualize the tendon structure and detect inflammation
• MRI for a detailed view of soft tissues and to assess the severity of tendon damage

Conservative Treatment Approaches for Knee Tendonitis

The initial treatment for knee tendonitis often involves conservative methods aimed at reducing pain and inflammation while promoting healing. These approaches can be highly effective when implemented correctly and consistently.

Rest and Activity Modification

One of the most crucial components of treating knee tendonitis is allowing the affected tendon time to heal. This often requires a period of relative rest and modification of activities that exacerbate symptoms. How long should one rest? The duration varies depending on the severity of the condition, but typically ranges from a few days to several weeks.

Ice Therapy and Anti-Inflammatory Medications

Applying ice to the affected area can help reduce pain and inflammation. Over-the-counter anti-inflammatory medications such as ibuprofen or naproxen may also provide relief. However, it’s essential to use these medications as directed and consult with a healthcare provider if symptoms persist.

Bracing and Support

In some cases, using a patellar tendon strap or knee brace can help alleviate pain during daily activities or light exercise. These supportive devices work by redistributing force away from the injured tendon, potentially reducing stress and discomfort.

Physiotherapy: A Cornerstone of Knee Tendonitis Treatment

Physiotherapy plays a crucial role in the comprehensive treatment of knee tendonitis. A skilled physiotherapist can develop a personalized treatment plan tailored to your specific needs and the severity of your condition.

Common physiotherapy techniques for knee tendonitis include:

• Soft tissue mobilization
• Therapeutic taping
• Dry needling
• Ultrasound therapy
• Electrical muscle stimulation
• Shockwave therapy

These modalities aim to reduce pain, improve circulation, and promote healing of the affected tendon. However, the cornerstone of physiotherapy for knee tendonitis lies in targeted exercise programs.

Effective Exercises for Treating and Preventing Knee Tendonitis

A well-designed exercise program is essential for both treating existing knee tendonitis and preventing its recurrence. The following exercises, when performed under the guidance of a physiotherapist, can help strengthen the muscles supporting the knee joint and improve overall lower body mechanics.

Quadriceps Strengthening Exercises

1. Straight Leg Raises: Lie on your back, keep one leg straight and raise it to about 45 degrees. Hold for 5-10 seconds, then lower slowly. Repeat 10-15 times on each leg.
2. Wall Sits: Lean against a wall with your feet shoulder-width apart, then slide down until your thighs are parallel to the ground. Hold this position for 30-60 seconds.
3. Step-Ups: Using a sturdy step or platform, step up with one foot, bringing your other foot to meet it. Step back down and repeat, alternating legs.

Hamstring and Calf Exercises

1. Hamstring Curls: Lie face down and slowly bend one knee, bringing your heel towards your buttocks. Hold briefly, then lower and repeat.
2. Calf Raises: Stand with your feet hip-width apart, then rise up onto your toes. Hold for a moment, then lower back down. For added difficulty, perform this exercise on one leg at a time.

Balance and Proprioception Training

1. Single-Leg Balance: Stand on one leg for 30 seconds, working up to longer durations as your balance improves.
2. Wobble Board Exercises: Use a wobble board to perform balance exercises, gradually increasing difficulty as you progress.

How often should these exercises be performed? Initially, aim for 2-3 sets of each exercise, 3-4 times per week. As your strength and endurance improve, you can gradually increase the frequency and intensity of your workouts.

Advanced Treatment Options for Persistent Knee Tendonitis

In cases where conservative treatments and physiotherapy fail to provide adequate relief, more advanced interventions may be considered. These options should be discussed thoroughly with a healthcare provider to weigh the potential benefits against any associated risks.

Corticosteroid Injections

Corticosteroid injections can provide rapid pain relief and reduce inflammation in the short term. However, their use in treating tendon injuries is controversial due to potential long-term negative effects on tendon health. These injections are typically reserved for severe cases and should be used judiciously.

Platelet-Rich Plasma (PRP) Therapy

PRP therapy involves injecting a concentration of the patient’s own platelets into the affected area to promote healing. While some studies have shown promising results, more research is needed to fully establish its efficacy in treating knee tendonitis.

Extracorporeal Shock Wave Therapy (ESWT)

ESWT uses high-energy shock waves to stimulate healing in the affected tendon. This non-invasive treatment has shown positive results in some cases of chronic tendinopathy, though its effectiveness can vary among individuals.

Lifestyle Modifications and Long-Term Management of Knee Tendonitis

Successfully managing knee tendonitis often requires more than just treating the immediate symptoms. Long-term prevention and management strategies are crucial for maintaining knee health and preventing recurrence.

Proper Warm-Up and Cool-Down Routines

Incorporating thorough warm-up and cool-down routines into your exercise regimen can help prepare your muscles and tendons for activity and reduce the risk of injury. A proper warm-up should include light cardiovascular activity followed by dynamic stretching, while cool-downs should focus on static stretching and gentle movement.

Gradual Progression in Training

When returning to sports or increasing your activity level, it’s crucial to progress gradually. Sudden increases in training intensity or duration can overwhelm the tendon and lead to re-injury. A general rule of thumb is to increase your training volume by no more than 10% per week.

Footwear and Equipment Considerations

Proper footwear that provides adequate support and cushioning is essential for preventing knee tendonitis, especially for athletes and individuals who spend long hours on their feet. Consider consulting with a podiatrist or sports medicine specialist to ensure your footwear is appropriate for your foot type and activity level.

Nutrition and Hydration

Proper nutrition plays a vital role in tendon health and recovery. Ensuring adequate intake of protein, vitamins (particularly vitamin C), and minerals can support tendon healing and strength. Staying well-hydrated is also crucial for maintaining the elasticity and function of tendons and other soft tissues.

How long does it typically take to recover from knee tendonitis? The recovery timeline can vary significantly depending on the severity of the condition and individual factors. Mild cases may improve within a few weeks with proper care, while more severe or chronic cases can take several months to fully resolve. Consistency in following treatment plans and patience during the healing process are key to achieving optimal outcomes.

In conclusion, effectively treating and managing knee tendonitis requires a multifaceted approach that addresses both the immediate symptoms and underlying causes. By combining appropriate medical care, targeted exercises, and lifestyle modifications, individuals can overcome this challenging condition and return to their desired activities with renewed strength and confidence. Remember, early intervention and adherence to treatment plans are crucial for achieving the best possible outcomes in managing knee tendonitis.

Best Exercises to Treat Knee Tendonitis | Physiotherapists in Toronto

            Knee pain can often incite fear and anxiety into people. It is not uncommon for individuals to develop pain in their knee at some point in their lives. If you have recently been diagnosed by a health care professional, or have a strong suspicion of tendinopathy in your knee you might be wondering what the best course of treatment is. Our expert physiotherapists are here to help and provide some insight on how to manage this pain so you can get back to the things you love.

What is knee tendonitis?

Knee tendonitis is an often painful condition which is commonly known as patellar tendonitis and/or jumper’s knee (Mayo Clinic Staff, 2019; Hecht, 2018). Knee tendonitis is an inflammation of the patellar tendon of the quadricep muscles (thigh muscles) that runs over the patella. This tendon is important for the contraction of the quadricep muscles. This tendon originates from the thigh muscles and inserts itself into the bone of your shin (the tibia) (Mayo Clinic Staff, 2019; Hecht, 2018).

Why is it also called jumper’s knee?

Knee tendonitis is often found in athletes who jump a lot (Mayo Clinic Staff, 2019; Hecht, 2018; Precision Movement by Eric Wong, 2017). For instance, basketball and volleyball players are often face this diagnosis especially if they are playing many consecutive games.  (Mayo Clinic Staff, 2019; Hecht, 2018; Precision Movement by Eric Wong, 2017). 

What are the symptoms of tendonitis in the knee?

Symptoms associated with a diagnosis of tendonitis in the knee, patients often experience pain at and around the patella/kneecap (Mayo Clinic Staff, 2019). Specifically, the pain is often localized at the patellar tendon which is situated between the patella and the tibia bones.

Pain is often felt behind the knee when bending or straightening the leg, such as during walking and squatting. This may result in pain and inability to bend at the knee. In severe cases, there may be a burning sensation at the knee as well which can indicate nerve involvement. 

 Why do people get patellar tendonitis?

People often get patellar tendonitis because of the overuse of the tendon. When there is constant stress with insufficient recovery time the tendon begins to change. You can think of this similiar to a rope beginning to fray. For instance, an overactive basketball player who plays basketball for several hours every day without sufficient rest may begin to develop this condition. This is often compounded by fatigue, diet, training errors, and muscle imbalances.     (Mayo Clinic Staff, 2019; Hecht, 2018)

            Individuals who suddenly change their activity may also develop this condition. For instance, an office worker who was previously sedentary begins training for a 10km run with her colleagues is prone to developing patellar tendonitis. 

            For some individuals, changes in footwear may cause the onset or aggravate this condition. It is important to have proper foot which match your individual foot structure if this is the case. 

            It is always important to ascertain the root cause of this injury. If not, it is extremely 
likely to recur or worsen.

How does one treat, heal, cure, and/or fix knee tendonitis?

Many individuals that experience pain in their knee are confused as to what the best course of treatment is. This will vary depending on what stage the disease is in. Treatment for knee tendonitis includes:

Medication & Bracing – Initially a period of rest, as well as using ice, and avoiding aggravating activities which trigger symptoms (i. e. jumping) may be required. Medications such as Acetaminophen, Ibuprofen, and Naproxen Sodium may be taken or prescribed as well. In some cases, the use of a patellar tendon strap or brace may be used to alleviate pain during functional activities.

Physiotherapy – Physical therapy aims to use specialized modalities such as soft tissue mobilization, taping, dry needling, ultrasound, muscle stimulation, and shockwave among others to quicken recovery.Moreover, specific corrective exercises which help to strengthen and stretch the muscles of the lower limb are required for successful rehabilitation. These exercises may vary given the cause of the individual’s root cause of injury. These are often prescribed by a Physiotherapist after a functional physical examination. 

Injections – If the injury is deemed severe, suitable patients may require further intervention. Sometimes the use of a corticosteroid injection may be used, however, this may do harm as it can actually weaken the tendon and lead to rupture over time (Mayo Clinic Staff, 2019; Hecht, 2018)

PRP Treatments – Platelet-rich plasma injections (Mayo Clinic Staff, 2019), oscillating needle procedures (helps to “cut away the damaged” region) (Mayo Clinic Staff, 2019), ultrasound guided dry needling “making small holes in the tendon” (Hecht, 2018), hyperthermia thermotherapy (uses heating deep within the tissue and cooling devices on the surface) (Hecht, 2018), and extracorporeal shockwave therapy (Hecht, 2018) are alternative invasive measures that may be used for treatment.

Surgery – In very serious cases, surgery may be the last option for chronic knee tendonitis that cant be resolved conservativly. Generally, it is extremely rare that people will require surgery as knee tendinitis can be treated through proper physical therapy and exercise (Mayo Clinic Staff, 2019).

Strengthening Exercises for Knee Tendonitis:

Because there are many muscles that cross the knee joint and can potentially have an effect on the knee, there would be multiple patellar tendonitis exercises used to help treat it. It has also been noted that one should focus more on eccentric (when the muscles lengthen) and concentric (when the muscles shorten) exercises (Hecht, 2018). Some exercises that can help to strengthen the muscles around the knee would be: 

Squats

(Bodyweight and/or weighted, depending on the performer’s abilities)

o   Drop squats (stepping off a raised height, typically a box, and squat on the landing) (Precision Movement by Eric Wong, 2017)

o   Decline squats (squatting with a propped-up heel; by stepping on an object with only the heel, in which would form a 15-25⁰ angle with the floor) (Precision Movement by Eric Wong, 2017)

Step-ups/downs:

 3 sets of 10 repetitions 

o   Step up onto an object and down the object, such as a box or staircase step

Clam shells:

3 sets of 10 repetitions 

o   Lying down on one’s side, legs and feet together in the form of a knee tuck, open up the legs by swinging open just the knee while keeping the feet together and the hip parallel with the floor surface

Hip bridges:

3 sets of 10 repetitions

o   Lie supine (back is on the floor) with one’s legs (both) flexed at the knee, then raise one’s glute up reaching a parallel with the thigh

Straight leg raises:

3 sets of 10 repetitions

o   Raise one’s leg when lying supine, prone (belly is on the floor), and on their side 

            All these exercises focus on more than one muscle/muscle group because as previously noted, many muscles cross the knee joint. Furthermore, individuals will have to come up with an appropriate number of repetitions and sets to ensure that the exercise is useful and/or helpful. Very generally, one can start off with 8-12 repetitions and work from there. If too difficult, one can decrease the number of repetitions and if it was too easy, one can increase the number of repetitions or add weights to the exercises. It is especially important to keep in mind the proper form/technique used in these exercises because incorrect form can decrease the effectiveness of them.

Stretching Exercises for Knee Tendonitis:

When exercising, one must also be aware of muscle tightness that develops. It is important for one to stretch out their muscles as tight muscles may also contribute to patellar tendonitis (Mayo Clinic Staff, 2019; Hecht, 2018). Some stretches include:

Quadricep stretches:

60 second hold for 3 sets

o   While standing on one leg, use hands to help bring the heel of the other leg up towards one’s bottom

o   One can also use a resistance band to help pull the leg towards one’s bottom when lying prone on the floor 

Hamstring stretches:

60 second hold for 3 sets

o   Sitting down on a surface with legs extended, bend down and try to reach for one’s toes, while maintaining a neutral posture or straight back 

Calf stretches:

60 second hold for 3 sets

o   Lying supine, one can dorsiflex their foot (bend at their ankle and bring their foot closer towards them, similar to when releasing a gas pedal) and plantarflex their foot (bend one’s foot at the ankle joint, similar to pushing down on a pedal)

When stretching, be sure to feel a stretch and not pain. It doesn’t necessarily have to be a hard/painful stretch, rather it would be sufficient if it was a comfortable stretch, a stretch that is tolerable and not painful.

Summary

            In conclusion, patellar tendonitis is an inflammation in the tendons coming from the knee region causing pain and discomfort. Knee tendonitis is treatable through sufficient rest and exercises to help strengthen and stretch out the muscles that cross the knee joint. However, if pain resides, consult a doctor, trained physician, or Physiotherapist. Regardless, it would be wise to consult them early on to prevent the injury from getting worse. 

            By taking the appropriate steps and beginning treatment early you should be able to return to activities within as little as 4 weeks.

            If you’re unsure of what to do, an expert opinion is always the best option. Our physiotherapists are available to thoroughly investigate this condition, the cause, and what best you can do to get back on the right track!

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References

AskDoctor Jo. (February 13, 2017). Knee Tendonitis Exercises & Stretches – Ask Doctor Jo. [Video]. Youtube. https://www.youtube.com/watch?v=13G6utHzr9E

Healthwise Staff. (2019, June 26). Patellar Tendinitis (Jumper’s Knee): Exercises. MyHealth.Alberta.ca. https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=bo1598

Hecht, M. (2018, September 3). What Is Patellar Tendonitis (Jumper’s Knee)? healthline. https://www.healthline.com/health/patellar-tendonitis

Mayo Clinic Staff. (2019, October 19). Patellar Tendinitis.  Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/patellar-tendinitis/symptoms-causes/syc-20376113

Mayo Clinic Staff. (2019, October 19). Patellar Tendinitis. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/patellar-tendinitis/diagnosis-treatment/drc-20376118

Precision Movement by Eric Wong. (May 29, 2017). Patellar Tendonitis Exercises to Treat and   Prevent Knee Pain. [Video]. Youtube. https://www.youtube.com/watch?v=JGSIk1lbE6E

Yorkville SportsMedOctober 9, 2020knee, leg

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Treatment, exercises, symptoms, and recovery time

Patellar tendonitis — also called jumper’s knee — is a type of knee tendon pain. It happens when the tendons connecting the kneecap to the shinbone become inflamed from overuse.

Repetitive motions, such as running and jumping, can aggravate the tendons connecting the kneecap and shinbone. When these tendons undergo repetitive strain, a person can develop tendonitis. This is a common condition that causes pain in an injured tendon.

Usually, people can manage tendonitis with rest, ice, and over-the-counter (OTC) pain relievers. If these home treatment options do not relieve symptoms, a person may need to contact a doctor.

Read more about what causes patellar tendonitis, stretches and exercises to treat it, and more.

Tendons are strong, flexible bands of tissue that connect muscles to bones. They help a person move their limbs and joints.

If someone overuses or places too much strain on a tendon, tiny tears can develop, which can cause pain and inflammation.

In patellar tendonitis, a person injures the tendons connecting the kneecap and shinbone. It is common in people doing sports that involve repetitive running and jumping. Patellar tendonitis is also called:

• patellar tendinosis
• patellar tendinopathy
• jumper’s knee

Patellar tendonitis develops gradually. The condition becomes more severe each time the tendon is overstressed, so it is essential for a person to rest their knee after each injury. This will give the body time to heal.

Treatment for patellar tendonitis usually focuses on reducing pain and inflammation.

First, a person should stop any activities that could worsen the injury, giving the body time to heal. This means they should avoid any activities that may have contributed to the injury, such as jumping and high-impact sports.

They should also rest the affected leg, apply ice to the area, and take OTC anti-inflammatory medication. These measures can reduce swelling, which can lessen pain.

If home treatment measures do not resolve a person’s symptoms — or the tendonitis returns — they may need to contact a doctor. They can recommend further treatment depending on the injury, a person’s age, and activity level.

Small or partial tears may require rest and rehabilitation exercises. However, if someone’s injury is more serious, a doctor may suggest wearing a knee brace for 3–6 weeks. This will immobilize the joint, allowing the tendon to heal.

Physical therapy can help to gradually restore movement as the tendon heals. A physical therapist may also recommend strengthening and stretching exercises people can do at home.

Additionally, a physical therapist can help prevent re-injury by finding the cause of the tendonitis. To do this, they can examine a person’s movement patterns and determine why the tendons are being overloaded. For instance, if a person has weak hips, the knees may take more of the impact when running or jumping, which can cause pain.

In rare cases, untreated tendonitis can lead to a complete tendon tear. If this happens, a person may need surgery to reattach the tendon to the bone.

If a person has patellar tendonitis, they may want to contact a doctor or physical therapist to recommend exercises. Doing the wrong exercises, or doing too much too soon, can cause further damage. People should be careful to do gentle exercises and progress slowly.

Some examples of exercises that may be helpful include:

Seated hamstring stretch

Image credit: Active body, creative mind

Sitting on the floor, stretch one leg straight in front. Keeping the leg straight and toes pointed upwards, gently lean towards the foot. Hold this position for 30 seconds and repeat on both sides.

Quad stretch

Image credit: Dima Bazak

With one hand on a wall or chair for support, grasp one ankle and gently pull it towards the buttocks. Hold this position for 30 seconds. Slowly release the foot and repeat on the other side.

Alternatively, a person can practice a prone quad stretch by lying on their stomach and gently pulling their heel to their buttocks.

Squats

Image credit: Dima Bazak

Standing with the feet shoulder-width apart. Keeping the back straight, slowly bend the knees while engaging the glutes. Go as low as is comfortable. Repeat 8–10 times.

Alternatively, a person can try a decline squat by placing their heels on a small block or thick book. This takes some of the strain off the patellar tendons when performing a squat.

Supine leg lifts

Image credit: Active body, creative mind

Lay on the back with the legs extended up straight. Slowly lower one leg while keeping the knee straight, then activate the quads to lift the leg.

Repeat 5 times on each side.

Repetitive activities are usually the cause of patellar tendonitis. It is common in people who play sports that involve running and jumping. For example, a 2017 German study found that around 13% of young soccer players experienced patellar tendonitis.

Suddenly increasing a person’s training volume, running or jumping on hard surfaces such as concrete, and exercising too much can also cause tendonitis.

The main symptom of patellar tendonitis is a dull pain just below the kneecap. There may also be swelling and tenderness around the knee. At first, a person’s symptoms may be mild, only occurring during intense exercise. However, they can worsen over time.

If patellar tendonitis goes untreated, a person may risk a tendon tear. A large tear of the patella tendon is a serious injury, and a complete tear will separate the tendon from the kneecap. They may hear a tearing or popping sound and feel significant pain.

It is important not to ignore ongoing knee pain or discomfort. Identifying patellar tendonitis early means the condition will be easier and quicker to treat, reducing a person’s risk of serious injury.

A doctor or physical therapist will diagnose this condition by doing a physical exam. They may put some gentle pressure on the knee and test its range of motion. Additionally, they might ask about a person’s symptoms and how long they have been experiencing pain.

There are several ways to diagnose patellar tendonitis, so a person’s experience may vary. Doctors commonly use ultrasound to identify the condition and look for any serious tendon damage. They may order an MRI to get a detailed picture of a person’s injury in more severe cases.

After an individual has recovered from patellar tendonitis, they can take steps to prevent future injuries.

Anyone who plays a sport involving repetitive running and jumping can reduce their risk of injury by:

• warming up and stretching before exercise
• cooling down and stretching after exercise
• wearing knee support when playing sports
• doing exercises to strengthen the leg muscles and support the knees
• avoiding jumping and landing on very hard surfaces, such as concrete

Recovery time for patellar tendonitis varies. It depends on how severe a person’s injury is, their overall health and age, and how they treat the condition.

If a person has mild tendonitis, they may be able to return to their normal activities in 3 weeks. In more severe cases, it may take 3 months or more to recover.

Some people have ongoing knee pain even after recovering from patellar tendonitis. Although pain is usually mild and manageable, persistent tendonitis can prevent a person from doing certain sports.

Patellar tendonitis can develop gradually, so it can be difficult to recognize at first. Anyone with ongoing discomfort or knee pain should contact a doctor to evaluate their knee.

Resting and bracing the knee gives a tendon time to heal. In most cases, mild patellar tendonitis heals in a few weeks. If the pain continues, a doctor or physical therapist can recommend further treatment options.

Patellar tendonitis is a common knee injury among athletes. Repetitive running and jumping damage the patellar tendon, causing pain and inflammation.

The best treatment is to rest and avoid activities that might worsen the damage. Doctors may also recommend physical therapy exercises, modifying activities, ice and heat, and painkillers.

Tendinitis of the knee joint [symptoms and treatment]

Tendinitis of the knee joint is treated at the Health Plus clinic with a conservative and surgical method. We will describe in detail the symptoms and treatment.

People who lead an active lifestyle and are often exposed to increased physical activity often face such an ailment as tendinitis of the knee joint. Also, this pathology occurs in overweight individuals and insufficient muscle elasticity. In this case, a person feels a pronounced pain syndrome, crackling and stiffness in the knee area, which causes discomfort during movement. If such alarming signals of the body about the disease and the lack of proper treatment are ignored, over time the patient may lose physical activity.

At the Health Plus Medical Center, you can get high-quality treatment of tendinitis using an innovative method – shock wave therapy. Also, qualified and experienced surgeons carry out their activities, which guarantees a stable restorative effect even in the presence of an advanced form of the disease. At the same time, we provide impressive discounts for the first visit to a specialist, we use Swiss-quality equipment and apply an individual approach to each visitor.

In this article we will tell you in detail how to treat tendinitis of the knee joint in order to get the best and prolonged result – to fully restore motor activity in the lower extremities. You will also learn about the signs and stages of the disease, and get acquainted with the measures for its prevention. We will talk about these and other similar points later.

1. What is knee tendonitis?

2. What causes knee tendonitis?

3. Symptoms of tendonitis of the knee

4. Stages of development of tendinitis of the knee

5. Diagnosis of tendonitis of the knee

6.
Treatment of knee tendonitis

6. 1. Treatment of tendonitis with shock wave therapy

6.2. Use of medications (ointments)

6.3. Surgical intervention

6.4. Traditional treatment of tendinitis of the knee joint

6.5. Exercise therapy for knee tendinitis (exercises)

7. Rehabilitation after treatment of tendinitis of the knee

8. Preventive measures

9. Prognosis of treatment of tendinitis of the knee

What is tendonitis of the knee?

Tendinitis of the knee occurs quite often among the population, regardless of gender and age category. It is accompanied by a pathological process localized in the area of ​​contact between the tendon and the bone. This ailment is often equated with meniscal lesions – in terms of frequency of occurrence.

Most often, tendinitis of the knee joint occurs in people of adolescence and middle age, as well as people involved in active sports activities. The disease may be acute or chronic. If the treatment of the above ailment is not started in a timely manner, this can provoke a weakening of the ligaments in this area, up to their rupture.

However, restoration of damaged tissues is possible with regular and proper rest. In its absence, microdamages can provoke serious degenerative disorders, namely, tendinitis of the knee joint.

To make an accurate diagnosis and draw up a competent treatment plan, it is necessary to deal with experienced and qualified specialists. The sooner you contact the clinic, the more chances you will have to restore the knee joint.

What causes knee tendonitis?

The main cause that can provoke tendonitis of the tendon of the knee joint is an increased intense load on this area of ​​the leg. Microtrauma resulting from it can lead to a strong inflammatory process.

Also, cause development
The following factors can cause illness:

• Excessive stress on the joints that occurs when jumping, during sports jogging and when climbing stairs;
• Knee injury, flat feet;
• Insufficient flexibility of the thigh muscles, their weakness;
• A sharp increase in the intensity of physical activity;
• Rapid weight gain, obesity.

An increased risk of knee ligament tendonitis in women is due to having wider hips than men.

If you ignore knee tendinitis and its symptoms for a long time, and do not give up your usual lifestyle, regular microtraumas can provoke significant dysfunction of the tendons, as well as lead to their complete destruction. In the event of serious complications, which include tendinosis, pain can last for several years and provoke a rupture of the damaged tendon.

Symptoms of knee tendinitis

Pathological processes in
tendons located in the area of ​​the knee joint, most often,
accompanied by the following symptoms:

• Pain in the area above the tendon. Increases with jumping and jogging;
• Feeling of stiffness in the knee joint in the morning. Due to a decrease in elasticity at the site of the lesion;
• Thickening of the damaged ligament;
• In the acute form of the disease, severe swelling occurs in the area of ​​soft tissues located around the tendon. The temperature of the skin above it can also rise and beauty appears;
• Crackling sensation in the knee joint when squatting or walking.

Pain increases gradually as physical activity increases. The most sensitive place is the area above the damaged ligament.

Stages of development of knee tendinitis

Lack of ability
tendons to perceive increased loads provokes its damage. disease
characterized by 4 stages, depending on the severity:

1. Reactive tendinitis. Tissues have a normal ability to adapt to damage. The pain syndrome occurs only after the load, while the functions of the knee joint are not disturbed.
2. Tendon dysfunction. In this case, degenerative processes prevail over regenerative ones. Discomfort is present both during and after exercise. The patient is able to lead an active lifestyle. If ligament damage is prevented in the future, experts give good prognosis.
3. Degenerative tendinitis. It is characterized by the presence of pain during and after exercise, and the death of damaged cells. The number of movements in the joint is reduced. In the absence of treatment, it becomes impossible to restore the functions of the affected knee and return to sports activities.
4. Tendon rupture. There is a sharp pain in the area of ​​the joint. It is characterized by a complete loss of the functions of the knee joint and the loss of its motor activity. If there is an acute tendinitis of the knee, treatment can bring the desired result only after surgery.

Diagnosis of knee tendonitis

diagnosis of the disease, you should contact competent specialists. Wherein
mandatory procedures are:

• Performing research in the laboratory. They allow you to track violations in the event that the cause of the development of the disease was any infectious process or rheumatoid damage to the cartilage tissue of the joint;
• X-ray. It is considered an effective way to detect an ailment only when it is acute in nature, associated with the accumulation of uric acid salts or the appearance of bursitis;
• Ultrasound. It makes it possible to diagnose a violation in the structure of the tendons;
• MRI, CT. Allows you to detect damage in the area of ​​​​the ligaments.

Only in case of timely detection of the disease, it is possible to accurately determine its stage and prescribe the correct treatment.

Treatment of tendinitis of the knee

If a patient is diagnosed with tendonitis of the knee, treatment involves the use of several methods. Their choice depends on the degree of the degenerative process. At the same time, the most popular of them are:

• Use of medications;
• Performing physiotherapy procedures;
• Surgical procedures;
• Traditional treatment of knee tendonitis;
• exercise therapy.

Special knee orthoses and self-adhesive tapes are often used as an additional method to facilitate the functioning of the joint and fix the muscles.

Treatment of tendonitis with shock wave therapy

The most effective treatment for inflammation in the tendons is shock wave therapy. With the help of this technique, it is possible to quickly cope with calcium deposits and eliminate the need for surgical intervention.

SWT for tendonitis is an innovative method that allows you to get the following positive effects:

• Relieve and then completely eliminate pain;
• Break down calcium deposits;
• Restore exchange processes;
• Normalize blood circulation in the affected area;
• Eliminate inflammation;
• Restore motor activity.

Achieve positive
dynamics and you can get a lasting result after the first sessions of the procedure.
Their frequency and intensity are selected individually. At the same time, special
the timeliness of contacting a specialist is important, which allows achieving
stable healing effect in more than 90% of cases.

Our staff consists of specialists of the highest category, who are fluent in the skills of working on innovative Swiss equipment, which is the key to effective treatment of knee tendinitis with SWT.

More about the treatment of tedinitis with SWT »

The use of medications (ointments)

If you have diagnosed tendinitis of the knee joint, treatment of the disease can begin with the use of drugs whose action is aimed at stopping pain and eliminating inflammation. These include Diclofenac and Ibuprofen. These drugs relieve pain and allow you to eliminate the focus of inflammation. In the presence of tendonitis of the knee joint, the above remedies can be used not only orally, but also in the form of an ointment.

When diagnosing an acute inflammatory process, it is advisable to use antibiotic therapy. Corticosteroid injections are also recommended to reduce pain.

Surgery

If a patient has been diagnosed with advanced knee tendinitis, treatment is performed exclusively with surgical procedures. During them, damaged tissues are removed in this area.

When diagnosing calcium deposits in the affected area, perform arthroscopy. During this procedure, the surgeon makes small incisions through which the growths are removed.

In case of cystic
formations, an open-type surgical intervention is performed. Also practiced
scraping in the area under the knee joint, which allows you to start the process
tissue regeneration.

Tendonitis of the knee joint is also treated with a reconstruction method. This contributes to the rapid restoration of tendon function. At the same time, at the time of intervention, partial and complete removal of loose tissue located under the patella is performed and transplanted into the area of ​​tendon attachment.

Alternative treatment of knee tendonitis

Regardless of the stage of diagnosis of knee tendonitis, it is up to a competent specialist to assess the symptoms and prescribe treatment. Even given the effectiveness of folk remedies, their help should be resorted to only in combination with medications.

Tendinitis of the knee can be treated with ointments and oral herbal remedies. They allow you to stop the pain syndrome, improve the functioning of the immune system and contribute to the normalization of the general condition. In the case of their competent use, relief comes much faster.

Oral preparations
use:

• Ginger. Shredded rhizomes are insisted in a thermos, in 300 ml of boiling water. Take 1/3 of the contents 3 times a day;
• Curcumin. Allows you to relieve pain. Used as a condiment;
• Walnut. 1 glass of partitions is poured with 0.5 liters of vodka. The infusion period of the composition is 21 days. For maximum effect, take 20 drops 2 times a day;
• Bird cherry. 20 g of fresh berries are poured into 1 cup of boiling water. Take 50 ml 3 times a day.

External products:

• Use of ice. Experts advise doing a daily massage of the affected area with an ice cube. The duration of the session is 15 minutes;
• Aloe. The leaves of the plant are taken and placed in a cold place for 24 hours. Next, the raw material is crushed and squeezed. A gauze napkin soaked in aloe juice is applied to the affected area for 3 hours. Compresses should be changed several times a day;
• Arnica. An ointment made from crushed berries and melted fat is effective. The resulting remedy is rubbed on the sore spot 2 times a day. It allows you to quickly eliminate swelling and inflammation.

Exercises for knee tendinitis (exercises)

There are specially designed exercises that show increased effectiveness in knee tendonitis. They are recommended to be performed during the recovery period after an illness. Gymnastic exercises are carried out daily until the pain syndrome is completely eliminated. We will describe them in more detail below:

• While in the side position, raise both legs. To achieve the desired result, you should do at least 5 repetitions. With each session, you can increase the number of exercises;
• Lie on your back. Raise your leg up at a 90 degree angle. For maximum effect, do about 5 repetitions. Similar movements must be done with the second leg;
• Lean against the wall. Grab the ball with your knees. Do the exercise multiple times.
• Sitting on a chair, raise and lower your legs.
• Walk regularly.

Rehabilitation after treatment of tendonitis of the knee

Once a patient has been diagnosed with goosefoot tendinitis of the knee, the main goal of treatment should be to fully restore the motor activity of the leg.

use exercise therapy programs aimed at increasing endurance, mobility
and flexibility of the lower limb. Rehabilitation experts advise
perform the following exercises:

• Static stretching should be done during the initial recovery phase to improve flexibility. In the process of them, it is important to hold one position for 30 seconds. In this case, the ligaments are stretched gradually;
• In the future, it is necessary to include dynamic stretching in the treatment complex. These are exercises characterized by active movements. They also help to stretch the muscles and allow you to relieve tension in them;
• Muscle strengthening exercises are considered especially effective. They allow you to eliminate tension in the affected area.

An important point is to avoid exercises that increase pain. Some patients use tight bandages and special knee pads to align the patella and relieve tension in the nearby ligaments.

If the rehabilitation course is chosen correctly, the patient’s physical activity can be restored in 2-3 months.

Preventive measures

As you can see, goose foot tendonitis of the knee is treatable. However, it is easier to prevent the development of this insidious disease than to spend energy searching for a professional specialist and asking questions like: “How to treat tendinitis of the knee joint?”. To do this, you should follow simple rules of prevention. These include:

• Avoid prolonged muscle strain;
• Warm up your muscles before starting sports training;
• Try to get enough rest after any physical activity;
• Avoid any possibility of knee injury;
• Try to keep your lower limbs flexed as you lift the weight.

By adhering to the above recommendations, you can avoid the development of tendinitis in the left knee joint or prevent the development of a pathological process in the right tendon.

Predictions for the treatment of tendonitis of the knee

If, after the detection of tendinitis of the knee, the correct treatment is selected, as evidenced by the reviews, dangerous consequences associated with tendon rupture and complete loss of motor activity can be avoided.

As predicted
doctors, the probability of restoration of movements of the knee joint is determined in
depending on the stage of pathology:

• 1, 2 stages. It is possible to completely restore motor activity already through conservative methods;
• Stage 3. It is difficult to fully recover;
• Stage 4. It is possible to hope for positive dynamics, but surgical intervention is required.

It is also possible to predict the result of treatment depending on the time of its initiation – the earlier tendonitis is diagnosed, the more chances the patient has to restore tendon function.

Tendinitis of the knee | Blog ММЦ Clinic №1 Lublino, Moscow

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Tendonitis of the knee: costly treatment can be avoided The development of inflammation can occur anywhere in the body, and if left untreated, it can become chronic, making the disease serious.

Patellar tendonitis is characterized by inflammation of the tendons in the knee area. The knee joint consists of three parts:

• thigh;
• tibia;
• patella.

A powerful tendon is attached from the thigh muscles to the patella. It is constantly exposed to physical stress during sports, so it is at constant risk of microtrauma.

Tendinitis of the knee most often affects the patellar ligament. This inflammation is considered to be an occupational disease of athletes. Moreover, according to research in the field of sports medicine, overweight men are more likely to have a knee joint injury than others.

Causes of knee tendinitis

As a rule, knee tendinitis begins to develop in professional athletes and people over forty years of age. Excessive physical activity and age increase the likelihood of inflammation in the knee joint.

Jumping on a hard surface is considered a trigger for knee tendinitis. Other factors that predispose to inflammation are:

• uncontrolled training patterns;
• footwear that causes discomfort when worn;
• joint injuries;
• long-term use of antibiotics;
• foot pathology;
• violation of posture;
• spinal injuries.

In the process of rheumatic, infectious or endocrine diseases, secondary tendinitis may develop.

Symptoms of knee tendonitis

The main symptoms of knee tendonitis are:

• pain on movement of the affected limb;
• painful sensations on palpation;
• fever in the area of ​​inflammation, redness is possible;
• impaired joint mobility;
• prolonged pain, worse at night.

In addition to the common symptoms, there are also stages of development of the pain syndrome:

1. The first stage is characterized by pain in the tendon area only at the peak of physical activity. In any other circumstances, pain is absent.
2. In the second stage, dull pain occurs already with standard physical exertion.
3. In the third stage, the pain syndrome does not subside even after a long rest.
4. The fourth stage is the last in the development of the disease. The tendon of the knee joint loses its strength, and the tissues undergo minor tears. With physical exertion, a rupture is possible.

Secondary tendinitis causes symptoms to appear more quickly and the pain to develop more intensely. The spread of inflammation takes place in just a couple of days, and the swelling is more pronounced. Hyperemia occurs in the affected area, and in rare cases, hyperthermia of the skin.

At the first sign of tendonitis, it is highly recommended to seek professional help. Self-diagnosis can lead to serious consequences, since the symptoms of tendonitis are similar to tendinosis. However, their treatment is different.

Diagnosis of tendonitis

Diagnosis begins with examination of the patient and analysis of the affected limb. This is usually done by an orthopedic traumatologist. Based on the analysis of the symptoms and causes of tendinitis, the doctor directs the patient for additional studies.

Examination includes the following procedures:

• X-ray of the knee joint – to rule out pathologies that have similar symptoms. Rarely, imaging may show soft tissue enlargement.
• Ultrasound, MRI and CT – to visualize the knee joint and tissues around it. The deformations of the structure, the places of tendon tears and the focus of inflammation are determined.
• laboratory tests – general urine analysis of blood. Signs of tendinitis appear in the blood when there is an infection, and if there is a metabolic disorder, the analysis may show an increased level of creatinine and uric acid.

Signs of tendinitis are very easy to confuse with other joint diseases, so self-diagnosis of inflammation is not recommended.

Treatment process for tendinitis

When tendonitis of the knee is detected, conservative treatment is the first choice. The essence of the method lies in outpatient treatment using:

• rest mode – the patient excludes any physical activity, and the limb is immobilized with plaster or other fixators;
• medicines – the doctor prescribes various analgesics and anti-inflammatory drugs;
• physiotherapy – after neutralization of the main inflammation, the patient is prescribed electrophoresis, massage, exercise therapy, iontophoresis, magnetotherapy, etc.

X-ray therapy is used in case of intense pain and pronounced swelling in the knee joint. Doctors can also resort to blockade with corticosteroid drugs. A fairly effective treatment for tendinitis is shock wave therapy in combination with V-actor technology.

Upon completion of treatment, patients should gradually increase the load on the knee. It is recommended to use special orthoses to fix the joint and minimize the risk of recurrence.

Surgery for tendon ruptures or failure of outpatient treatment. The operation procedure includes incision of the skin in the area of ​​the lesion, opening of the ligamentous canal and removal of the affected tissues.

After the operation, the patient is prescribed antibiotics, pain medication, physiotherapy and massage. Folk remedies can enhance the effect of traditional treatment of tendonitis. But, before resorting to non-traditional treatment, it is necessary to consult a doctor. Self-medication can harm health and lead to the undesirable development of inflammation.

Possible complications

If inflammation is ignored for a long time, there is a risk of tendinosis of the patellar ligament.

The consequences of the course of tendinitis disease negatively affect the ability of the ligaments to withstand stress. If timely treatment is not started, the joints will noticeably weaken, and the likelihood of fiber rupture will increase.

Inflammation Prevention

To prevent knee tendinitis, experts recommend:

• to distribute the load on the knee during intense training;
• avoid excessive exercise;
• avoid sudden movements during heavy physical exertion;
• warm up muscles before training;
• monitor body weight;
• wear comfortable shoes that do not cause discomfort when walking;
• timely respond to infectious diseases;
• counteract flat feet;
• correct posture and curvature of the spine.

There is no single way to prevent tendinitis. It is important to follow the recommendations and lead a healthy lifestyle. Otherwise, there is a risk of long and expensive treatment. It is better to prevent inflammation than fight it.

Photo: ru.freepik.com

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The author of the article

Bagirov Akshin Beyukovich

Traumatologist-orthopedist, MD

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