For partial tears affecting a smaller portion of the tendon, or for patellar tendinopathy (ongoing pain and inflammation in the tendon), conservative management is often the first-line approach. This includes:
- Activity Modification and Rest: Reducing or temporarily stopping activities that aggravate the tendon allows healing to occur. This doesn’t mean complete immobilisation, but avoiding high-impact activities such as jumping, running, or heavy squatting.
- Physiotherapy: A structured rehabilitation programme focuses on eccentric strengthening exercises—movements where muscles lengthen under load, such as slowly lowering from a squat. Progressive loading may help stimulate tendon healing and remodelling.
- Bracing and Support: A patellar tendon strap or knee brace can offload stress on the injured tendon during daily activities and gradual return to sport.