What is Patellar Tendonitis?
Patellar tendonitis, also known as Jumper’s Knee, is a painful and inflammatory condition that affects the patellar tendon, which connects the kneecap (patella) to the shinbone (tibia). This injury is common among athletes involved in sports that require repetitive jumping and running. This blog explores both non-surgical and surgical treatment options, as well as post-treatment recovery and rehabilitation guidelines to ensure a successful outcome.
Non-Surgical Treatment Options
Rest and Activity Modification: Reducing physical activity is necessary in the initial treatment of patellar tendonitis. Rest allows the tendon to heal and prevents further damage. Avoid high-impact movements that stress the knee, such as jumping and running. Instead, engage in low-impact activities like swimming or cycling to maintain fitness without aggravating the condition.
Ice Therapy: Applying ice to the affected area can help reduce inflammation and pain. Ice therapy should be done several times a day for 15-20 minutes per session. Use an ice pack wrapped in a cloth to prevent direct contact with the skin.
Medication: Over-the-counter medications such as ibuprofen can help manage pain and reduce inflammation, but they may have potential side effects such as stomach irritation. In cases of severe pain, a doctor may prescribe stronger medications.
Bracing and Support: Using patellar straps or braces can help alleviate pain and provide additional support to the knee. These devices help to distribute pressure away from the patellar tendon, reducing strain and aiding recovery.
Physical Therapy: A structured physical therapy program can improve flexibility, strength, and alignment of the knee, helping to reduce pain and promote healing.
Platelet-Rich Plasma (PRP) Therapy: PRP therapy involves injecting a concentration of a patient’s own platelets into the affected area to promote healing. Platelets contain growth factors that help repair damaged tissues and reduce inflammation.
Corticosteroid Injections: Corticosteroid injections can be used to reduce severe inflammation and pain. While effective, they carry risks such as tendon weakness if used repeatedly and are typically reserved for cases where other treatments have failed.
Surgical Treatment Options
Surgical treatments for patellar tendonitis vary depending on the severity of the tendon damage.
Arthroscopic Surgery: A minimally invasive procedure that involves making small incisions around the knee and using a camera (arthroscope) to guide the surgical instruments. The surgeon removes damaged tissue and stimulates tendon healing. Arthroscopic surgery generally results in less post-operative pain and a faster recovery than open surgery.
Open Surgery: This procedure is used for severe cases with extensive tendon damage. It involves making a larger incision to directly view and repair the tendon. Damaged sections of the tendon are removed, and the remaining tendon is repaired or reattached to the patella. Open surgery may involve a longer recovery period due to the more extensive nature of the procedure.
When to See An Orthopaedic Knee Specialist?
Seek medical attention if you experience persistent knee pain, swelling, or difficulty moving the knee. Early intervention can help prevent further damage and support recovery. Delaying treatment can lead to chronic issues and prolonged recovery times.
Conclusion
Patellar tendonitis can affect daily activities and athletic performance if not addressed early. Non-surgical treatments like rest, ice, and bracing are effective for mild cases, while more severe conditions may require specific therapies or surgery. A structured rehabilitation plan is necessary for restoring strength, stability, and function to the knee. Prioritising knee care and prevention strategies can help to avoid future complications and maintain long-term knee health.
Schedule a consultation with Dr LS Wang today for an expert diagnosis and personalised treatment options for your specific needs.
