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Thread: Patella Tendinopathy/ tendinitis

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    Default Patella Tendinopathy/ tendinitis

    Knee been playing up for about 4 weeks. Haven't done any leg work during this time. Doc seems positive I have Patella Tendinopathy. Just a slight ache across the front of knee and knee feels slightly unstable.
    Started me on a course of anti inflammatories and off to the physio on Thursday for further examination and treatment

    Any one had this before and did it take long you long to cure the issue.
    Cheers


    https://en.wikipedia.org/wiki/Patellar_tendinitis





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    Yes. Fuck physio.

    Get a PRP shot and when it starts to feel better do
    some light sled work. Don't know what it is about
    the sled but after a week or so of doing this my knee
    feels better


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    I have been dealing with it for >2 years.
    It also depends on how long you ignored it to begin with. I foolishly completely ignored it for the initial 6 months of slight pain.

    Tried PRP to no success, tried physio to some success.

    Constant battle to keep it maintained.
    Also anti-inflammatories are merely a stop-over measure, they don't actually help to heal the tendon.

    If you know nothing, a good physio is definitely your first stop. If you are determined, you can also learn a lot form the internet.


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    Quote Originally Posted by Karak View Post
    I have been dealing with it for >2 years.
    It also depends on how long you ignored it to begin with. I foolishly completely ignored it for the initial 6 months of slight pain.

    Tried PRP to no success, tried physio to some success.

    Constant battle to keep it maintained.
    Also anti-inflammatories are merely a stop-over measure, they don't actually help to heal the tendon.

    If you know nothing, a good physio is definitely your first stop. If you are determined, you can also learn a lot form the internet.
    Physio has helped improve things over the last 4 weeks. They gave me these band exercises to work my ass and also more rolling out of the quads. They have also got me doing body weight squats on a 45 degree angle/ramp at a really slow controlled pace. Has helped a great deal as pain has completely gone.
    Still a few more weeks of light strength work until I start building the weights up.


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    Got multiple prp injections without much success.

    Had as plenty of physios promise they could fix it. Never had one succeed, they had plenty of time to try.

    My advise would be don't touch the the anti inflams for tendinitis. I'm sure they made mine worse in the long run but I didn't have a choice in taking them at the time. Mine wouldn't improve until I got off them.

    Total rest won't help it. You need to do something but not too much that you are going backwards. Sled drags work great. Band exercises for supposed muscle weaknesses and rolling didn't do anything for me.


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    Eccentric single leg squats on an incline board 3x a week seemed to be the right load for me. Stopping when i started to feel pain


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    Quote Originally Posted by Karak View Post
    Eccentric single leg squats on an incline board 3x a week seemed to be the right load for me. Stopping when i started to feel pain
    Yes this is exactly what they have me doing at the moment. Started off on both legs then gradually putting more body weight onto the problem leg.
    It is making improvements. I couldn't get through a day walking around work with some ache or pain. Pain is gone but can still feel it a little when the knee cap area is pressed.


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    I get that on my right knee cap. It feels very tender to touch on the bottom edge, less so across the front, not on the top.

    It all goes back to my quad muscle. Hot spots are between the IT band/vastus lateralis and the front quad muscle, rectus femoris.

    http://www.britannica.com/science/qu...femoris-muscle

    Get your thumb and dig in there between the front of the quad and the side. You will find some sore spots on the rect muscle. It is attached to the hip under some other band-like muscles then runs down your leg to attach to the patella. Get a golf ball or your thumb and find the hot spots and press like buggery, rubbing them as well. You want them to relax and let off the tension to you patella.

    You may also find some hot spots under the knee at the top of your calf muscle.

    One physio or ART appointment won't do it. You need to do it every day, not just on leg day either.

    I don't know the full story of your condition but it most probably does not need anything invasive, just some work on your quad. Make sure you stretch your quads out well every day, once they are warmed up from a walk or run or leg work.

    Check this out:


    Last edited by WoodyAllen; 05-01-2016 at 09:57 AM.


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    Quote Originally Posted by WoodyAllen View Post
    I get that on my right knee cap. It feels very tender to touch on the bottom edge, less so across the front, not on the top.

    It all goes back to my quad muscle. Hot spots are between the IT band/vastus lateralis and the front quad muscle, rectus femoris.

    http://www.britannica.com/science/qu...femoris-muscle

    Get your thumb and dig in there between the front of the quad and the side. You will find some sore spots on the rect muscle. It is attached to the hip under some other band-like muscles then runs down your leg to attach to the patella. Get a golf ball or your thumb and find the hot spots and press like buggery, rubbing them as well. You want them to relax and let off the tension to you patella.

    You may also find some hot spots under the knee at the top of your calf muscle.

    One physio or ART appointment won't do it. You need to do it every day, not just on leg day either.

    I don't know the full story of your condition but it most probably does not need anything invasive, just some work on your quad. Make sure you stretch your quads out well every day, once they are warmed up from a walk or run or leg work.

    Check this out:


    Thanks woody, pretty much what you have mentioned they have me doing. You definitely feel it when you hit those hot spots.

    I have been to him 3 times now and have been consistent with rehab work, stretching, strengthening exercise etc.. After my hand injury from last year this Rehab is a walk in the park!

    In no pain any more when walking but still can feel it when pressing lightly on knee cap. This could take up to 2 months to completely disappear. So the quads have suffered in size a bit as they haven't been worked for about 8 weeks...but I am getting some nice diamond shaped calves!
    Cheers


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    It can take a lot more than 2 months to disappear.


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