(Jumper's Knee; Patellar Tendonitis; Patellar Tendinosis; Quadriceps Tendonitis; Infrapatellar Tendinopathy; Patellar Apicitis)
- Tendonitis—inflammation of the tendon
- Tendinosis—tiny tears in the tendon tissue with no significant inflammation
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- Intense running
- Frequent stops and starts
- Frequent impact to the knee
- Tendon weakness from certain diseases
- Being a physically active teenager or young adult
- An increase in the frequency of training
- A sudden increase in the intensity of training
- Changing from one sport to another
- Training on a hard surface
- Repeated improper movements while training
- Muscle weakness or imbalance
- Involvement in basketball, soccer, volleyball, or running
- Pain and tenderness in the patellar tendon below the kneecap
- Pain or tightness in the knee when bending, squatting, or straightening the leg
- Discomfort in the knee when jumping, squating, or walking up stairs
- Avoid activity that causes pain. Reduce shock or vibrations to the knee.
- Apply an ice pack for 15-20 minutes at a time, several times a day. Place a towel between the ice pack and your skin.
- Wrap your injured knee in elastic bandaging. Don't wrap the bandage too tight. It may cut off circulation.
- Elevate your knee above your heart.
- Over-the-counter pain relievers, such as acetaminophen or non-steroidal anti-inflammatory medication (NSAIDs)
- Topical pain medications that are applied to the skin
- Prescription pain relievers
- Stretch and condition the quadriceps muscle, which attaches to the patella
- Maintain muscle strength, flexibility, and endurance
- Improve balance and range of motion
- Avoiding activities and sports that repeatedly stress the kneecaps, especially those that involve jumping
- Regularly doing quadriceps muscle stretching and strengthening exercises
- Gradually increasing the frequency and intensity of exercise
- Learn proper sporting technique
American Academy of Orthopaedic Surgeons Ortho Info http://www.orthoinfo.org
The American Orthopaedic Society for Sports Medicine http://www.sportsmed.org
Canadian Orthopaedic Association http://www.coa-aco.org
Canadian Orthopaedic Foundation http://www.canorth.org
Aronen JG, Garrick JG. Sports-induced inflammation in the lower extremities. Hosp Pract . 1999;34:51.
Bursitis and tendinitis. National Institute of Arthritis and Musculoskeletal and Skin Diseases website. Available at: http://www.niams.nih.gov/Health%5FInfo/Bursitis/default.asp#3%5F3 . Updated March 2011. Accessed January 7, 2013.
O'Connor FG, Howard TM, Fieseler CM, Nirschl RP. Managing overuse injuries: a systematic approach. Phys Sportsmed . 1997 May;25(5).
Patellar tendinopathy. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed . Updated November 3, 2012. Accessed April 25, 2013.
Patellar tendon knee tear. American Academy of Orthopaedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00512 . Updated August 2009. Accessed April 25, 2013.
Post WR. Patellofemoral pain: let the physical exam define treatment. Phys Sportsmed .1998;26(1).
Steunebrink M, Zwerver J, Brandsema R, Groenenboom P, Akker-Scheek Iv, Weir A. Topical glyceryl trinitrate treatment of chronic patellar tendinopathy: a randomised, double-blind, placebo-controlled clinical trial. Br J Sports Med . 2013 Jan;47(1):34-9.
10/26/2010 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Massey T, Derry S, Moore R, McQuay H. Topical NSAIDs for acute pain in adults. Cochrane Database Syst Rev . 2010;(6):CD007402.
- Reviewer: Michael Woods, MD; Brian Randall, MD
- Review Date: 04/2013 -
- Update Date: 03/18/2013 -