Key Takeaways
- Patella tendinitis is inflammation of the patellar tendon, the band of tissue connecting the kneecap to the shinbone.
- Common symptoms include knee pain, swelling, tenderness near the patellar tendon, and discomfort when jumping, running, or walking downhill.
- Causes range from repetitive jumping or running to biomechanical issues such as overpronation, alignment problems, and muscle imbalances.
- Treatment options include activity modification, anti-inflammatory medication, bracing or patellar straps, orthotics, icing, and guided rehabilitation.
- Barrington Orthopedic Specialists provides expert diagnosis and treatment for patella tendinitis, including bracing, orthotics, physical therapy, and sports medicine services, supported by specialists such as Dr. Sean Jereb, Dr. Thomas Obermeyer, Dr. Jason Rotstein, across Schaumburg, Elk Grove Village, Bartlett, and Buffalo Grove.
Understanding Patella Tendinitis: What You Need to Know
Patella tendinitis occurs when the patellar tendon becomes irritated or inflamed due to repetitive stress. This tendon plays a key role in straightening the leg, absorbing landing forces, and supporting athletic movement. When inflamed, even simple activities such as walking downstairs or bending the knee can become painful.
This condition is especially common among athletes who engage in high-impact sports, such as basketball, volleyball, soccer, and running. Still, it can affect anyone who repeatedly strains the knee joint. Early recognition and treatment are essential for preventing progression and long-term complications.
What Causes Patella Tendinitis?
Patellar tendinitis typically develops from overuse or repetitive stress, but several factors can increase the risk of injury.
1. Repetitive Jumping or Running
Repeated forceful loading of the knee, especially during jumping, places stress on the patellar tendon. Over time, micro-tears can form, leading to inflammation and pain.
2. High-Impact or Repetitive Activities
Running, brisk walking, or bicycling can also contribute to patellar tendon irritation, especially when performed at high intensity or high volume.
3. Alignment and Biomechanical Issues
Certain structural or muscular factors increase patellar tendon strain, including:
- Knock knees
- Wide hips
- Flat feet or overpronation
- Hip or ankle weakness altering knee mechanics
These alignment issues can place abnormal stress on the patellar tendon during movement.
4. Sudden Increase in Activity Level
Increasing workout intensity or frequency too quickly may overload the tendon before it adapts.
Common Patella Tendinitis Symptoms
Patella tendinitis symptoms usually develop gradually but worsen with activity. Key symptoms include:
Primary Symptoms
- Pain and tenderness along the patellar tendon
- Swelling around the tendon or where it attaches to the shinbone
- Pain during jumping, running, or walking downhill
- Pain when bending or straightening the knee
- Tenderness behind the kneecap
Left untreated, symptoms can progress, making everyday activities difficult.
Who Is at Risk for Patella Tendinitis?
Patella tendinitis is common among:
Athletes and Active Individuals
Sports involving jumping, sprinting, or sudden direction changes place the greatest stress on the patellar tendon.
People With Biomechanical Abnormalities
- Overpronation
- Knock-knee alignment
- Weakness in the surrounding muscles
These factors alter how force is absorbed and distributed throughout the knee.
Individuals With Rapid Activity Increases
Starting a new sport, beginning an intense training program, or increasing running mileage too quickly can trigger symptoms.
How Patella Tendinitis is Diagnosed
A specialist at Barrington Orthopedic Specialists will evaluate:
- Symptom history
- Activity level
- Knee alignment and movement patterns
- Tenderness along the patellar tendon
Diagnostic imaging, such as MRI or ultrasound, may be ordered if symptoms persist or if other knee injuries must be ruled out.
Patella Tendinitis Treatment Options at Barrington Orthopedic Specialists
Treatment focuses on reducing inflammation, restoring function, and preventing further strain to the tendon. Barrington Orthopedic Specialists offers several proven, evidence-based options for treating patella tendinitis.
Non-Surgical Treatment Options
1. Ice and Activity Modification
During the early stages, icing the affected area for 20–30 minutes every 3–4 hours helps reduce pain and inflammation. Patients are advised to avoid or modify activities that worsen symptoms.
2. Anti-Inflammatory Medication
Over-the-counter or prescribed anti-inflammatory medication can help reduce pain and swelling.
3. Bracing and Patellar Straps
A patellar strap or specialized knee brace supports the patellar tendon and reduces strain during movement.
4. Custom Orthotics
For patients with overpronation or alignment issues, custom orthotics help correct foot mechanics and reduce repetitive knee stress.
5. Physical Therapy and Rehabilitation
Rehabilitation is a key part of treatment. Barrington Orthopedic Specialists provides on-site physical therapy, which may include:
- Stretching and mobility exercises
- Strengthening of the quadriceps, hamstrings, hips, and core
- Eccentric loading exercises for tendon healing
- Training to correct movement patterns
These exercises help patients safely return to sport or activity.
Surgical Treatment Options
Most cases of patella tendinitis respond well to non-surgical treatment. Surgery is rarely required but may be considered for severe, persistent cases that do not improve with conservative care. Surgical treatment typically involves removing damaged tendon tissue and stimulating healing.
Preventing Patella Tendinitis
While not every case can be prevented, the following strategies can reduce risk:
- Warm up properly before the activity
- Strengthen supporting muscles
- Avoid sudden increases in intensity or volume
- Wear supportive footwear
- Use proper landing and jumping techniques
- Address alignment issues early
Committed to Helping You Heal
Patella tendinitis can interrupt your daily activities and athletic routines, but early diagnosis and proper treatment can significantly improve recovery. Barrington Orthopedic Specialists offers comprehensive care, including bracing, orthotics, physical therapy, and sports medicine expertise, to help you reduce pain, restore mobility, and return to the activities you enjoy.
If you're experiencing knee pain or symptoms of patella tendinitis, schedule an appointment with a sports medicine specialist at Barrington Orthopedic Specialists for personalized care and effective treatment.
Frequently Asked Questions
What is patella tendinitis?
Patella tendinitis is inflammation of the tendon connecting the kneecap to the shinbone, commonly caused by repetitive jumping or running.
What are patella tendinitis symptoms?
Symptoms include knee pain, swelling, tenderness along the patellar tendon, and pain during bending, running, or jumping.
How is patella tendinitis treated?
Treatment may include icing, anti-inflammatory medication, patellar straps or braces, orthotics, and physical therapy. Severe cases may require surgical evaluation.
Who is most at risk for jumper’s knee?
Athletes involved in jumping sports, individuals with alignment issues such as overpronation, and those who rapidly increase activity levels are at the highest risk.
When should I see a specialist for patella tendinitis?
Seek care if pain persists, interferes with activity, or worsens despite rest or home treatment.
