How do you get hurt?

This is an overuse injury in athletes that do a lot of jumping in their sports (such as basketball, high jump or volleyball). This can also occur in individuals who had a significant increase in their training load or intensity in impact sports.

Where does it hurt? What can you not do?

The patellar tendon is the attachment between the bottom of the knee cap (patella) and the top of the lower leg (tibial tuberosity). It attaches the thigh muscle (quadriceps) to the shin bone to allow you to straighten the lower leg. Pain is initially felt during jumping, but the pain may also occur during other knee movements.

When to Seek Immediate Medical Attention?

If your knee pain is sudden in onset and severe or associated with significant swelling, redness, or warmth of the knees, seek medical attention for further evaluation.

What can you do?

Rest the knee from sports and avoid repetitive jumping. Application of ice to the painful knee can be helpful as well as taking pain medications.

What can we do to help you?

Prescribe pain medications. Physiotherapy may be prescribed to teach you to decrease the stress on the patellar tendon, alter jumping and running biomechanics, teach taping techniques, and stretching and strengthening exercises for the muscles above the knee.

You may also be prescribed orthotics if necessary, to restore normal foot biomechanics if that is identified as a major contributing factor.

Other treatments include Extra-corporeal Shock Wave Therapy (ESWT) to stimulate healing at the patellar tendon. Another option would be Autologous Conditioned Plasma (ACP) injection.