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Patella or Quadriceps Tendonitis

  • What is Patella Tendinopathy?
    • The patella tendon connects the knee cap to the shin bone, and helps straighten the knee. Stress is greatest across the patella tendon when jumping and landing, and excessive stress can damage the tendon. Patients often feel increased symptoms when bending the knee while squatting or walking down stairs. Tendonitis (tendinitis) means “inflammation of the tendon,” but we now know that inflammation is not a common cause of tendon pain.

    • Most tendon injuries are a result of gradual wear and tear. Stress can result in micro tears over time, and the damage can exceed the rate of repair. Micro-damage over time can result in degenerative tears of the tendon and pain.

  • How do you know if you have Patella Tendinopathy?
    • Symptoms can include knee pain and often the tendon is stiff in the morning. Patients will often feel increased symptoms when bending the knee, such as when squatting or going down stairs.

  • What are the Treatments for Patella Tendinopathy?
    • Nonsurgical options historically included rest, ice, medication and physical therapy. Imaging, including an MRI or musculoskeletal ultrasound, will often confirm the diagnosis.

    • In the past when these traditional conservative treatments failed, surgery was recommended. Boston Sports & Biologics now offers alternatives to surgery for chronic tendinopathy including platelet rich plasma (PRP) injections, stem cell injections and percutaneous needle tenotomy (Tenex). Learn more about these options here.

  • What is Quadriceps Tendinopathy?
    • The quadriceps tendon connects the thigh muscles to the patella (knee cap), and helps straighten the knee. Stress is greatest across the quadriceps tendon when jumping and landing, and excessive stress can damage the tendon. Patients often feel increased symptoms when bending the knee, squatting or walking down stairs. Tendonitis (tendinitis) means “inflammation of the tendon,” but we now know that inflammation is not a common cause of tendon pain.

    • Most tendon injuries are a result of gradual wear and tear. Stress can result in micro tears over time, and the damage can exceed the rate of repair. Micro-damage over time can result in degenerative tears of the tendon and pain.

  • How do you know if you have Quadriceps Tendinopathy?
    • Symptoms can include knee pain, and the tendon can be stiff in the morning. Patients can feel increased symptoms when bending the knee, squatting or walking down stairs. Imaging, including a MRI or musculoskeletal ultrasound, will often confirm the diagnosis.

  • What are the treatments for Quadriceps Tendinopathy?
    • Nonsurgical options historically included rest, ice, medication, and physical therapy.

In the past when these traditional conservative treatments failed, surgery was recommended. Dr. Sussman now offers alternatives to surgery for chronic tendinopathy include platelet rich plasma (PRP) injections, stem cell injections and percutaneous needle tenotomy (Tenex). Learn more about alternatives to surgery here.