The patellar tendon helps transfer force from the muscles at the front of the thigh so the knee can straighten during walking, running, jumping, and other activities. Repetitive strain on this tendon can lead to patellar tendinitis—also called patellar tendinopathy or jumper’s knee—causing pain below the kneecap and difficulty remaining active.
Dr. Brian Cohen completed sports medicine fellowship training at Rush Medical School and provides individualized treatment for patellar tendon injuries in Columbus, OH. Care is based on the duration and severity of the symptoms, the condition of the tendon, and the patient’s activity goals.
Patellar Tendon Anatomy
The knee is formed by the lower end of the femur, the upper end of the tibia, and the patella, or kneecap. It also contains cartilage, ligaments, and tendons that work together to support movement and stability.
The patellar tendon extends from the bottom of the kneecap to the tibia. Working with the quadriceps muscles and quadriceps tendon, it allows the knee to straighten and helps support movements such as walking, running, climbing, and jumping.
Patellar Tendinitis Causes
Patellar tendinitis usually develops when the tendon is repeatedly placed under more stress than it can recover from. It commonly affects people who participate in sports or activities involving frequent running and jumping, but it can affect other active individuals as well.
Contributing factors may include:
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Repetitive running, jumping, or rapid changes in direction
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A sudden increase in exercise intensity or frequency
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Tight leg muscles
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Weakness or imbalance in the muscles around the knee and hip
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Poor movement or landing mechanics
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Inadequate recovery between activities
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Excess body weight, which may increase stress on the tendon
Patellar Tendinitis Diagnosis
Diagnosis begins with a review of when the symptoms started, what activities make them worse, and whether there has been a recent change in exercise or training. Dr. Cohen or one of his sports medicine colleagues will examine the knee for tenderness, swelling, range of motion, strength, and pain during specific movements.
An X-ray may be ordered to rule out other causes of knee pain. Ultrasound or MRI may be used when more information is needed about the condition of the patellar tendon or the extent of any tendon damage.
Patellar Tendinitis Treatment Options
Treatment depends on how long the symptoms have been present, the severity of the tendon damage, and the patient’s activity goals. Most patients begin with nonsurgical care, while surgery is generally reserved for persistent or severe cases.
Nonsurgical Treatment
Nonsurgical treatment may include:
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Temporary modification of painful activities
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Ice after activity
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Pain-relieving or anti-inflammatory medication when appropriate
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A patellar tendon strap or supportive brace
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Physical therapy
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Progressive strengthening and tendon-loading exercises
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Gradual return to sports or exercise
Physical therapy may focus on strengthening the quadriceps, hips, and surrounding muscles while gradually increasing the tendon’s ability to tolerate activity.
Surgical Treatment
Surgery is rarely needed for patellar tendinitis. It may be considered when significant symptoms continue despite an appropriate period of physical therapy, activity modification, and other nonsurgical care.
Depending on the location and extent of the tendon damage, treatment may involve removing unhealthy tissue and stimulating healing in the affected area. The procedure may be performed through an open incision, with arthroscopic assistance, or using a combination of techniques.
Dr. Cohen recommends surgery only after considering the condition of the tendon, the duration of the symptoms, previous treatment, overall knee health, and the patient’s goals.
Why Choose Dr. Cohen?
OVER 25+ YEARS OF EXPERIENCE
One of the first orthopedic surgeons employed by a large hospital. Dr. Cohen spent 20 years.
TRUSTED BY OVER 100,000+ PATIENTS WORLDWIDE
Over his distinguished career, Dr. Cohen has cultivated a reputation of excellence and trust among his patients and his peers.
UTILIZING THE LATEST TECHNOLOGY
To achieve the best surgical outcomes, Dr. Cohen uses the most advanced technologies and techniques, keeping his practice state-of-the-art.
PATIENT SAFETY IS TOP PRIORITY
An individualized, patient-focused process coupled with decades of training and experience helps ensure maximum safety for all of Dr. Cohen’s patients.
Patellar Tendinitis Care in Columbus, OH
Patellar tendinitis can make running, jumping, climbing stairs, and other everyday movements painful. Dr. Cohen evaluates the condition of the tendon and the activities contributing to the symptoms before recommending treatment. Most patients begin with activity modification and focused physical therapy, while surgery may be considered for persistent tendon damage. To schedule a consultation with Dr. Brian Cohen, call (614) 788-0375.
