The patella tendon (or ligament as it is sometimes called) connects
the kneecap to tibia bone. Under extreme stresses such as those
involved in jumping a partial rupture can occur. This can often lead
to inflammation and degeneration of the tissue. Inflammation can
also result from overuse. Injury to this often affects athletes
involved in jumping or throwing sports. Weight lifters, Tennis and
Badminton players can also be affected. Rest in the early stages is
important.
What are the symptoms?
Pain at the bottom of the kneecap especially when pressing in.
Aching and stiffness after exertion.
Pain when you contract the quadriceps muscles.
What the athlete can do depends on the extent or grade of the
injury:
Grade 1: Pain only after training
Continue training but apply ice or cold therapy to the injury
after each training session
Wear a heat retainer or support
See a sports injury specialist / therapist who can apply sports
massage techniques and advise on rehabilitation. An eccentric
strengthening programme is generally recommended
Grade 2: Pain before and after exercise but pain reduces once
warmed up.
Modify training activities to reduce the load on the tendon.
Stop jumping or sprinting activities and replace them with steady
running or swimming / running in water if necessary.
See a sports injury specialist / therapist who can apply sports
massage techniques and advise on rehabilitation.
Grade 3: Pain during activity which prevents you from training /
performing at your best.
Rest completely from the aggravating activity. Replace it with
swimming / running in water (if pain allows).
See a sports injury specialist / therapist who can apply sports
massage techniques and advise on rehabilitation.
Grade 4: Pain during every day activities which may or may not be
getting worse.
Rest for a long period of time (at least 3 months!).
See a sports injury specialist / therapist who can apply sports
massage techniques and advise on rehabilitation.
If the knee does not respond to rehabilitation then consult an
Orthopaedic Surgeon as surgery may be required.
A Sports Injury Specialist or Doctor could:
Prescribe anti-inflammatory medication e.g. ibuprofen.
Use ultrasound or laser treatment.
Use cross friction massage techniques.
Prescribe and supervise a full rehabilitation programme.