Patellar tendinopathy (runner's knee) is especially common in athletes and is a problem caused by repetitive overload on the patellar tendon. In patellar tendinopathy, also known as jumpers knee, degeneration occurs in the patellar tendon as a result of excessive repetitive activities. While there is acute inflammation in patellar tendonitis, micro degenerations are present in tendinopathy.
Pain may be felt in the knee due to many factors related to age and degeneration of the knee. Osteoarthrosis, bursitis, tendinitis, meniscus problems, chondromalacia patella, etc. Problems are disorders that cause pain in the knee.
In tendinopathy, knee pain is mostly in the patellar tendon, and pain does not occur on the inner side of the knee and in the side area of the knee. It distinguishes patellar tendinopathy from other disorders by feeling pain in the patellar tendon when touched on the knee and other distinguishing factors.
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In patellar tendinopathy physiotherapy, rest and ice application are performed in the acute phase. After the pain decreases, a physiotherapy and exercise program is programmed, which includes strengthening exercises with appropriate isometric, open kinetic chain and closed kinetic chain movements.
Recommendations for acute knee pain in patellar tendinopathy;
Acute knee pain. In the home treatment phase, ice can be applied for 10-12 minutes every hour for the first 2-3 days when the pain is intense. The first few days should be rested and activities that do not cause pain should be performed.
Kinesiotape applications are also performed to reduce knee pain and reduce the load on the patellar tendon.
Adequate time of rest is required. . In the acute period, repetitive straining movements may even cause tearing. Rest-end rehabilitation process;
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Phase 1 isometric loading
Isometric qdc exercise
Spanish squat
Wall sitt exercise
Standing eccentric heel raise
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Phase 2 isotonic loading
isotonic knee extension
Leg press
Split squat
Goblet squat
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Phase 3
Jumping exercises
Acceleration-deceleration exercises
Sudden direction change exercises
Isometric exercise Continue the traces
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Phase 4 return to sports
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Trainings specific to the relevant sport twice a week
Continue with Phase 3 exercises
Continue resistive strengthening exercises.
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