Treatment of patellar tendonitis

Patellar tendonitis also known as "jumper's knee" is an inflammation or injury of the patellar tendon

 

 

 

Our collaborator FisioPinar Clinic tells us in this article how to treat this injury so common among athletes.

Patellar tendonitis also known as "jumper's knee”Is an inflammation or injury of the patellar tendon that is characterized by pain in the anterior aspect of the knee, below the patella, where it hurts on palpation. It can cause pain when walking up and down stairs, kneeling, or jumping. It is usually an injury caused by overuse that causes damage to the tendon.

In reality, the term tendinitis is in disuse, since in reality there is almost never an obvious inflammatory phase, but there are already changes at the level of the tendon tissue, caused by overuse and overload, which is called tendinosis.

 So:

tendinitis: inflammation of the tendon with inflammatory cell infiltrate

Tendinosis : tendon degeneration without clinical or histological signs of inflammatory response. The tendon increases in volume, loses its color, and sometimes one or more tender nodules can be seen.

Transmission

Inflammatory phase:

     - Interruption of the activity or modification of it

      - Ice, compression and elevation

Non-inflammatory phase:

- Interruption of the activity or modification thereof.

-Techniques to try to modify the connective tissue and stimulate the creation of new tissue such as:

EXCENTRIC WORK: The famous squats ”that must be done progressively, over several weeks and at non-painful angles. Consult with your specialist.

INDIBA: Increases vascularization of the tendon carrying repair substances

SHOCK WAVES: high power ultrasound that causes mechanical and biological effects on the tendon

EPI: invasive technique that consists of an application of a galvanic current through a needle that causes an inflammatory process that helps tissue repair.

It can also help us to take collagen, zinc or glucosamine supplements for a while.

When there is very painful pathology or when the above has not worked we must return to our orthopedic surgeon to consider the possibility of an INFILTRATION or even SURGERY for the most serious cases.

Prevention and return to normal:

To avoid injuring ourselves again, we must pay attention to the intensity and duration of the training, to the surface where we train (this includes footwear and terrain), to the hydration of the athlete, since if we ingest little water the tendon can dehydrate and more possibilities If injured and broken, stretch before and after exercise and strengthen the quadriceps to avoid overloading the tendon. 

Further information:  http://clinicafisiopinar.com/

Photo: runneer.es

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