Patellar Tendinopathy
What is Patellar Tendinopathy?
The patellar tendon connects the bottom of the kneecap (patella) to the top of the shin bone, playing a key role in straightening the knee during activities like jumping, running and squatting. Patellar tendinopathy — commonly known as jumpers knee — develops when repetitive loading causes microscopic damage to the tendon faster than it can repair itself, leading to pain, thickening, and reduced tendon function over time.
This condition is sometimes described more specifically as jumper’s knee patellar tendonitis, reflecting the link between repetitive jumping sports (such as basketball and volleyball) and this pattern of injury.
Symptoms of Patellar Tendinopathy
- Pain just below the kneecap, often worse with jumping, running, or squatting
- Tenderness directly over the tendon
- A sensation of patellar tendon inflammation or stiffness, particularly after activity or first thing in the morning
- In some cases, a noticeable patellar tendon bump or patellar tendonitis lump — a thickened area of tendon that can be felt on examination
- Progressive patellar tendon damage if the condition isn’t managed, potentially leading to reduced function over time
Jumper's Knee vs Patellar Tendinopathy — Same Condition, Different Names
You’ll see this condition referred to as jumper’s knee, patellar tendinopathy, or sometimes just tendonitis of the knee cap — these all describe the same problem: irritation or degeneration of the patellar tendon, which connects the kneecap to the shin bone. The everyday name “jumper’s knee” comes from its association with jumping sports such as basketball and volleyball, though it can affect anyone who places repetitive load through the tendon.
Treatment We Offer
Ultrasound-Guided Cortisone Injection
At Alton Pain Clinic, we provide ultrasound-guided cortisone injections for patellar tendonitis. Using real-time ultrasound imaging, our clinicians can accurately target the affected area associated with patellar tendon inflammation. This targeted approach supports precise injection placement and may help reduce pain, inflammation and discomfort associated with the condition.
Pain Relief Mechanism of Cortisone Injections for Patellar Tendonitis
At Alton Pain Clinic, cortisone injections may help manage pain and inflammation associated with patellar tendonitis through several mechanisms:
- Inhibition of inflammatory mediators: Cortisone reduces the production of inflammatory substances, such as cytokines and prostaglandins, which contribute to pain and irritation.
- Suppression of the immune response: Cortisone can reduce the local inflammatory response, helping to limit inflammation around the affected area.
- Reduction in tissue swelling: By controlling inflammation, cortisone may help reduce swelling and associated discomfort.
- Pain relief and improved movement: Reducing inflammation may help ease pain and make everyday knee movement more comfortable.
Benefits of Ultrasound-Guided Cortisone Injections for Patellar Tendonitis
- Precision Treatment: Ultrasound guidance helps ensure the cortisone is accurately delivered to the targeted area.
- Faster Symptom Relief: Targeting the affected area may help reduce pain and inflammation more effectively.
- Reduced Exposure to Surrounding Tissues: Ultrasound guidance supports precise injection placement, helping to limit unnecessary exposure to nearby tissues.
- Improved Mobility: Reducing pain and inflammation may help improve knee movement and make everyday activities more comfortable.
Your Care Pathway with us
- To book an appointment you can call our reception line, 0142084487, or email to info@altonpainclinic.co.uk or click the button given below.
- Comprehensive Musculoskeletal examination and testing.
- Same day Ultrasound Guided Injection for pain relief.
- Discussion of your treatment plan, treatment plan can include advanced treatments for example Cortisone Injections, Hyaluronic injections and various other options tailored to your specific needs.
What Our Patients Say
Causes of Patellar Tendonitis
Patellar tendonitis, often referred to as jumper’s knee, typically results from repetitive strain or overuse of the patellar tendon. Key causes include:
- Overuse and Repetitive Stress: Engaging in activities that involve repeated jumping, running, or squatting can place excessive stress on the patellar tendon, leading to microtears and inflammation.
- Sudden Increase in Activity Level: A rapid escalation in the intensity, frequency, or duration of physical activities can overload the tendon, making it more susceptible to injury.
- Poor Biomechanics: Abnormal movement patterns, such as improper knee alignment during exercise, can increase the strain on the patellar tendon.
- Inadequate Warm-Up or Stretching: Failing to warm up properly before exercise or neglecting flexibility exercises can result in stiff muscles and tendons, increasing the risk of injury.
Diagnosis of Patellar Tendinopathy
Diagnosis of patellar tendonitis usually begins with a clinical assessment of your symptoms, medical history and knee movement. Your clinician may examine the patellar tendon for tenderness and assess how pain changes with activities such as squatting, jumping or straightening the knee. At Alton Pain Clinic, ultrasound can be used to assess the patellar tendon and identify changes associated with tendonitis. Further imaging or specialist assessment may be recommended where necessary to rule out other causes of knee pain.
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Choosing Alton Pain Clinic for Patellar Tendinopathy
At Alton Pain Clinic, we provide ultrasound-guided cortisone injections for suitable patients with patellar tendinopathy. Using real-time ultrasound guidance, our clinicians can accurately target the affected area and deliver treatment with precision. We take a personalised approach to your care, assessing your symptoms and condition to determine whether a cortisone injection is an appropriate treatment option for you.
Frequently Asked Questions
Is jumper's knee the same as patellar tendinopathy?
Yes — jumper’s knee is the everyday name for patellar tendinopathy, irritation or degeneration of the tendon connecting the kneecap to the shin bone.
How long does patellar tendonitis take to heal?
Mild, recent cases often improve within 6 to 12. Longstanding cases can take several months, and injections may help some patients progress faster.
Is a lump under the kneecap normal with jumper's knee?
A firm lump or thickening at the lower pole of the kneecap is common with longstanding patellar tendinopathy and reflects tendon thickening rather than a serious problem, though it’s worth having assessed.
What does a lump on the patellar tendon mean?
A palpable lump or thickened area on the patellar tendon is often a sign of chronic tendinopathy, where the tendon has thickened in response to ongoing overload.
How long does patellar tendinopathy take to heal?
Recovery varies widely depending on severity, but a structured loading programme often takes several weeks to a few months to show meaningful improvement.