Patella Tendinopathy

Quadriceps tendinopathy is a condition that affects the quadriceps tendon, which connects the thigh muscles to the knee cap and lower leg. This condition can cause pain and discomfort in the front of the knee, limiting the ability to perform daily activities such as squatting, walking and kneeling and also sports.

Common Presentations

Quadriceps tendinopathy often presents as pain and tenderness in the front of the knee, just above the kneecap. Individuals with this condition may experience pain during activities that involve jumping, running, or climbing stairs. In some cases, swelling and stiffness around the knee can also be observed. The condition has differing presentations and presents with a spectrum of severity.

Causes

Generally, quadriceps tendinopathy will arise due to a load error. This is often an overload (too much, too soon) injury. Each time the quadricep muscles contract load is placed throughout the tendon and with greater intensity, greater force will need to be tolerated by the tendon. Athletes who participate in sports that involve repetitive jumping or kicking motions are particularly susceptible.

Treatments

Quadriceps tendinopathy can be a challenging condition to manage, but there are evidence-based treatments that have shown promising results. One of the best treatment approaches is a combination of targeted exercise and load management. Early phase should focus on pain management and restoring a baseline level of function. Isometric exercise will have a pain relieving effect whilst also restoring small amounts of load back into the tendon.

Strength exercises have been found to be particularly effective in strengthening the tendon and promoting healing. As physiotherapists, we can help design a personalised exercise program that targets the underlying causes of the condition. Additionally, monitoring load to prevent further overload is a vital part of this rehabilitation process. Consulting with a healthcare professional, such as a physiotherapist, is essential to develop an individualised treatment plan based on the latest evidence.

It is important to note that each case of quadriceps tendinopathy is unique, and treatment should be tailored to the individual. If you are experiencing knee pain, come in and see us for an assessment.