Physical Therapy For Chronic Patellar Tendonitis

Chronic patellar tendonitis is inflammation of the tendon connecting the kneecap to the shin that is typically caused by an injury. These recurring injuries are most common in athletes who participate in jumping activities, such as basketball or volleyball players. Treatment can either be surgical or non-surgical and both require long recovery. Non-surgical treatment involves the reduction of strain and the strengthening of the patellar tendon, according to the Mayo Clinic.

Rest

• The first rule of physical therapy for a recent patellar tendon injury is to rest. Do not participate in any activity that causes pain to your knee. Once the pain subsides and mobility improves, activities can be added gradually. Avoid running or jumping and look to get exercise in ways that will not put pressure on your damaged tendon, according to the Mayo Clinic.

Body Mechanics

• Learn proper body mechanics to prevent further injury to your patellar tendon, according to the Mayo Clinic. Work with a physical therapist to educate yourself on techniques that will reduce the amount of force on your knees. This may include learning how to properly takeoff and land jumps for a basketball player.

Stretching

• Stretch the muscles that may be inflexible as they may contribute to knee injuries. The thighs (quadriceps) directly affect the strain put on the patellar tendon. Do regular stretches such as holding one foot behind you with one hand to stretch out the front of the thigh to lessen the likelihood of future injuries.

  This stretch is properly done by simultaneously pulling the foot upward while extending the hipbone forward. Hold the stretch for a few seconds and repeat on the other leg, according to TopEndSports.com.

Strengthening Tendons

• Several exercises help strengthen the patellar tendon once the pain level allows.

  Do straight leg raises by lying on your back with les straight out in front of you. Tighten the thigh muscle on the injured leg and lift it 8 inches into the air. Lower the leg to the floor very slowly and repeat 10 times.

  Perform step-ups by stepping onto a raised surface such as a block that is 3 to 5 inches high with the injured leg. Shift your weight to the injured leg and straighten the leg while standing on the step, bringing your uninjured leg off the floor. Repeat this step 10 times.

  Perform a wall squat by standing with your back and head against a wall and placing a soccer-sized ball between the thighs. Keep you head against the wall and slide down the wall into a sitting position, hold the position for a moment and then slide back up the wall. Repeat this exercise 10 times, according to Arthritis-Treatment-And-Relief.com.

Massage

• Ask your doctor about massage as a possible physical therapy option. According to the Mayo Clinic, massaging the patellar tendon can help with the healing process. Massaging this tendon may be able to be done by yourself at your convenience.