Jumper's Knee

Overuse, repetitive stress knee injury causing pain, tenderness and inflammation?

Jumper's Knee

Overuse, repetitive stress knee injury causing pain, tenderness and inflammation?

What is Jumpers Knee?

Patellar Tendonitis also known as Jumper’s knee is an inflammation or injury of the patellar tendon felt as pain, tenderness and functional deficit. This condition may interfere with sporting and fitness activities regardless the age and is difficult to treat.

Typical symptoms of Jumper’s Knee includes;

  • Pain during athletic motion
  • Swelling
  • Bruising or redness
  • Discomfort during daily activities

Shockwave therapy offers simple and immediate solution. Patient feels relief right after the first session and in several treatments the cause and the pain vanish.

What Causes Jumpers Knee?

The patellar tendon moves every time the knee bends or straightens. Over time, overuse of the knee can cause tiny tears to form within the patellar tendon, which causes jumper’s knee.

For example, a basketball player who jumps up and down on a parquet floor every day may experience mini-traumas to the patellar tendon that eventually cause painful knee symptoms.

Typically, jumper’s knee is caused by one or both of these factors:

  • Repeated overuse of the patellar tendon through athletic activity. Not allowing enough time for the patellar tendon to recover between workouts.
  • Continuing to exert the patellar tendon after experiencing the initial signs of jumper’s knee (mild inflammation and swelling) can cause the acute injury to become a chronic condition.

With this in mind, patients who find that the initial symptoms of jumper’s knee are not easing with a few days rest should seek out medical evaluation to determine the best ways to prevent further injury.

After a consultation with one of our practitioners, they will be able to diagnose injury and recommend the best treatment plan following some of the assessment methods below;

Physical Examination
An evaluation of the affected part of the knee is done to determine the presence of swelling, a limited range of motion, abrasions, bruising, or other common signs of a knee injury.

Consideration of Patient Medical History
Prior injury can elevate an risk of sustaining an injury to the knee, so medical history is taken into consideration to determine if a former condition has increased the likelihood of a given injury being present.

Medical Imaging
Once the physical examination of the knee has been completed, medical imaging such as an X-ray or magnetic resonance imaging (MRI) can help to form a final diagnosis.

How Do You Treat Jumpers Knee?

Treatment of jumper’s knee can begin immediately after the injury is sustained and continue throughout our recommended measures and, if necessary, surgery.

Common first-response treatments for jumper’s knee may include:

Pain Medications 
In the event that an athlete is experiencing pain symptoms associated with jumper’s knee, taking nonsteroidal anti-inflammatory medications (NSAIDs) may help to alleviate discomfort. Common NSAIDs include ibuprofen (Advil or Motrin) or naproxen (Aleve).

R.I.C.E. 
The R.I.C.E. method (rest, ice, compression, and elevation) may be used to reduce the pain and swelling surrounding the injured area.

While these treatments are commonly applied after an initial injury, they may also be practiced following a diagnosis to help mitigate symptoms and pain throughout the healing process.

In addition to pausing athletic activity until the symptoms of jumper’s knee begin to fade, you may need to undergo other treatments to ensure the health of your patellar tendon.

Following a medical evaluation, our podiatrists will be able to recommend the right course of treatment for you.

Common treatments for jumper’s knee include:

Exercise Training 
Exercise training and bracing is usually recommended to strengthen the patellar tendon and reduce the symptoms of jumper’s knee. This process commonly involves having you engage in a series of knee strengthening exercises.

We may also stabilize the patella with either a brace or athletic tape to keep it in place during exercise training.

Injection Therapies
In more advanced cases of patellar tendinopathy, it is common for us to recommend injection therapies. In these treatments, you will be given an injection (typically of either polidocanol or corticosteroids) to reduce inflammation and accelerate the healing of the patellar tendon.

Platelet-rich Plasma Therapy
This practice, also known as PRP, involves injecting the site of the injury with the patient’s own platelet-rich plasma in an effort to accelerate healing. Although we do not offer PRP, we are able to recommend other health practitioners who specialise in this field. 

Dry Needling
For certain cases, we may recommend dry needling. In dry needling, a needle without a syringe is inserted into the affected area and moved, in an effort to break up or destroy degenerative structures within the knee that may be contributing to injury.

Hyperthermia ThermotherapyThis process involves using both a heating source and a cooling source to raise the temperature of internally damaged tissues (in this case the patellar tendon) while allowing the surface level tissues to stay cool.

Shockwave Therapy
Shockwave therapy involves sending electric impulses into the muscle tissue surrounding the patella to deliver force to damaged tissues. The force from the electric waves can help to do away with damaged or torn soft tissues.

In the event that the injury is severe and noninvasive treatments have proven ineffective, we may recommend surgery to help mitigate the condition.

Some of the most common surgeries for jumper’s knee are:

Arthroscopic Debridement 
A small camera and several surgical tools are inserted into the knee joint and used to remove damaged tissue.

Arthroscopic Resection of the Inferior Aspect of the Patella
This method can be used to remove or realign any damaged piece of the inferior aspect of the patella that may be putting unwanted stress on the patellar tendon.

Patients who believe they may have sustained an injury to their patellar tendon should always cease athletic exertion until medical evaluation can be completed.

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FAQ's

Jumper’s knee can be a tricky condition to treat without proper guidance.

We assess the severity of inflammation or ligament damage before prescribing the best treatment plan.

Typical treatment includes a combination of;

  • Nonsteroidal anti-inflammatory medicines (NSAIDs, like ibuprofen or naproxen)
  • Rest.
  • Elevating your knee.
  • Ice packs to your knee (to help reduce swelling)
  • Stretching and strengthening exercises.

 

 

Treatment of jumper’s knee usually takes a long time. For most people, a conservative treatment including muscle strengthening and stretching is effective, but in some cases surgery is necessary.

The best way to understand what you should do to help yourself is to chat to one of our specialists who will do a thorough assessment of the injury before advising next steps.

Runner’s knee or jumper’s knee are conditions that commonly occurs in young, sporty and active individuals. 

Jumper’s knee is often seen in people who do lots of jumping (ie. basketball, volleyball, racquet sport, ultimate frisbee). Pain is felt just below the knee cap, partly on the bone and partly on the tendon. Runner’s knee is pain felt around, under or on the sides of the knee cap.

Both can be categorized into a larger set of injuries that effect the patellar tendon and cause what is known as Patellofemoral Pain Syndrome (PFPS).

 

 

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