Runners Clinic · Knee
Patellar Tendinopathy
Repeated pain in the tendon just below the kneecap during running, jumping, or acceleration.
Understanding Patellar Tendinopathy
Repeated load can irritate and change the patellar tendon. Symptoms often begin after sudden increases in speed sessions, hills, or jumping exercises.
Localized tenderness just below the kneecap
Pain during jumping, acceleration, or downhill running
Knee extension strength and single-leg hop response
Recent changes in speed or jump training
Treatment Direction
Adjust Jump and Speed Load
Temporarily reduce sprinting and jumping, and substitute lower-intensity flat exercise.
Assess the Tendon
Examination and ultrasound when needed help assess tendon thickness and damage.
Progressive Tendon Loading
Begin with isometric work, then progress to slow strength exercises and controlled jumping.
Return-to-Running Criteria
Pain is stable on stairs and during light squats
Single-leg squats and low hops do not cause a major pain increase
Add speed work only after monitoring the 24-hour response to easy running
When to Seek Evaluation Promptly
Stop immediately and seek assessment if there is a sudden pop, inability to straighten the knee, or rapidly increasing swelling.
Do not put off persistent pain. Have it checked.
Our staff can guide you during clinic hours. Call us if you have questions before your visit.