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This page was published on Feb 22, 2018, edited on Mar 24, 2018 by Dr. Melepura (Pain Management Doctor) of Sports Injury & Pain Management Clinic of New York

The patella tendon is at risk for a patella tendon tear, patella tendon pain and subsequent patella tendonitis treatment, especially if you’re a runner in NYC or play any sport that taxes your knees. Your knee doctor can provide you with effective treatment for patella tendonitis that includes instructions how to stay healthy while you pursue your physical activities. Come to our sports injury clinic to get your knee pain evaluation and treatment. Meet our pain doctor Febin Melepura M.D. to get the pain relief you need in the safe, reassuring hands of the best knee specialists in NYC.

Patellofemoral Pain Syndrome Treatment in NYC, Knee Doctor Specialist Also known as runner’s knee, patellofemoral pain syndrome refers to any pain originating in the front of your knee. This knee pain frequently occurs in teenagers, manual laborers and athletes. The patella is the small bone located in front of each knee joint where your femur, or thighbone, and your tibia, or shin, meet. The patella protects your knee and connects the muscles in the front of the thigh to your shinbone.

The patella tendon may weaken or be compromised, which may then allow some unnatural movement of the patella. This leads to the patella rubbing against your femur, creating pain at the point of contact.  Untreated, the pain can lead to chronic conditions such as patellofemoral pain syndrome and patella tendonitis. Talk to your Midtown Manhattan sports medicine doctor if you suspect a patella injury or wear-and-tear symptoms.

Symptoms of Patella Tendon Pain

Your symptoms may be mild and irritating to severe and debilitating. Some people have reported a combination of symptoms. Yours may include:

  • Knee pain at the front of your knee, especially when it’s bent — such as when you’re sitting, squatting, jumping, running or using the stairs
  • Occasional knee buckling or feeling as if it won’t support your weight, which might indicate a patella tendon tear
  • Catching or popping, accompanied by a grinding sensation when you’re walking or moving your knee
  • Tenderness along the inner border of your knee
  • Swelling after exercise
  • Tight muscles around your knee
  • Atrophied quadriceps muscles

Risk factors for having a patella tendon tear include :

  • Age, because it’s often happens to young people
  • Gender, because women are more likely to have issues with their knees than men
  • Participating in any sports that involve running and jumping

Other Causes of Patella Tendon Pain

Patella tendon pain often occurs after consistent and continuous repetitive activity of some kind. External factors or internal conditions also may predispose the patella to injury. These factors cover a range of conditions, such as:

  • Wearing down, roughening or softening of the cartilage under your knee
  • An overuse injury
  • A direct blow or trauma to your knee
  • Excessive weight
  • A kneecap that’s not properly aligned
  • Changes under your kneecap
  • Sudden, increased training load
  • The types of shoes you wear
  • The quality of the training surfaces you use
  • Muscle imbalance or weakness around your knee and tendons

Diagnosis for Patellar Tendonitis Treatment

Your NYC sports and pain medicine doctor understands the frustration and limitations that occur with patellar tendon pain. After conducting an extensive medical history — including information about any recent injuries, your job mechanics and any training regimen you keep — your physician carefully examines your knee to check for pulse irregularities, tenderness and swelling, areas of pain and other contributing factors.

Since you need your knees to get around every day, your doctor also checks range of motion before suggesting any patella tendonitis treatment. You may need to have some imaging tests — such as x-rays, computed topography (CT scans) or magnetic resonance imaging (MRIs) — to see any malformations in the bones, tendons, ligaments and muscles.

Treatment for Patella Tendonitis

The goal of patella tendonitis treatment is to reduce symptoms, identify the cause and strengthen or retrain your muscles. All of these get you back on the road to pain-free mobility with the hope of preventing future injuries. Other patella tendonitis treatments your doctor may suggest include:

  • Rest
  • Avoid the activities that make the pain and stiffness worse
  • Avoid sitting, squatting or kneeling for long periods of time
  • Apply ice for reduction in pain and swelling
  • Use tape or a brace to stabilize your knee joint
  • Elevate your knee while sitting or lying down, especially after certain activities
  • Avoid bent-knee exercises such as squats or deep-knee bends
  • Avoid sports such as running, volleyball and basketball
  • Practice knee-friendly sports such as a recumbent bicycling or swimming
  • Take over-the-counter medications such as ibuprofen, acetaminophen or naproxen sodium
  • Take prescription painkillers or muscle relaxants occasionally, but only for short-term use
  • Visit a physical therapist for stretching and strengthening exercises, especially for your quads and hip abductors
  • Get a sports massage to loosen tight muscles
  • Get a gait analysis for orthotic inserts

Rarely, arthroscopic surgery may be an option to release tightened muscles or to realign your patella. Your doctor only recommends an invasive procedure after no other treatments have succeeded in solving your pain.

Minor pain involving the patella tendon may resolve on its own within a few weeks to a few months. Surgery recovery time, however, can take between three and six months. Aftercare includes prevention of further injury by maintaining the strength of your supporting muscles, by losing weight and through proper stretching. Get the best treatment for patella tendonitis treatment to prevent further patella tendon pain.

Do you have any questions about the patellofemoral pain syndrome treatment we offer in NYC? Would you like to schedule an appointment with the best rated knee pain management doctor Febin Melepura MD of sports pain management clinic in New York? Please contact our office for consultation with the top pain relief specialist in Midtown Manhattan.