Fucking Patellar Tendonitis

stephenpushkin

New member
Hey guys. So I have had patellar tendonitis for about a year now. I didn't know I had it until after ski season, so I skied the whole ski season on painkillers and with tendonitis.

Anyways, do any of you have any advice on it healing. I have been going to physical therapy and doing my shit, nothing helps. Its been 9 months now, and I really wanna ski. Ski season is coming soon.
 
As far as I know issues with your patella are caused mostly by an imbalance in strength/flexibility of the muscles and tendons around your knee. If you stretch REALLY well both before and after skiing you'll notice a huge difference. Also, warmups are key. As lame as it is, its a really good idea to just do a warm up run with lots of different turn sizes and any drills you can think of that would get your legs warmed up.

Also, those physiotherapy rollers really helped me. I'd use them on the outside of each leg after skiing and it helped prevent everything from hurting.

Hope that helped man. I know the feeling and it sucks, for a year or two I'd end most of my ski days pissed off and barely able to walk. Not a good way to end an otherwise awesome day.
 
if you haven't already, invest in one of these:

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http://www.braceshop.com/breg-pf-unloader-knee-band.htm?gclid=CNL_uan5o7kCFcqe4AodTCgAQg
 
ICE. I cannot stress the importance of icing enough.

The way you land makes a big difference too. I've found that really compressing coming off rails (don't afterbang that shit with locked knees) can save a lot of pain if your tendonitis is already flaring up.

But mostly ice.
 
welcome to pretty much the shittiest problem you can have as a skier

i have had it for probably 2.5-3 years now and have not been able to find a single thing that worked. only thing that helps is stretching like crazy, riding the bike alot and using the patellar brace. icing will help it as well. you might want to try a scope on it, sometimes patellar tendonitis is misdiagnosed and its actually a growth on the knee right behind the tendon that can be removed. good luck in getting rid of it, try all of the above and hopefully it helps
 
I started running cross country in high school, and I developed patellar tendonitis so bad that I couldn't bend my knees. I got to ride the handicap elevator and move my desk so I had leg room in class.

I wore a patellar band and a couple o' these guys:

Ace-Knee-Brace-Side-Stabilizer_1906_640x640.jpg


Then eventually I stopped wearing the patellar band and just rocked those, never had a problem with tendonitis again through running in high school.

Now, 9 years later, I get a new set of those at the beginning of every ski season, and I use them all year for hiking and other serious physical activities I do too, and I don't have problems at all. That part of my knee always feels sore if I forget them.

The other thing is STRETCH every time you go skiing, that helps a lot too.
 
ASP has some good advice. For exercises the sports physios at the University of BC gave me a few killer ones. slow and small weights are the key. You aren't crushing curls to pick up chicks here.

The number one exercise: 1/4 squats: 3 sets of 20. Start week 1 with no weights. each week add 5 pounds in each hand. Do exercise everyone other day.

Start with knees slightly bent (just a bit, maybe 10 degrees). Hands straight down by your side.Shoulders knees and toes all in a vertical line. Drop your ass quickly and stop suddenly and cleanly. Slowly raise up to the starting position. Down quick, up slow. Make sure you stop in a very clean sudden motion, it should be a 'shock'. You only want to drop 6 inches. Be sure to bend at the waist not the ankles; this means your knees should barely move forwards. keep your knees above your first toe. Control is key here because you are training your knee cap to track properly. Do not try and do too much weight, it is about repetition, not weight.

#2 and #3: Hip adductors and hip abductors: Using a pulley machine (better than elastics) do leg cross overs standing sideways to the weights. So you are pulling your right leg inwards and over your left toes. Then rotate and the resistance will be when you pull your leg out to the side. Do both legs, inwards and out wards. Once again, repetition not weight.

Then stretch. Iliotibial Band (IT band) stretches are money. Foam roller is money. I like money
 
Had it for the entire ski season and even had to go to the doctor to get it diagnosed. Funny that it is called "Jumper's knee" because falling impacts are what our sport is all about.

Currently, mine is "healed". I would imagine it will start up again during ski season though. Do you do any trampoline in the summer? 2 weeks rest from that REALLY took the swelling down to the point where my knees didn't bother me anymore. I recommend you just completely stop anything that involves jumping and or impact.

Sucks really bad, but if you rest them they should be good to go for ski season.
 
Mine kicks in when I go backpacking or do strenuous hikes. What helps me is doing PT, stretching, icing, and sitting on the couch for a few weeks. Its caused by your patella tracking improperly which takes a lot of commitment to physical therapy if you actually want to correct the issue.
 
tons of good advice above. I struggled with it a little after ACL surgery and it sucks. Like others said... stretch, warm up properly without going hard right away, use supportive braces like TWoods said. M two cents... work on building your quads. They help support your knee cap and essentially "lift" it in the right place which can help prevent the rubbing/tight feeling. Also massage your knee regularly to break up scar tissue and loosen things up.
 
The workouts I listed worked like a charm in 3-4 weeks. I had patellar femoral tendinitis. But they are all about the knee cap tracking wrong
 
Do Squats, and eat steaks. You're tendonitis is a direct result of you being a weak bitch, and having bird legs.
 
If your pt doesn't have you doing this already, massage. Not foofoo relaxation shit, sports-treatment. Your pt can probably reccomend someone, and it will make a huge difference.

You're probably in a chronic stage at this point, so heat is actually going to be your friend. You can try contrast (ice, heat, ice, heat, ice, 5 min each) if you feel like it's swollen, but if you don't notice any direct swelling (probably will with skiing, etc) just do heat. You want blood flow in the area.

And get a foam roller. If you don't have one already. They are amazing.

I'm actually in school for treatment massage and we just went over tendinitis... If you have any questions you can pm me.
 
Are you a teenager? Patellar tendonitis is very common in active adolescents. Basically the sheath around your tendon needs time to "lube up" after it grew. With time, the fascia around the tendon won't be so tightly wound and the pain will subside.

That's my guess, and I had the same thing when I was about 18 or so, but it goes away. Of course, this can occur in adulthood as well for various reasons but I suspect you just need to give it time.

I honestly don't think those straps do anything beyond a placebo effect. Your patellar tendon is attached to 2 very large bones and as a result is subject to all sorts of motion. A strap no matter how tight or strong can't feasibly hold it in place. If it gives you peace of mind that's of meaningful therapeutic benefit itself, but I highly doubt the strap serves any actual mechanical purpose.

I know someone is gonna reply and tell me their orthopedic doctor told them to wear the strap and that it works, etc. However, part of being a doctor is utilizing placebo effects to best benefit the patient. Meaning, even if your doc knows the strap does nothing mechanically, he knows it likely may make you feel more confident about your injury and what he did to fix it. Meaning, he gives you the strap, you put it on, feel more confident, return to your activities, and then attribute the success of the treatment to the strap and your doctor. In a case like this, most of the time it's not the "treatment" (aka the strap) that made you better. In a situation like this, it's usually that your body healed itself on it's own. Your doctor knows this, but he also knows that if his patient believes he solved their issue, that patient is likely to have more faith/trust in that doctor later on, which benefits the well being of both parties.
 
i suffered from it a couple years ago, got it because i was skiing too much the season before.

Sucked major dick. I couldnt get rid of it, it simply disappeared after a year or two.
 
Ive always had pain in my knees- first schlatters, now this. I have not been able to play soccer this season which sucks dick. My PT told me to hit the bike-By now Ive logged hundreds of miles and my knees feels better. Not completely healed, but it goes in waves. Try to avoid running. Good luck!
 
Has anyone had this happen during the season? I was diagnosed with it maybe 2 weeks ago, been doing PT for 3 ish. Knee is feeling good, but not confident that I could go back to skiing aggressively without hurting it again. Anyone have any thoughts, experiences?
 
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