Treatment for Jumpers Knee

Two modes of treatment may be advised - conservative treatment and surgical treatment:

Conservative (non-surgical) treatment

This is normally advocated initially after diagnosis of patellar tendinopathy. Care must be taken so as to not overload the tendon. Treatment may involve:

* Quadriceps muscle strengthening program: in particular eccentric strengthening. These exercises involve working the muscles as they are lengthening and are thought to maximise tendinopathy recovery.
* Muscle strengthening of other weight bearing muscle groups, such as the calf muscles, may decrease the loading on the patellar tendon.
* Ice packs to reduce pain and inflammation.
* Massage therapy - transverse (cross) friction techniques may be used.
* Aprotinin injections may help tendinopathies by restoring enzyme balance in the tendon.

Surgical Treatment

This is normally advised as a last resort. Also, there is little convincing evidence to support the use of surgery over conservative treatment for patellar tendinopathy. Surgery either includes excision of the affected area of the tendon or a lateral release where small cuts are made at the sides of the tendon which take the pressure off the middle third.

An intensive rehabilitative program is normally advised following surgery. In particular the use of eccentric strengthening exercises may help stimulate healing.

A Sports Injury Specialist or Doctor may:

* Prescribe anti-inflammatory medication e.g. ibuprofen.
* Use ultrasound or laser treatment.
* Use cross friction massage techniques.
* Prescribe and supervise a full rehabilitation programme.
* A Surgeon can operate - see surgery for patella tendinopathy.
If the injury becomes chronic then surgery is an option. A lateral release of the patella tendon is usually successful.