Patella tendonitis

Patella tendonitis is most commonly linked to repetitive stress on the patellar tendon, especially in activities that involve jumping, running, sudden deceleration or deep squatting. Pain is usually felt just below the kneecap and often becomes noticeable when you start exercising, when going up or down stairs or when rising from a chair. In many cases the discomfort eases temporarily as you warm up, yet it can return more strongly after activity or the next day. If the tendon continues to be loaded without appropriate adjustment, symptoms may persist and limit knee function.

Management typically focuses on controlling the loads placed on the tendon and following a progressive rehabilitation plan aimed at improving the strength and capacity of the knee extensor system. Physiotherapy helps structure a safe return to movement, improve movement control and reduce flare-ups that occur when activity increases too quickly.

With patella tendonitis, the goal is not only to reduce pain but to rebuild the tendon’s tolerance to everyday demands. This often means temporarily changing how you move, adjusting training frequency and intensity and learning to recognise early signs that the knee has been overloaded. In physiotherapy guidance we focus on movement quality during tasks like squatting, stair use and returning to jumping so unnecessary stress is reduced. We also work on balance and neuromuscular control so the knee feels more stable during changes in speed and direction. Progressive goals that match your schedule help you return step by step without repeated setbacks. With consistent monitoring and the right adjustments, flare-ups decrease and long-term function improves.