Patellar tendinitis: treatment includes physical therapy and surgery for severe cases
Patellar tendonitis, also known as a jumper's knee, is characterized by focal pain in the infra-patellar region (below the kneecap) in the tendon pathway patellar
More commonly seen in young adults, the prevalence of athletes in athletics, athletics, and athletics has been estimated to be around 20% in athletes, including volleyball, basketball, handball and athletics. Patellar tendonitis is associated with impaired flexibility of the hind musculature of the thigh (hamstrings) and repetitive movements of extrinsic contraction (the muscle remains contracted while stretching the muscle fibers) of the extensor mechanism of the knee, also known as the femoral quadriceps. , patellar tendinitis presents with insidious pain on the lower edge of the patella, especially after sports practice. Later, pain may even appear during physical activity and in prolonged knee flexion limiting performance.
The diagnosis is made primarily through good history and clinical examination. Plain radiographs are usually normal, but they are part of the diagnostic exams. Ultrasonography is the most commonly used diagnostic test, whereas magnetic resonance imaging is indicated for chronic, recurrent or surgical treatment planning if this is the case.
Treatment depends on severity
Good results are obtained in most cases with conservative treatment. This includes cryotherapy, relative rest according to pain, intensity modification and type of physical activity. Rehabilitation takes place through physical therapy. An important orientation for patients is to always remember stretching before and after physical and sports activity. In particular, for patellar tendonitis, the elongation of the femoral quadriceps (anterior thigh) and flexor muscles in the posterior portion of the thigh is essential.
In the most severe, chronic and recurrent cases, surgical treatment may be indicated. However, it is worth emphasizing that each case should be evaluated and treated individually and that regardless of the degree, seek a specialist to receive adequate assistance, maximizing the chances of good results in the treatment of patellar tendinitis. , orthopedist and spine surgeon, professor at ABC Medical School. He has an advanced research background at the University of Pittsburgh (USA).
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