When is physiotherapy recommended for patellar tendinitis?

Patellar tendinitis affects the tendon connecting the kneecap to the shin. Repeated jumping, running, squatting, or sudden training changes can make loading painful. A physiotherapist checks the tendon, thigh and hip strength, landing or squatting technique, and the pattern of training. Rehabilitation usually uses a gradual loading plan, beginning with tolerable contractions or controlled exercises and progressing toward faster, heavier, and sport-specific tasks.

Reduce or modify the activity that provokes symptoms rather than stopping every form of movement. Keep notes on pain during exercise and the following day. A physiotherapist can help select alternatives, adjust training volume, and build strength without sudden spikes in tendon load. Do not test the tendon repeatedly with maximal jumps while it is irritable. Return to sport should follow restored strength, control, and tolerance of progressively demanding drills.

Seek prompt assessment after a sudden pop, immediate weakness, a visible gap near the tendon, or inability to straighten the knee or walk normally. Rapid swelling, marked redness, fever, or pain after a direct injury also warrants medical review.

Ask whether the tendon is suitable for progressive loading, which activities to modify, how to judge next-day response, and what return-to-sport milestones to use.