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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Cause A Pop And Pain In The Patellar Tendon Of The Knee?

Two months ago I felt a pop in front of my knee during an exercise class. Immediately I was unable to straighten my leg or lift it while straightened. A month ago the MRI came back negative but "Patellar tendinosis." (Not tendinitis) With my insurance HMO it's another month before I have an appointment with a specialist. I'm unable to strengthen quad. Feels its beginning to atrophy. I'm do a few PT exercises that work other muscles group but can't do anything with my quad. Still have pain in patellar tendon. (I've done a Naprosyn regimen and I ice my knee and rest everyday, I haven't been walking in 2 months). Any help? or Words of wisdom that will put me at ease while I wait for this appointment? Thanks
Wed, 22 Mar 2017
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Physical Therapist or Physiotherapist,  's  Response
Hi...

Your patellar tendonitis as you would have known by now is due to degeneration of collagen fibres...and need a lot of time to heal.. ad there is very less blood supply to the tendons in general..

If I were your treating doctor..

I would first rest the part with some kind of sports taping so that I will make sure there is no strain or load placed into the tendon
Frequent icing as you were doing it.. I would suggest you to continue every 1 hour once for 15 mins...
Work on isometric quadriceps exercise with tape on...
Gently knead in my front thigh muscle muscle belly to receive the tension on the tendon due to muscle spasm..
I explore the option if injecting PRP with an orthopaedic to help heal the area faster...done under ultrasound guidance..
once pain received..I would put you into graded rehabilitation....
Progressing it slowly and steadily increasing the load...all with tape on...

Hope this is helpful for you
Revert back in case you need any further clarification...
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What Can Cause A Pop And Pain In The Patellar Tendon Of The Knee?

Hi... Your patellar tendonitis as you would have known by now is due to degeneration of collagen fibres...and need a lot of time to heal.. ad there is very less blood supply to the tendons in general.. If I were your treating doctor.. I would first rest the part with some kind of sports taping so that I will make sure there is no strain or load placed into the tendon Frequent icing as you were doing it.. I would suggest you to continue every 1 hour once for 15 mins... Work on isometric quadriceps exercise with tape on... Gently knead in my front thigh muscle muscle belly to receive the tension on the tendon due to muscle spasm.. I explore the option if injecting PRP with an orthopaedic to help heal the area faster...done under ultrasound guidance.. once pain received..I would put you into graded rehabilitation.... Progressing it slowly and steadily increasing the load...all with tape on... Hope this is helpful for you Revert back in case you need any further clarification...