Hi, I've had pain for 9 years (I'm 22) which has worsened to the point where I can only stand for 5-10 minutes. The pain is constant and is in the middle of the patellar tendon, and I need codeine or tramadol every 4 hours for it to be bearable. I saw 8 NHS surgeons who found nothing wrong, 2 private surgeons said I had patella alta/slightly twisted bones/flat feet/inflamed fat pad and initially recommended a TTT but then said the pain is hugely exaggerated and I should just strengthen up and wait. I strengthed my leg muscles, pain still got worse.
Just saw Mr. Wilson at Hampshire knee who thinks I have a severe case of tendinopathy. I didn't do much sport when I was younger so I don't know what the cause is. He recommended an ultrasound scan to confirm the diagnosis (had xray/CT/ and an MRI which didn't show it) then 3 sessions of shockwave treatment. If that doesn't work, PRP injections and possibly dry needling, and as a last resort surgery. Could just tendinosis cause this much pain or could there be something else going on? My kneecaps maltrack which you can see when I bend my knees but would this cause pain around the kneecaps which I don't really have? I'm also on max dose of gabapentin in case there was some nerve pain, which hasn't helped at all.
I bought a patella tendon strap yesterday, just a cheap one from a pharmacy, but after about 2 hours it's really uncomfortable as it digs in around the back and sides of my knee so much. Which is a more comfortable one? And how much should I wear it, all the time or when I have to do more standing up at work etc? I get the impression most people wear it for sport but I am unable to do any sport.
Sorry this was long, thanks in advance.