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Author Topic: Patellar Tendonitis, Tendonosis, Tendonopathy  (Read 12049 times)

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Offline John42

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Re: Patellar Tendonitis, Tendonosis, Tendonopathy
« Reply #15 on: October 06, 2015, 07:15:04 AM »
Hi Slenkar

Did you rupture your patella tendon, if so when?

I assume that you had an operation to repair the ruptured tendon, but how long ago ?

Did you have any physio and if so what ROM Range of movement do you have today?

Which country/town do you live in?

You should be looking at the webpage ruptured patella tendon/ surgery for answers.

JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline Clarkey

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Re: Patellar Tendonitis, Tendonosis, Tendonopathy
« Reply #16 on: February 02, 2016, 05:34:41 PM »
Hello,

I am a 22year old male who has been suffering with patellar tendonosis for 3years now! I think I have actually become obsessed with getting better and have read so much about the condition. At times  I have also been very depressed and felt like it is never going to get better.

How it began in 2009

It began by playing basketball too intently in the space of a few weeks and I had tendonitis in both patellar tendons. I never properly rested my right knee and subsequently kept reinjuring the tendon :(. I was 19 and very sporty (football, basketball, tennis) - I thought i was invinvible!

Getting better Summer 2011

Last Summer the knee got better and I strongly believe i was due to eccentric squats. It is so important to start with almost no weight and slowly increase the weight. I went from 2 legged squats to 1 leg squats with 25kg backpack on an incline board over a 6month period. I was cycling almost 25km a day and feeling good again. I was also playing football and tennis but being carefull.

Back to Square 1!

I was feeling so good again that I played basketball in Sept 11. My tendon the next day felt pain and I was limping around for a few weeks. The knee felt ok walking but I couldn't do any sports again or sit with it bent for long.

Back to Square 1 again!

One of the worst decisions was seeing Dr Ralph Rogers at the London Orphaepic clinic. I had some PRP injections into the tendon in Jan 2012 and I am sure it made me 10 times worse.

The swelling from the injections never went away and my hoffas fat pad was very infammed. The tendon and surrounding tissue would swell up everyday just from walking and i was painfull all the time. I put up with this for 5months before surgery!

Surgery

4 weeks ago I had open and arthroscopic surgery to remove a small bone spur and a decompression inflammed tissue at the inferior pole. The surgeon said that he reomved 1/3 of the tendon! He said that the bone spur was causing all of the tendon problems. Interestingly I had Osgood Schlatters when I was 14 and have an bone spur at the tibial tuiberosity (which does not cause any problems)

Recovery

I am now 4 weeks post op and have about 110degrees of ROM. I can walk without crutches but sill finding stairs difficult. The tendon and surrounding tissue is still quite swollen but I have already noticed that I can sit with the knee bent for longer without the same pain where the bone spur most have been pressing into the tendon.

At the moment I am still doing static quad work as the area is still too sore for even straight leg raises. I really am hoping I can get back to he sports I love in about 4-6months time.

I would love to hear from anyone else with this problem, the time it took to recover and the steps they took in physio for recovery.

If anyone out there is suffering from this then please ask any questions as I feel like I know everything!

The original poster of this topic of discussion sounds like a very similar scenario that I am finding myself in right now! Those that have already been following my post-op diary will know that I have been through two scopes#1 plica removal and fat pad trimming. Scope#2 AIR surgery to remove scar tissue behind the patella tendon.

My latest MRI scan shows a few areas that could be of a potential concern if there are no further improvements after 3 cortisone injections in 2015. One out of the three was US guided that showed up fluid around the patella tendon confirming Runner Knee or Patella Tendonitis!

MRI scan shows fat pad and patella tendon inflammation and spurs!

I have been doing PT and stretching exercises for a while now without seeing any benefits, the 3 cortisone injections have not made much difference that could potentially cause articulate cartilage deterioration!

PRP injections has been suggested and if you goggle it will see plenty of web links that highlight that PRP injections are beneficial for patients with patella tendonitis. However there are other links that say to stay away from it altogether!

Mr Charles Willis-Owen a UK based OS located south of London has done extensive research on PRP injections for inflammation of the patella tendon saying the following quote. 

PRP (platelet-rich-plasma) injections have been shown in large metastudies to be of no benefit for patellar tendinitis. 

http://www.kneeguru.co.uk/KNEEnotes/specialists/knee-surgeon/dr-mr-charles-willis-owen

There are other way to try and resolve patella tendonitis by trying out all the conservative methods of treatment.

1.   Physiotherapy
2.   Cortisone injections
3.   PRP Injection (does not work)
4.   Extracorporeal shock wave therapy (ESWT)
5.   Surgery

Link below is NHS based that mentions ESWT so assuming it is available that I could possibly try out before resorting to surgical intervention.

http://www.nhs.uk/Conditions/Tendonitis/Pages/Treatment.aspx

Surgery

Surgery may be an option for some tendon injuries, but this is often only considered as a last resort because it's not always effective and carries a risk of complications such as wound infections, scarring and rupturing of the affected tendon.

Surgery can be used to:

•remove the damaged section of tendon

•remove lumps or deposits that have formed on the tendon

•encourage the tendon to heal

•repair ruptured tendons


Has anyone been through Extracorporeal shock wave therapy (ESWT). Was it a success or failure, that can be done on the NHS, that's a cheaper and safer option to be going for before considering surgery.

[email protected]
« Last Edit: February 02, 2016, 05:42:58 PM by Clarkey »
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming