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Patellar tendon

When I have knee pain, does it mean I need a knee replacement?

knee-rolling-in-___-internal-femoral-rotation I developed right knee pain about 2 months ago. I didn’t fall or traumatize the knee. How did this happen? From what my physical therapist tells me, I have been using my hamstring too much for strength and stability in the right leg; not using the right gluteus maximus enough. It has become short and tight as well as my iliotibial band. My lower leg muscles have become tight as well, making full bend of the knee, especially in kneeling and squatting.

It is surprising to me how much less I want to use the knee due to pain. If I try to fully squat, or get up and down from the floor, my knee hurts, so I tend to avoid it. Being a physical therapist, I know the importance of staying active so I have been making sure I fully bend my knee, even if it hurts, but with no weight on the leg (laying down or sitting with my leg out straight). I have also been working on hamstring stretches, iliotibial band stretches, and strengthening the vastus medialus portion of my quadriceps, which has become weak. My calf muscles are also tight, so I have been stretching those, both the upper calf muscle (gastrocnemius) and the lower calf muscle (soleus). My front shin muscles are tender and tight and part of my treatment has been myofascial release from the physical therapist.

X-rays were completely negative for knee arthritis, and I am so excited! The last thing I want is a new knee as the rehabilitation process for that is very very painful!

I am about 50% better; I’ll let you know how this goes in the future

Tendon Rehabilitation…What is the latest research?

Tendon strains are very common.

Torn achilles

Torn achilles

They occur frequently throughout the body, and limit your ability to do what you want. Achilles tendonitis and patellar tendonitis injuries cause pain with walking, running and being on your feet. Biceps tendonitis causes pain with sleeping, reaching and lifting overhead as does rotator cuff tendonitis.

Recent research on tendon injuries has shed new light on what the best exercises are, and in what order they should be given to the patient. why-and-how-exercise-is-the-best-treatment-for-tendinopathy

In the past, and currently, the exercise protocol for tendon repair has been eccentric exercises (slowly lengthening exercises). Here is an example:

New research is coming to light that shows that isometric exercise is the best way to rehabilitate a strained tendon, especially in the first stages of tendon repair. Here is an example:

Come to Comstock Physical Therapy to receive the latest in treatment options! (Backed by evidence, of course!)