Patellar Tendonitis/Jumper’s Knee Exercises

Phase 1 begins as soon as possible after injury. During this phase you aim to reduce pain and swelling. However, there are a number of exercises you can still do during phase 1.

The following Jumper’s knee exercises form part of our full rehab program and are done alongside treatment methods including rest, cold therapy, taping/bracing and foam roller.

Only move onto phase 2 when you have achieved the Exit Criteria for this phase.

Stretching & mobility

Stretching the quadriceps muscles at the front of the thigh are particularly important and should be done regularly if pain allows.

Quadriceps stretch

This stretch is especially important for Patella tendonitis.

Keep your knees together and gently pull your leg up. You should feel a stretch at the front of the leg which should not be painful.

Hold onto something for balance if you need to or try holding your ear with the opposite arm.

Hold the stretch for 30 seconds and repeat with a short break in between. Aim to do this exercise 1-2 times per day.

This should be comfortable, don’t force the stretch.

Hamstring stretch

Hamstring muscles can be stretched in a variety of ways. Stand on one leg with the other resting on a bench or similar. Ease into the stretch and hold.

Active ankle mobility

This involves simply bending and straightening your ankle as far as is comfortable. The aim is to maintain joint mobility.

Hip flexor stretch

This exercise stretches the iliopsoas muscle and rectus femoris. Place one knee on the floor and the other foot out in front with the knee bent. Be careful to use on a mat or padding under the painful knee so as not to aggravate your injury.

Push your hips forward and keep your back upright. You should feel a stretch at the front of the hip and upper thigh.

Hold for 10-30 seconds. Repeat 3 times and stretch at least 3 times a day.

Activation exercises

Activation exercises can be done daily, or at least 3 times per week. They are important for making sure your hip and gluteal muscles do not ‘switch off’ whilst you are unable to train normally.

Clam in flexion

Raise and lower your knee, making sure your hips do not rotate backwards whilst performing this exercise.

Do 4 sets of 30 seconds with a short rest in between.

Clam in extension

Raise and lower your knee, making sure your hips do not rotate backwards whilst performing this exercise.

Do 4 sets of 30 seconds with a short rest in between.

Double leg bridge

Raise your hips up and hold of a couple of seconds before lowering.

Do 3 sets of 12 reps with a short break between sets.

Strengthening

These exercises aim to strengthening specific muscle groups. It is too early to begin overloading your injured knee. Therefore, the priority in phase 1 is calf muscle strengthening.

Single leg calf holds

Stand on the edge of a step and allow all your weight onto one leg. This exercise is isometric, meaning it does not involve any movement.

Start with 5 sets of 15 second holds, building to 5 sets of 45 second holds.

Movement control

These are not specific Jumper’s knee exercises, however, they are important for maintaining and improving proprioception and coordination. They can be done daily.

Gym ball bridge

Perform 3 sets of 8 reps with your legs up on a gym ball (if available). If not, then a chair is ok instead.

Single leg stand

Stand on one leg for 20 seconds and repeat 4 times.

If you find this too easy then close your eyes. Or use a wobble board or cushion to make it even more difficult.

Phase 1 Exit Criteria

Move on to phase 2 when:

• Normal daily activities including walking and stairs (down) are pain-free.
• You can do 10 double leg squats pain-free.

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This is the isotonic exercise phase. Here you begin to perform strengthening exercises which involve movement.

The aim of phase 2 is to gradually increase the load through your knee.

It consists of 14 exercises covering stretching, activation, strengthening, movement control, functional and conditioning.

You also start running again during phase 2.

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This is the heavy slow resistance phase.

The aim of phase 3 is to further increase the load through your knee.

In addition to treatment methods phase 3 consists of 21 exercises, which become more dynamic and challenging then earlier phases.

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This is the eccentric loading phase. It is eccentric strengthening exercises which are most important for Jumper’s knee.

Phase 4 consists of 13 exercises including progressive running drills. It is aimed at getting you back to full competition fitness.

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