Some people recover from patellar tendonitis within a few weeks, others deal with it for years. How can recovery time be so different?
In this video, you will learn how to avoid three very dangerous mistakes that will add months to your recovery time, if you make them and how much recovery time you should expect.
“Patellar tendonitis can last up to 15 years.”
(Kettunen et al. 2002; Kongsgaard et al. 2009)
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The three dangerous mistakes I’ll show in a moment are mistakes that you may consider harmless. I sure did, back when I had patellar tendonitis.
But academic research and anecdotal evidence from thousands of people confirm that if you make these three mistakes when recovering from patellar tendonitis, you’ll either add months to your recovery time or you’ll prevent recovery altogether.
Mistake #1 Will Completely Prevent Recovery From Patellar Tendonitis
Let’s start with the most serious mistake. If you make this mistake, you will completely prevent recovery; and here’s why…
In patellar tendonitis, your body tries to strengthen your patellar tendon by putting more collagen fibers down inside of it. These fibers are like the threads of a steel cable and the more of these fibers there are the more force the tendon can handle.
For this to work, you have to allow your body to do its job, by giving it appropriate rest periods. If you don’t rest enough, your tendonitis will progress into a more advanced stage in which the fibers of the tendon have become messy.
The more the alignment of collagen fibers degenerates, the longer it will take you to recover from patellar tendonitis. This is why every week you continue your regular training in spite of patellar tendonitis is at least a week added to your recovery time because you’re causing more damage that you’ll eventually have to repair.
Academic research also confirms that continuing your regular training while rehabbing patellar tendonitis stops healing and that athletes should be removed from sports activity during rehab. (Visnes et al. 2005; Visnes, Bahr 2007)
Mistake #2 Seems Safe But Will Make Your Patellar Tendon Weak & Fragile
The second mistake seems safe, especially since doctors recommend it all the time, but it will actually make your tendon weak and fragile.
Let’s get straight to the point: resting too much also weakens the tendon. Much like lying in bed when you’re sick will make you weaker. (Yamamoto et al. 1999; Cook, Purdam 2009, p. 409)
Everyone with chronic patellar tendonitis knows that resting doesn’t get you back to 100%. To strengthen your tendon and recover from patellar tendonitis, you need to apply just the right amount of training at just the right intervals.
Resting will not get you back to 100%.
In my book Beating Patellar Tendonitis, I recommend people use a training journal to track their pain levels. Once you’re tracking your pain scores you can start doing tendon-strengthening exercises such as very slow eccentric squats or isometric wall-sits two or three times per week.
Next, you use your pain scores to adjust your training so that pain goes down over time. This ensures progress and I highly recommend you do it too. Without this systematic approach, you can only guess which training intensity is safe for your patellar tendon and as soon as you do too much, you’ll reinjure your tendon, which will cost you additional weeks of recovery time.
Mistake #3 Will Flush All Your Progress down the Toilet
If you make this last mistake, you will flush all your progress down the toilet. Let me explain.
Let’s say you’ve safely strengthened your tendon over the last 8 weeks and your pain has gone down significantly. You were smart enough to stop your regular training when you started rehabbing your patellar tendonitis and you’ve been tracking your progress with a journal.
For the last 8 weeks, you couldn’t do the things you love because of pain, but now the pain has gone down. That’s where patellar tendonitis will trick most people into making the third mistake.
Once the pain has gone down, most people jump back into their training and pick things up right where they left them when they started rehab.
Same mileage, same number of hours on the court, same amount of weight lifted in the gym, and so on. And I get it, I’m an athlete too, but here’s the problem.
In tendonitis, tissue damage occurs before pain is felt.
(Huisman et al. 2013; Khan et al. 1998, p. 351)
In fact, one study on Achilles tendonitis found that two-thirds of tendons that were degenerated enough to rupture were still pain-free. (Kannus, Józsa 1991)
In other words, just because your pain has gone down doesn’t mean that your tendon is completely healthy again. You need to ease back into your training slowly and pay attention to every little bit of discomfort in your knee. This way you can prevent mistakes that will flush all your progress down the toilet.
With tendonitis, it’s better to be safe than sorry.
Before we get to how much recovery time you should expect, let’s recap.
In summary, you can avoid the three mistakes that will add months to your recovery time by following these steps:
Don’t continue your regular training while rehabbing patellar tendonitis, regardless of how tempting it may be. It won’t work.
Get a training journal and track your pain scores every day. Next, start doing tendon-strengthening exercises like slow eccentric squats or isometric wall sits.
Once your pain has gone down significantly, ease back into your regular training very slowly. Use your pain scores to avoid anything that increases your pain.
How Much Recovery Time You Should Expect
Now, as for how much recovery time you should expect, academic research found that if you follow a safe strengthening regimen you will notice a reduction in pain after 3 to 4 weeks (Rutland et al. 2010), but repairing the tendon completely will take at least 3 months (Khan et al. 1998, p. 348; Wilson, Best 2005).
Now you can see why it’s so important to avoid mistakes that add additional months to your recovery time.
What I’d like you to do next is leave a comment below this video and tell me how long you’ve been struggling with this injury; and if you discovered any other mistakes that also slow down healing, share them with me and the other readers so that we can benefit from your experience.
Also, if you’re new here, I recommend you join my free email course on patellar tendonitis. It will show you great healing exercises to get you back to your sport as soon as possible. You can sign up right below this video or by going to fix-knee-pain.com/tendonitis.
Lastly, if you know someone with patellar tendonitis or have friends in jumping sports such as basketball or volleyball, give them a head start on this injury by sharing the link to this video.
Here's How You Can Beat Patellar TendonitisMost treatments fail and that breaks my heart. I want to help you get back to 100%, so I created an advanced course on patellar tendonitis with some of my best material:
- Get rid of your pain without ice or painkillers
- Discover the 5 mistakes that make patellar tendonitis come back
- Learn why resting doesn't work and what to do instead
Cook, J. L.; Purdam, C. R. (2009): Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy. In British Journal of Sports Medicine 43 (6), pp. 409–416. DOI: 10.1136/bjsm.2008.051193.
Huisman, E.; Thornton, G.; Roberts, C.; Scott, A. (2013): IDENTIFICATION OF BIOMARKERS FOR EARLY TENDON DEGENERATION USING AN IN-VIVO RABBIT MODEL. In British Journal of Sports Medicine 47 (9), pp. e2. DOI: 10.1136/bjsports-2013-092459.57.
Kannus, P.; Józsa, L. (1991): Histopathological changes preceding spontaneous rupture of a tendon. A controlled study of 891 patients. In J Bone Joint Surg Am 73 (10), pp. 1507–1525.
Kettunen, Jyrki A.; Kvist, Martti; Alanen, Erkki; Kujala, Urho M. (2002): Long-term prognosis for jumper’s knee in male athletes. A prospective follow-up study. In Am J Sports Med 30 (5), pp. 689–692.
Khan, K. M.; Maffulli, N.; Coleman, B. D.; Cook, J. L.; Taunton, J. E. (1998): Patellar tendinopathy: some aspects of basic science and clinical management. In Br J Sports Med 32 (4), pp. 346–355.
Kongsgaard, M.; Kovanen, V.; Aagaard, P.; Doessing, S.; Hansen, P.; Laursen, A. H. et al. (2009): Corticosteroid injections, eccentric decline squat training and heavy slow resistance training in patellar tendinopathy. In Scand J Med Sci Sports 19 (6), pp. 790–802. DOI: 10.1111/j.1600-0838.2009.00949.x.
Rutland, Marsha; O’Connell, Dennis; Brismée, Jean-Michel; Sizer, Phil; Apte, Gail; O’Connell, Janelle (2010): Evidence-supported rehabilitation of patellar tendinopathy. In N Am J Sports Phys Ther 5 (3), pp. 166–178.
Visnes, Håvard; Bahr, Roald (2007): The evolution of eccentric training as treatment for patellar tendinopathy (jumper’s knee): a critical review of exercise programmes. In Br J Sports Med 41 (4), pp. 217–223. DOI: 10.1136/bjsm.2006.032417.
Visnes, Håvard; Hoksrud, Aasne; Cook, Jill; Bahr, Roald (2005): No effect of eccentric training on jumper’s knee in volleyball players during the competitive season: a randomized clinical trial. In Clin J Sport Med 15 (4), pp. 227–234.
Wilson, John J.; Best, Thomas M. (2005): Common overuse tendon problems: A review and recommendations for treatment. In Am Fam Physician 72 (5), pp. 811–818.
Yamamoto, E.; Hayashi, K.; Yamamoto, N. (1999): Mechanical properties of collagen fascicles from stress-shielded patellar tendons in the rabbit. In Clin Biomech (Bristol, Avon) 14 (6), pp. 418–425.