J Orthop Sports Phys Ther November 2015 PMID 26390269

Patellar Tendinopathy: Clinical Diagnosis, Load Management, and Advice for Challenging Case Presentations.

Peter Malliaras, Jill Cook, Craig Purdam, Ebonie Rio

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The group consistently highlights the importance of load management, progressive exercises, and clinical diagnosis, with phrases like 'great overview,' 'valuable tips,' and 'comprehensive review' emphasizing both the relevance and authority of the publication, while the tone and references to expert opinions underscore significant impact and engagement.

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The overall tone suggests this article is considered highly influential in guiding clinical practice and advancing understanding of patellar tendinopathy.

Abstract in brief

Patellar tendinopathy is primarily diagnosed through clinical examination, focusing on pain localized at the bottom of the kneecap and pain that worsens with activities involving the knee's energy-storing movements.
Imaging can help with diagnosis, but since tendon problems can occur without symptoms, a thorough clinical assessment is essential to identify the condition and any related risk factors.
Effective management involves gradually increasing the tendon's load tolerance and addressing biomechanical factors, though the rehab process can be slow and challenging, especially in complex cases.

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All mentions

Understanding Patellar Tendinopathy: Diagnosis and Management Strategies

Patellar tendinopathy is diagnosed through clinical examination focusing on pain near the kneecap exacerbated by activity. Effective management involves gradual load increase and addressing biomechanical issues, though…

ATG Science · Jan 18, 2024 3,216 views

Effective Strategies for Treating Patellar Tendinopathy

Patellar tendinopathy is diagnosed through clinical examination, focusing on pain at the bottom of the kneecap. Imaging can assist but thorough clinical assessment is essential. Management includes gradual load increase…

Túlio Eskinazi · Apr 11, 2024 24 views

ScottRussellOLY

@ScottRussellOLY · X

Stage 1: Isometric Loading Five repetitions of 45-second isometric mid-range quadriceps exercise at 70% of maximal voluntary contraction have been shown to reduce patellar tendon pain for 45 minutes after exercise. https://t.co/bkEoh69eZ9

Mar 2, 2025 · 1 like · 2,608 followers View post →

Running-Physio

@tomgoom · X

@Jamie_langley1 Hi Jamie, I usually combine load management (bringing sport and activity to a level the tendon can cope with) with a progressive rehab program. This is a great overview paper: https://t.co/hW0nckqAt1

Apr 24, 2024 · 2 likes · 62,710 followers View post →

محمد المسعودي

@masaudi37 · X

RT @Pt_hatem: Single-leg decline squat من اقوى الاختبارات التشخيصة Differential dx لحالة الـ patellar tendinopathy او الم وتر الصابونة.…

Jun 29, 2022 · 6 shares · 788 followers View post →

Ahmed Mokhtar

@AhMed95Mokhtar · X

RT @Pt_hatem: Single-leg decline squat من اقوى الاختبارات التشخيصة Differential dx لحالة الـ patellar tendinopathy او الم وتر الصابونة.…

Apr 24, 2022 · 6 shares · 797 followers View post →

IBRAHEM 』

@IBRAHEM27500994 · X

RT @Pt_hatem: Single-leg decline squat من اقوى الاختبارات التشخيصة Differential dx لحالة الـ patellar tendinopathy او الم وتر الصابونة.…

Apr 23, 2022 · 6 shares · 53 followers View post →

حاتم الكعبي

@Pt_hatem · X

Apr 23, 2022 · 58 likes · 6 shares · 7,430 followers View post →

Adrian Thomas Davies

@AdrianTDavies · X

@GatesPhysio This is a great overview by @DrPeteMalliaras @tendonpain @ProfJillCook and Craig Purdam

Apr 7, 2022 · 6 likes · 328 followers View post →

Andy Seraphin

@DrAndyDPT · X

Jan 24, 2022 · 12 likes · 1,511 followers View post →

kurt kuden

@kurt_kuden · X

RT @LionelChiaPT: #TherapyLive Patella Tendinopathy: common pitfalls and difficult cases @TPMPodcast @DrPeteMalliaras laying down 8 commo…

Oct 20, 2021 · 1 share · 463 followers View post →

Joe Hooton

@JoeHooton3 · X

Not quite a BPG, but a wonderful umbrella paper by Malliaras et al 2015 that covers everything you need to know about Patella Tendinopathy. https://t.co/0NgErLsVcs. https://t.co/M8jU59ZIj6

Apr 13, 2021 · 41 followers View post →

S.T. Kostas Lolis

@ptherapykostas · X

Patellar Tendinopathy: Clinical Diagnosis, Load Management, and Advice for Challenging Case Presentations | Journal of Orthopaedic & Sports Physical Therapy https://t.co/flC3uECu0B

Jan 15, 2021 · 569 followers View post →

Stephan Breda

@SJBreda · X

4/ Progressive tendon-loading exercises (PTLE) have been proposed as alternative exercise therapy for patellar tendinopathy, which are typically performed within the limits of acceptable pain. https://t.co/VJDqCYk0pJ

Dec 28, 2020 · 54 followers View post →

Chiropractic News

@ChiroNewz · X

A great paper evaluating the diagnosis & management of Patellar tendinopathy. Interesting content relating to the kinetic chain and the contraindications of unrealistic ideas of when an athlete will return to sport / performance. https://t.co/JcnAdDsTUI

Oct 18, 2020 · 1 like · 34 followers View post →

@CBwallettec · X

@pablogprados @FisioHockey Yo veo con frecuencia casos similares ( han estado “underloaded” por mucho tiempo ya sea por un mal manejo previo o complicaciones ) , el abordaje de la tendinopatia persistente ilustrada en este artículo me ha ayudado mucho https://t.co/9wKl9aGD1v

Oct 14, 2020 · 3 likes · 2,464 followers View post →

painPRO Education

@PainproE · X

RT @lorenzo_masci: 3/20 If you want to cut to the chase, this is a comprehensive review of management based on expert consensus https://t.c…

Jul 26, 2020 · 4 shares · 99 followers View post →

PeterMalliaras

@DrPeteMalliaras · X

RT @lorenzo_masci: 3/20 If you want to cut to the chase, this is a comprehensive review of management based on expert consensus https://t.c…

Jul 26, 2020 · 4 shares · 25,690 followers View post →

Madhan Ramanathan

@sportsphysiouk · X

RT @lorenzo_masci: 3/20 If you want to cut to the chase, this is a comprehensive review of management based on expert consensus https://t.c…

Jul 25, 2020 · 4 shares · 1,122 followers View post →

Lorenzo Masci

@lorenzo_masci · X

RT @lorenzo_masci: 3/20 If you want to cut to the chase, this is a comprehensive review of management based on expert consensus https://t.c…

Jul 25, 2020 · 4 shares · 7,005 followers View post →

Lorenzo Masci

@lorenzo_masci · X

Jul 25, 2020 · 12 likes · 4 shares · 7,005 followers View post →

Jacob Bobrowski

@PhysioHipster · X

RT @Connect2Physio: Great talk on patella tendinopathy by @DrPeteMalliaras, very useful key points to take away Definitely worth having a…

Jun 26, 2020 · 1 share · 422 followers View post →

Star Medical

@STARMedical_01 · X

RT @SOLSportTherapy: RE: Patella tendinopathy “Passive treatments have their place but don’t overuse them. Primarily focus on exercise and…

Jun 26, 2020 · 1 share · 1,367 followers View post →

Connect2Physio

@Connect2Physio · X

Two papers added to the reading list from @mccauleyandrew 's great talk at #TherapyLive. https://t.co/gRv0ezMbvq https://t.co/F7183Idnnv

Jun 26, 2020 · 1 like · 2,632 followers View post →

Sam Ogier

@SamOgier_Physio · X

Thanks @DrPeteMalliaras really helpful talk for #TherapyLive on Patella tendinopthy #Physiotherapy Helpful paper for managemnt highlighted here

Jun 26, 2020 · 292 followers View post →

Solent University Sport & Exercise Therapy

@SOLSportTherapy · X

RE: Patella tendinopathy “Passive treatments have their place but don’t overuse them. Primarily focus on exercise and education (@DrPeteMalliaras)” This is a great take home message for our @SOLSportTherapy students

Jun 26, 2020 · 5 likes · 1 share · 348 followers View post →

Bruce Smith

@BruceSmith94 · X

A great 45mins with @DrPeteMalliaras exploring patellar tendinopathy: clinical diagnosis, load management, and advice for challenging case presentations! Even had one of my questions answered live- not bad for a free event! #TherapyLive

Jun 26, 2020 · 2 likes · 98 followers View post →

Connect2Physio

@Connect2Physio · X

Jun 26, 2020 · 12 likes · 1 share · 2,632 followers View post →

Lionel Chia

@LionelChiaPT · X

#TherapyLive Patella Tendinopathy: common pitfalls and difficult cases @TPMPodcast @DrPeteMalliaras laying down 8 common errors in rx of patella tendinopathy. Ref: https://t.co/9ujwGuxdQo Slides below

Jun 26, 2020 · 1 like · 1 share · 766 followers View post →

Exeryou

@Exeryou_Oficial · X

Referencia: Malliaras, P., Cook, J., Purdam, C., & Rio, E. (2015). Patellar tendinopathy: clinical diagnosis, load management, and advice for challenging case presentations. journal of orthopaedic & sports physical therapy, 45(11), 887

Feb 17, 2020 · 235 followers View post →

Monash Uni Primary and Allied Health Care

@SPAHCMonash · X

RT @JOSPT: @DrPeteMalliaras @ProfJillCook @tendonpain and Craig Purdam are the dream team to explain the diagnosis, management and advice f…

Oct 21, 2019 · 9 shares · 468 followers View post →

Vicente Solano

@91Vic3n · X

RT @JOSPT: @DrPeteMalliaras @ProfJillCook @tendonpain and Craig Purdam are the dream team to explain the diagnosis, management and advice f…

Aug 31, 2019 · 9 shares · 496 followers View post →

Nina Malanga

@nina_malanga · X

RT @JOSPT: @DrPeteMalliaras @ProfJillCook @tendonpain and Craig Purdam are the dream team to explain the diagnosis, management and advice f…

Aug 30, 2019 · 9 shares · 14 followers View post →

Raashid A.R.

@RaashidAR · X

RT @JOSPT: @DrPeteMalliaras @ProfJillCook @tendonpain and Craig Purdam are the dream team to explain the diagnosis, management and advice f…

Aug 29, 2019 · 9 shares · 45 followers View post →

Michael Ingle

@mikeinglephysio · X

RT @JOSPT: @DrPeteMalliaras @ProfJillCook @tendonpain and Craig Purdam are the dream team to explain the diagnosis, management and advice f…

Aug 29, 2019 · 9 shares · 906 followers View post →

Pablo Duarte

@Pablo10Duarte · X

RT @JOSPT: @DrPeteMalliaras @ProfJillCook @tendonpain and Craig Purdam are the dream team to explain the diagnosis, management and advice f…

Aug 29, 2019 · 9 shares · 538 followers View post →

michael mc glynn

@michaelmcglynn4 · X

RT @JOSPT: @DrPeteMalliaras @ProfJillCook @tendonpain and Craig Purdam are the dream team to explain the diagnosis, management and advice f…

Aug 29, 2019 · 9 shares · 176 followers View post →

Dan McGovern

@DanMcGovernPT · X

RT @JOSPT: @DrPeteMalliaras @ProfJillCook @tendonpain and Craig Purdam are the dream team to explain the diagnosis, management and advice f…

Aug 29, 2019 · 9 shares · 1,014 followers View post →

PeterMalliaras

@DrPeteMalliaras · X

RT @JOSPT: @DrPeteMalliaras @ProfJillCook @tendonpain and Craig Purdam are the dream team to explain the diagnosis, management and advice f…

Aug 29, 2019 · 9 shares · 25,690 followers View post →

JOSPT Community

@JOSPT · X

@DrPeteMalliaras @ProfJillCook @tendonpain and Craig Purdam are the dream team to explain the diagnosis, management and advice for challenging cases of patellar tendinopathy

Aug 29, 2019 · 30 likes · 9 shares · 57,824 followers View post →

Jeff Walker

@walkerwaikiwi · X

RT @bittencourt_nfn: We won!

May 3, 2019 · 3 shares · 162 followers View post →

MARCELA GOMIDE

@MARCELAGOMIDEL · X

RT @bittencourt_nfn: We won!

May 3, 2019 · 3 shares · 124 followers View post →

Karli

@DIY_KI · X

Patellar Tendinopathy: Clinical Diagnosis, Load Management, and Advice for Challenging Case Presentations. @DrPeteMalliaras 2015 https://t.co/su9jT5RMQJ

Feb 16, 2019 · 1 like · 465 followers View post →

Rachiphile

@joshlavalleeMK · X

RT @RV_Physio: @JehDech @vincenthodo Et en articles : https://t.co/EyHcYuIhKg https://t.co/LluLga9E4d https://t.co/E63e6bgs3W https://t…

Feb 6, 2019 · 1 share · 1,814 followers View post →

@RV_Physio · X

Feb 5, 2019 · 8 likes · 1 share · 1,354 followers View post →

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The spanish squat is one of the most effective exercises to help ...

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doi: 10.2519/jospt.2015.5987. Epub 2015 Sep 21. PMID: 26390269. . . #dailymotivation #powerlifter #fitnessmotivation #fitnesscoach ...

Jul 31, 2022 View →

髌腱炎: r/spartanrace

jospt.org/doi/full/10.2519/jospt.2015.5987 · https://onlinelibrary.wiley.com/doi/10.1111/j.1600-0838.2009.00949.x · https://www.sciencedirect ...

Jul 29, 2022 View →

Dr. Gabriel Leão - Programa HSRT ⤵️ 3 exercícios Realizar 3x por ...

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... 10.2519/jospt.2015.5987) #joelho #joelhoemevidencia #tendinopatia | Facebook ... JOSPT, 2015 (doi: 10.2519/jospt. 2015.5987) #joelho ...

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Just published Current Clinical Concepts: Clinical Management of ...

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(2015)! Credit to The Knee Resource! Link to article abstract: http://www.jospt. org/doi/abs/10.2519/jospt.2015.5987?code=jospt- site ...

Oct 9, 2021 View →

Knee pain during tennis? Try the Spanish squat

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doi: 10.2519/jospt.2015.5987. Epub 2015 Sep 21. PMID: 26390269. . . #dailymotivation #powerlifter #fitnessmotivation #fitnesscoach ...

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Landing biomechanics in patellar tendinopathy. Do male athletes ...

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(2015)! Credit to The Knee Resource! Link to article abstract: http://www.jospt. org/doi/abs/10.2519/jospt.2015.5987?code=jospt- site ...

Apr 14, 2020 View →

Isotonic, isometric, isokinetic Exercise

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org/doi/abs/10.2519/jospt.2015.5987?code=jospt- site. For more news and updates on the latest research and trends in rehabilitation and sports ...

Dec 24, 2019 View →

First time going skiing with jumper's knee : r/skiing

https://www.jospt.org/doi/full/10.2519/jospt.2015.5987 · https://www.fix-knee-pain.com/eccentric-slant-board-squats-patellar-tendonitis/=.

Nov 7, 2019 View →

Patellar "Tendonitis" advice WANTED. I was diagnosed with ...

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doi: 10.2519/jospt.2015.5987. Epub 2015 Sep 21. PMID: 26390269. . . #dailymotivation #powerlifter #fitnessmotivation #fitnesscoach ...

Oct 22, 2019 View →

Patellar tendon pain is a common injury to the knee, and today I ...

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doi: 10.2519/jospt.2015.5987. Epub 2015 Sep 21. PMID: 26390269. . . #dailymotivation #powerlifter #fitnessmotivation #fitnesscoach ...

Oct 21, 2019 View →

Patellar Tendinopathy: Clinical Diagnosis, Load Management, and ...

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Full article: https://www.jospt. org/doi/pdf/10.2519/jospt.2015.5987. 6 yrs. 2. Recent Posts. Alex Bendersky ▻ Physio Science. 6y · Public ...

Aug 30, 2019 View →

Currently suffering with Patellar Tendonitis in my left knee, believe ...

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doi: 10.2519/jospt.2015.5987. Epub 2015 Sep 21. PMID: 26390269. . . #dailymotivation #powerlifter #fitnessmotivation #fitnesscoach ...

Aug 9, 2019 View →

Hello and thanks for the acceptance. My diagnosis was Patellar ...

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doi: 10.2519/jospt.2015.5987. Epub 2015 Sep 21. PMID: 26390269. . . #dailymotivation #powerlifter #fitnessmotivation #fitnesscoach ...

Jan 15, 2019 View →

So you're experiencing knee pain at the bottom of a squat, how do ...

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doi: 10.2519/jospt.2015.5987. Epub 2015 Sep 21. PMID: 26390269. . . #dailymotivation #powerlifter #fitnessmotivation #fitnesscoach ...

Dec 29, 2018 View →

The 5 step approach to fixing patella tendinopathy.

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org/doi/pdf/10.2519/jospt.2015.5987. _____ For more news and updates on the latest research in rehabilitation and sports medicine, like and ...

Sep 11, 2018 View →

IMMEDIATE AND SHORT-TERM EFFECTS OF SHORT- AND LONG ...

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(2015)! Credit to The Knee Resource! Link to article abstract: http://www.jospt. org/doi/abs/10.2519/jospt.2015.5987?code=jospt- site ...

Sep 5, 2018 View →

Load management in tendinopathy: clinical progression for Achilles ...

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doi: 10.2519/jospt.2015.5987. Epub 2015 Sep 21. PMID: 26390269. . . #dailymotivation #powerlifter #fitnessmotivation #fitnesscoach ...

Aug 17, 2018 View →

BLOG: Patellofemoral pain syndrome — A diagnosis that does not ...

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2015;doi:10.2519/jospt.2015.5987. Merchant AC. Arthroscopy. 1988;4(4):235-240. Meyers PA, et al. Pediatr Clin North Am. 1997;44(4):973-989 ...

Aug 13, 2018 View →

Eccentric vs concentric exercise on tendon rehabilitation : r ...

http://www.jospt.org/doi/pdf/10.2519/jospt.2015.5987. Peter has also provided a nice summary of the current state of isometrics for the ...

Jun 12, 2017 View →

Any research on isometric muscle actions for AT pain reduction?

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Link to article abstract: http://www.jospt. org/doi/abs/10.2519/jospt.2015.5987?code=jospt- site ...

Apr 22, 2017 View →

Tips for dealing with patellar tendinitis/tendinosis from weightlifting ...

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doi: 10.2519/jospt.2015.5987. Epub 2015 Sep 21. PMID: 26390269. . . #dailymotivation #powerlifter #fitnessmotivation #fitnesscoach ...

Sep 11, 2016 View →

Discussion point - What are your most important exercises you see ...

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(2015)! Credit to The Knee Resource! Link to article abstract: http://www.jospt. org/doi/abs/10.2519/jospt.2015.5987?code=jospt- site ...

Aug 7, 2016 View →

Patellar Tendinopathy: Clinical Diagnosis, Load Management, and Advice for Challenging Case Presentations.

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Understanding Patellar Tendinopathy: Diagnosis and Management Strategies

Effective Strategies for Treating Patellar Tendinopathy