Knee Tendinitis Treatment Buckinghamshire

Same Day Ultrasound-Guided Diagnosis and Knee Tendinitis Pain Injection Treatment in Buckinghamshire

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Patellar Tendinopathy/Patellar Tendinosis Treatment Buckinghamshire

What is Knee Tendinitis – Patellar tendinopathy or Patellar tendinosis?

Patellar tendinopathy, often known as jumper’s knee, is a common soft tissue injury that can cause pain in the tendon beneath the knee cap (patella). It might also result in knee stiffness and weakness.
The patellar tendon is significant because it connects the quadriceps to the tibia via the patella and increases the efficiency of the quadriceps function. The quadriceps are vital because they extend (straighten) the knee and are involved in useful daily tasks such as running, walking, squatting, sitting to stand and climbing stairs.

 

Get in touch for Private Knee Tendinitis Treatment in Buckinghamshire

Knee tendinitis treatment Buckinghamshire
Darren Gough Cricketer

"Having played professional sport from 1989-2008 I’ve amassed plenty of aches and pains after numerous operations. I’ve been around the world and seen some of the best Doctors and surgeons out there, and Ram has been right up there with his care and skill. Never in a rush, he’s kind, compassionate and very professional. Not only helped me with knee and shoulder pain, he’s also treated my wife for elbow pain. My son is now going to see him as he’s seen a difference in how his parents are moving. Thanks for all your help, Darren Gough and Anna Gough"

 

Darren Gough - English Cricket Player

What Causes Knee Tendinitis?

Patellar tendinopathy is often caused by overuse or overload of the patellar tendon. The tendon strains adapt to the applied pressure, resulting in microtrauma and structural alterations.

Most of the time the body recovers from these strains. However, an imbalance between the repair and damage can lead to tendinosis or tendinopathy. This can be very painful.

These changes are often seen in the younger age group and involve high-impact activities. Hence, athletes especially men involved in Running, Personal Training, Volleyball, Football, Tennis, and Basketball players.

Knee Pain Treatment Buckinghamshire

Patellar tendinopathy in Buckinghamshire

Diagnostic ultrasound is the imaging modality of choice for diagnosing patellar tendinopathy and detecting a tear and neo-vascularity.

A & B images: Longitudinal image of the front of the knee showing the patellar and proximal patellar tendon (white arrows) in a patient with patellar tendinopathy.

There is marked thickening of the deep portion of the proximal tendon with corresponding hypoechoic change (*).

Image C: Power Doppler imaging in the same patient reveals neovascularity (active inflammation) in the area affected by the hypoechoic change.

 

If you suspect you have Knee Tendinitis, get in touch for ultrasound-guided diagnosis and treatment. 

Patellar Tendinopathy

Musculoskeletal issues?

If you are experiencing painful joints, muscles, tendons or ligaments please get in touch for a diagnostic scan and treatment

Richard Kilty

"My name is Richard Kilty, I am the current captain of the British athletics team. World 60m champion, double European 60m champion & European 4x100m relay record holder. I have been using Ram Rachaputi for many years now. I have used many of his different treatments for my performance, injuries & general training recovery. I have always had huge success after seeing ram. He is truly world class at what he does. I will continue to work with ram all the way throughout my career and will be forever grateful for his precise and incredible work"

 

Richard Kilty

Knee Tendinitis (Patellar tendinopathy) FAQS

What Symptoms Are Associated With Knee Tendintis (Patellar Tendinopathy) ?
  • Usually, symptoms arise gradually, but they can also develop after a knee bump. The most prevalent symptom is pain in the front of the knee (pain can be mild or severe).
  • The front of the knee is tender.
  • Sometimes the tendon can feel somewhat thicker. Some individuals may notice leg muscular rigidity or weakness (quadriceps).
  • Knee stiffness is a common occurrence, especially in the morning.
  • Some patients may also have modest knee swelling to the front of the knee.
How Common Is Knee Tendintis (Patellar Tendinopathy) ?

Patellar tendinopathy can affect anyone, however, it is more prevalent among those aged 15 to 30. However, it is also prevalent among older athletes. It is typically more prevalent among athletes who participate in leaping, running, and hopping sports, such as football and tennis.

What are the some root causes of Knee Tendintis (Patellar Tendinopathy) ?

It is not entirely clear why certain individuals develop patellar tendinopathy, however, there are typically multiple causes:

  • Persistent stress on the patellar tendon
  • Overweight individuals
  • A rapid increase in bodyweight
  • Tenseness of the leg muscles
  • Muscular weakness in the thighs
  • Altering exercise levels or advancing too rapidly
  • Unsuitable footwear
  • Working out on hard surfaces
How can Knee Tendintis (Patellar Tendinopathy) be treated?

Generally, patellar tendon pain does not resolve itself if the tendon is subjected to excessive tension. Patellar tendinopathy can heal, although the process can be lengthy. To strengthen the tendon, physiotherapy activities are prescribed. This will assist in enhancing the tendons’ “stress tolerance.”
You are recommended to review your everyday routines. Adapting your activity level may be necessary for your knee discomfort to subside. For instance, you may need to limit high-impact activities like jumping.
Nevertheless, it is advised that you remain active. Cycling and swimming are low-impact exercises that will help you maintain fitness as you heal.

Can I expedite the Knee Tendintis (Patellar Tendinopathy) healing mechanism ?

If no improvement with rest, ice, elevation, or compression, physiotherapy research suggests ultrasound platelet-rich plasma (PRP) is proven to be effective for the majority of individuals.
It is important to note that while PRP therapy may be more effective for some patients, it is not a guaranteed cure for patellar tendinopathy. It is also not recommended as a first-line treatment and should only be considered after other conservative treatments such as rest, physical therapy, and anti-inflammatory medications have been tried and failed.

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How does platelet-rich plasma (PRP) help knee tendinitis?

PRP (platelet-rich plasma) therapy is a treatment option for patellar tendinitis/patellar tendinopathy that has gained popularity in recent years. PRP therapy involves using the patient’s own blood to create a concentrated solution of platelets, which is then injected into the site of the injury. The platelets contain growth factors and other proteins that are thought to help promote healing.
There is some evidence to suggest that PRP therapy may be effective in treating patellar tendinopathy. Studies have shown that patients who receive PRP injections have improved pain and function compared to those who receive a placebo injection or other treatments such as physical therapy.

The exact mechanism by which PRP therapy helps in healing patellar tendinopathy is not fully understood. However, here are some ways in which PRP injection may help in treating patellar tendinopathy:

Stimulates healing:
Platelets contain growth factors that are important in the healing process. When injected into the site of the injury, PRP can stimulate the body’s natural healing response, promoting the formation of new tendon tissue and improving overall healing

Reduces inflammation:
Inflammation is a common symptom of patellar tendinopathy. PRP can help reduce inflammation by inhibiting the production of inflammatory molecules and promoting the production of anti-inflammatory molecules.

Improves blood flow:
Blood flow is critical for healing. PRP can help improve blood flow to the injured area, providing the necessary nutrients and oxygen for healing to occur.

Increases collagen production:
Collagen is an important component of tendons. PRP can increase the production of collagen, helping to repair and strengthen the damaged tendon.

May reduce pain:
While the evidence is mixed, some studies have shown that PRP injections may reduce pain in patients with patellar tendinopathy.

Consultation, diagnostic ultrasound scan and Ultrasound guided PRP treatment can be done at our ‘Joint Care Clinics’ in the same appointment.

Why do I need an Ultrasound guidance to carry out the PRP treatment procedure ?

Ultrasound-guided injections have become increasingly popular in recent years due to the numerous advantages they offer over traditional blind injections. Here are some of the advantages of ultrasound-guided injections:

Increased accuracy:

Ultrasound-guided injections allow clinicians to visualise the exact location of the target area and avoid any important structures such as nerves or blood vessels. This results in a more accurate injection and reduces the risk of complications.

Reduced pain and discomfort:

Because the clinician can see exactly where the needle is going, they can use a smaller needle and avoid sensitive structures such as hitting the bone, resulting in less pain and discomfort during the injection.

Improved efficacy:

With traditional blind injections, there is a chance that the injectant substance may not reach the intended target area. With ultrasound guidance, the clinician can ensure that the injection substance is being delivered to the exact location needed for maximum efficacy.

Reduced risk of side effects:

With improved accuracy, ultrasound-guided injections reduce the risk of injecting medication into the wrong area, which can result in unwanted side effects.

Cost-effective:

Ultrasound-guided injections are often more cost-effective than other imaging-guided injections, such as MRI-guided injections, as ultrasound machines are generally less expensive to operate and maintain.

Real-time visualisation:

Ultrasound-guided injections allow healthcare providers to see the needle and medication in real-time, ensuring that the medication is being delivered to the correct location.

Knee Tendinitis Treatment in Buckinghamshire

Can I walk after knee PRP injection?

The majority can walk immediately after the injection. But, we suggest a week relative rest. And no high impact activities.

Can I drive after the PRP injection ?

The majority of the patients are able to drive immediately after the PRP injection treatments. However, this varies from one individual to another individual based on their tolerance to the injection therapies. If you are unsure it is advisable to be accompanied at least for the first time.

How long does it take to see the improvement in symptoms following PRP injection therapy ?

Immediately after the PRP treatment :

Immediately after the PRP treatment and up to 7- 10 days, you may experience stiffness and pain in the treated area. This should improve with the application of ice and rest. If needed you can take paracetamol, codeine and tramadol. Please do not take anti-inflammatory medication such as ibuprofen, or naproxen.

During the first 2 to 6 weeks following the PRP treatment, the treated area continues to heal itself. You do not have to do anything special following PRP treatment, apart from guided physiotherapy. However, you should pay attention to your body’s symptoms. If any particular activity or exercise causes increased pain, reduce the intensity until the activity is tolerable.

Next 6 weeks to 9 months, your body organises the tissue in the treated area. During this period the treated area becomes pain free, flexible and stronger.

Evidence supporting towards the efficacy of the Ultrasound guided PRP injections :

There is some evidence to support the use of ultrasound-guided platelet-rich plasma (PRP) injections for the treatment of patellar tendinopathy. Here are some articles that provide more information on this topic:

1.”Ultrasound-guided platelet-rich plasma injection for the treatment of patellar tendinopathy: a prospective study” by Mei-Dan et al. (2015). This study found that ultrasound-guided PRP injections were effective in reducing pain and improving function in patients with patellar tendinopathy.
2.”Ultrasound-guided platelet-rich plasma injection for the treatment of patellar tendinopathy: a randomized controlled trial” by Filardo et al. (2014). This randomized controlled trial found that ultrasound-guided PRP injections were more effective than saline injections in reducing pain and improving function in patients with patellar tendinopathy.
3.”Ultrasound-guided platelet-rich plasma injection for patellar tendinopathy: a retrospective study” by Rha et al. (2013). This retrospective study found that ultrasound-guided PRP injections were effective in reducing pain and improving function in patients with patellar tendinopathy, with no significant complications reported.
4.”Effectiveness of ultrasound-guided platelet-rich plasma injection in treating patellar tendinopathy: a systematic review and meta-analysis” by Chen et al. (2019). This systematic review and meta-analysis of multiple studies found that ultrasound-guided PRP injections were more effective than other treatments, such as exercise therapy and corticosteroid injections, in reducing pain and improving function in patients with patellar tendinopathy.
These studies provide some evidence to support the use of ultrasound-guided PRP injections for the treatment of patellar tendinopathy. However, it is important to note that more research is needed to fully understand the effectiveness and safety of this treatment option.

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AREAS COVERED FOR KNEE TENDINITIS TREATMENT

Warwickshire clinic covering Rugby, Coventry, Nuneaton, Bedworth, Stratford Upon Avon, Kenilworth, Warwick and Leamington Spa.

West Midlands clinic covering Birmingham, Harborne, Edgbaston, Sandwell, Dudley, Wolverhampton, Walsall, Sutton Coldfield and Solihull

Buckinghamshire clinic covering Aylesbury, Milton Keynes, Bedford and Leighton Buzzard

Northamptonshire clinic covering Northampton,  Daventry, Kettering and Wellingborough.

Leicestershire clinic covering Leicester and Nottingham (Nottinghamshire)

We also have a regular clinic in the North East in Newcastle