T Nation

Differentiating Patellar Tendinitis and Chondromalacia


#1

I've been experience a dull ache for 2-3 days after each leg workout for a while now. It doesn't really interfer with my workouts too much but I do limit my pressing exercises to 5 sets of safety bar squats and the rest of my leg workouts are based around leg curls and romanian deadlifts.

If I have petallar tendinitis (which I think would be the best case) should my patellar tendon hurt or be sensitive to the touch? Or should it just hurt on the underside of the tendon? It doesn't really hurt to the touch if i move it around and put pressure right up under the bottom of the knee cap.

I just started taking animal flex and ordered e pharm joint force which is supposed to kill inflammation in the tendons(spray onto skin). I have consistently been taking 4 Flameout everyday and 4 circumin for atleast a year.


#2

[quote]illgixxer wrote:
I’ve been experience a dull ache for 2-3 days after each leg workout for a while now. It doesn’t really interfer with my workouts too much but I do limit my pressing exercises to 5 sets of safety bar squats and the rest of my leg workouts are based around leg curls and romanian deadlifts.

If I have petallar tendinitis (which I think would be the best case) should my patellar tendon hurt or be sensitive to the touch? Or should it just hurt on the underside of the tendon? It doesn’t really hurt to the touch if i move it around and put pressure right up under the bottom of the knee cap.

I just started taking animal flex and ordered e pharm joint force which is supposed to kill inflammation in the tendons(spray onto skin). I have consistently been taking 4 Flameout everyday and 4 circumin for atleast a year. [/quote]

I won’t attempt to diagnose the exact knee issue on an online forum. If someone else wants to take a crack, it’s up to them.

I will say that taking ANY product or food for inflammation is not a panacea until you determine and address why the injury occurred. In other words, you’re just delaying the inevitable.

Feel free to provide your leg training in more detail. At first glance, if all or most of what you do are safety bar squats, leg curls, and RDLs I’d say there is a gross lack of variety and prehab work, which includes but are not limited to SMR, unilateral work, stretching (YES - these are effective protocols that have a place in the tool box).


#3

What I usually do in this case (for any nagging pain, really) is just take 1-2 weeks off and make sure I mobilize/SMR certain areas (www.mobilitywod.com for reference). If my pain comes back you can rule out an ‘itis’ and your problem may be more of an ‘osis’. Of course, you may not have patellar tendinitis/osis at all and it could be something else. Take a look at this page.


#4

In the past I have gone through phases of doing lots of daily stretching and foam rolling, I haven’t been keeping up with it lately, I will begin stretching and foam rolling again. My question was really: When you have patellar tendinitis does it hurt to touch under the front of your knee cap with your hand or does it hurt on the inside of the knee and not when touching by the hand on the actual tendon?