Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, activity-related anterior knee pain, bilateral. Symptoms are localized to the inferior pole of the patella and exacerbated by repetitive loading activities such as jumping, running, or prolonged squatting. Pain is described as a dull ache that worsens post-activity. No history of acute trauma, locking, or giving way. Symptoms have failed to improve with rest and activity modification.
Clinical Examination Findings
Inspection reveals no visible swelling or erythema. Palpation demonstrates point tenderness at the inferior pole of the patella and the proximal patellar tendon bilaterally. Range of motion is full and painless. Strength testing of the quadriceps is 5/5, though resisted knee extension reproduces the patient's typical pain. Negative findings for ligamentous laxity (Lachman, Drawer tests) and meniscal pathology (McMurray test). Patellar tracking is normal.
Treatment Protocol
Conservative management initiated: activity modification (avoiding aggravating jumping/loading activities), eccentric quadriceps strengthening program (decline squats), and cryotherapy post-activity. Prescription of NSAIDs for pain management as needed. Referral to physical therapy for targeted tendon loading protocols and kinetic chain assessment. Patellar tendon strap recommended for symptomatic relief during activity.