Tendonitis

Tendonitis is the inflammation of tendons, often caused by overuse. In the knee, patellar tendonitis (or "jumper’s knee") affects the tendon connecting the kneecap to the shinbone, commonly seen in athletes with repetitive movements like jumping or running.

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Pain and tenderness along the affected tendon, usually just below the kneecap

Swelling or warmth in the knee

Stiffness in the knee, particularly after activity or when bending the joint

Pain that worsens with movement, especially jumping, running, or climbing stairs

Weakness in the knee, leading to difficulty with mobility or physical activity
Dr. Romanelli will begin with a physical examination to assess the location and severity of the pain, as well as knee stability. He may also inquire about your activity level and any recent changes in exercise routines. Imaging tests, such as X-rays or an MRI, may be recommended to evaluate the condition of the tendon and rule out other potential causes of knee pain, such as a tear or fracture.
The primary goal of treatment for tendonitis is to reduce inflammation, relieve pain, and prevent further injury to the tendon. Most cases of tendonitis can be successfully treated with conservative, non-surgical methods.
Rest and Activity Modification: Avoiding activities that aggravate the condition, such as jumping or running, can help reduce stress on the tendon and allow it to heal.

Ice Therapy: Applying ice to the affected area can help reduce swelling and alleviate pain.

Anti-inflammatory Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended to reduce pain and inflammation.

Physical Therapy: Stretching and strengthening exercises targeted at the quadriceps and hamstring muscles can help improve flexibility and reduce strain on the tendon.

Bracing or Taping: Knee braces or taping techniques may provide additional support and relieve pressure on the tendon during movement.
Surgery is rarely needed for tendonitis, but in cases where the condition is severe or when conservative treatments fail to provide relief, surgery may be considered. Surgical options include:

Tendon Repair: The surgeon may remove damaged tissue from the tendon and repair it, allowing the tendon to heal properly. In some cases, the tendon may be reattached to the kneecap if it has become detached.

Debridement: This minimally invasive procedure involves removing inflamed or damaged tissue from the tendon to promote healing and reduce pain.
Physical therapy is a critical part of recovery, both after surgical and non-surgical treatments for osteonecrosis. Rehabilitation focuses on strengthening the muscles around the knee, improving range of motion, and supporting the joint to prevent further damage. Dr. Romanelli works with physical therapists to design individualized rehabilitation plans that help patients regain mobility and return to their daily activities with reduced pain and improved function.

Tendonitis treatments with
Dr. Daniel A. Romanelli

Your tendons provide the range of motion you need for everyday activities—from reaching and lifting to throwing and rotating. When shoulder pain or injury limits your movement, it can affect your entire lifestyle. Dr. Romanelli specializes in diagnosing and treating these conditions, helping you return to full mobility with personalized, effective care.

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