Active Care Rehab

Patella Tendinopathy

indexPatella tendinitis or jumper’s knee is more accurately called patella tendinopathy. Tendinitis mean inflammation of the tendon but patella tendinopathy is a degenerative condition of the patella tendon. This condition is described as local tenderness of the patella tendon at the attachment on the patella.

Patella tendon injuries occur more commonly in distance runners, sprinters, and athletes that freqently jump. The increase is knee flexion or bending predispose these individuals to the injury because knee flexion increases the force and stress on the tendon. Excessive quad tightness or dominance may increase the risk for injury as well.

Treatment for patella tendinopathy consist of Active Release and Graston on the quad muscles as well as the tendon to decrease tightness and built up adhesions. These myofascial release techniques also start the rebuilding of the tendon by starting a controlled inflammatory response. Rehab exercises to strengthen and lengthen the  quad muscles help decrease longevity and recurrence of the injury.Interestingly, research has shown that resistance quad strengthening such as knee extension exercises has a negative effect on recovery.


Yours in health


Dr. Justin Hildebrand

Manual Therapy

Reoccuring Muscle Injury?

Everyone deals with an injury at some point throughout life. Most will occur when adding a new activity to their routine (shoveling snow in the winter), doing something they should not (thinking they are 18 again), or trying to go to heavy to fast. These injuries will heal with RICE: Rest, Ice, Compression, and Elevation,  or with a few visits to their chiropractor.

What about the injuries that just seem to always come back, the ones that never completely go away? What causes reoccurring muscle strains or pulls? Why do we seem to always pull the same hamstring or strain the same shoulder? To answer this we need to look at how Active Release Techniques (ART) explains muscle injuries.


When injuries occur the body lays down scar tissue to patch the site of injury. If enough time and care is given to the site than the body will replace this scar tissue with normal, fully functioning muscle tissue. If we continue to stretch, work, use or even eat inflammatory foods the scar tissue will thicken causing the muscles to become shorter and weaker since they can not contract as they should.

You can think of your muscles like roads. When a hole or divot occurs in a road, the city sends out a crew to patch it up. If it is aloud to dry and become part of the road than the road becomes smooth again. If more and more cars drive over the patch the more likely the patch will change shape and need more asphalt to fill the divot. Our muscles work in a similar way.thDHPAWTFS

When our muscles become short and weak tendons become stressed and tendinitis can set in. Range of motion of joints become decreased, strength is lost, and pain can increase and even occur in others areas. The cycle continues over and over, causing reoccurring chronic injuries.

How do we stop the cycle?

Myofascial release techniques like Active Release and Graston. These techniques help heal the tendons and muscles in pain and help eliminate the scar tissue that has developed causing the pain. So, if you have a recurring injury or next time you just pull a muscle find an ART or Graston specialist in your area and scrap the scar tissue before it really becomes a problem.

Yours in health,

Dr. Justin Hildebrand