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Apr 112013

Another common area of knee pain I see is below the knee. This might be due to several different issues, but one of these is infrapatellar tendinitis.

The common tendon of the quad muscles surround the kneecap and attach at a bump on the shin bone – the tibial tubercle (or tuberosity). Like most areas of the body, where there is a tendon over bone there is often a bursa to help prevent rubbing. Sometimes the bursa can be irritated causing “bursitis.” In youth, the tibial tubercle can be irritated due to its unique growth plate creating a situation cause Osgood-Schlatter disease (or syndrome). But often the tendon itself is the main culprit and can be nicknamed “jumper’s knee.” It can also be called “runner’s knee,” but there are so many issues that can plague runner’s knees such as IT band syndrome and PFPS that it could mean anything.

In orthopedic and rehab circles tendinitis has been called tendinosis in recent years due to thoughts that it might not be due to inflammation. However recent evidence has shown irritated tendons to have inflammatory cells and debris, so -itis might have been correct after all. Sometimes you see variations in spelling in tendonitis and tendonosis.

Enough of the anatomy and physiology talk, onward on to one way to tape it.

I usually cut out the middle to fit underneath the kneecap. You don’t often see this in online instructions, but it will create a nice shape underneath the kneecap. Cut out a piece of tape, maybe four to six inches long. Fold it in half. Cut a corner off at the folded portion. Unfold, tear the backing in the middle, apply moderate stretch, apply to a bent knee underneath the kneecap. I usually use this in conjuction with the “two Ys” taping pattern for PFPS.


Disclaimer: You may or may not have any of these conditions. Online taping instructions are for information only. You may need to see a healthcare professional. In other words, a simple blog may not reveal your actual problem. Have fun and be safe out there!

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