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I have severe patella tendonitis, but I need to strengthen my legs...

megad

New member
I have severe patella tendonitis, but I need to strengthen my legs. Because I am a basketball player, I mainly want to build up my quads to gain jumping ability. Please post some excercises that won't aggrevate my knees!!!

Thanks a lot
- Jake
 
I have no idea how to solve that problem. Are the muscles that hold your patell in place just weak, or is your joint worn down?
 
The only thing I can say is experiment with different exercises. Determine which exercise DOES NOT give you problems. If you perform one of these exercises and it hurts. . . try another one until you find something that is comfortable.

Squats (w/barbell or dumbbell)
Leg Presses
Vertical Leg Presses
Leg Extensions
Hack Squats
Lunges
Sissy Squats
Jefferson Lift (a very old exercise look it up)

I am sure that one of these exercises will not aggravate the patella. Good luck!
 
louden_swain is VERY correct. If you have an injury...find any exercise which works!!! I don't care if it is one of those exercises that I often laugh at when I travel and see other gyms...if it allows you to train your legs...do them.

You could also try doing deadlifts, power cleans, high pulls, good mornings, lots of hamstring curls, and VERY light negative only leg extensions.

B True
 
louden_swain said:
The only thing I can say is experiment with different exercises. Determine which exercise DOES NOT give you problems. If you perform one of these exercises and it hurts. . . try another one until you find something that is comfortable. not quite sound advice. pain is a good indication but seeking out definitive advice regarding that condition is more in order.

Squats (w/barbell or dumbbell)
Leg Presses
Vertical Leg Presses
Leg Extensions
Hack Squats
Lunges
Sissy Squats
Jefferson Lift (a very old exercise look it up)


leg extensions and sissy squats are definitely out, due to the extreme pressure and shearing forces the patella undegoes in these movments. lunges would be a stretch too, if the knee hinges forward on the lunge. but if done properly, it can be alright.

working through a painfree range of motion on a natural squatting movement (one that distributes the weight between the upper thigh and the glutes would be the best way to go so you have knee stability (from behind) and also hip drive on your jump not just knee extension. its a chain of movement which isnt isolated just to quads to keep the motions you do as similar to that motion as possible. since your jump will be ballistic in nature, you want to start off lifting explosively (careful at first) and eventually implement some light plyometrics.

if you have "severe" tendonitis you should see a sports specific doc anyways and go off his recommendation.

I am sure that one of these exercises will not aggravate the patella. Good luck!

chances are one or more wont....but no need to try them each to take chances if some can exacerbate the condition by being potentially more dangerous. a sports rehab specialist will prescribe/warn against specific exercises.

main thing to do also after training this area is to ice down the knee. you will put some mild inflammation on it from just working it and by not icing it postworkout, that inflammation can be worsened by your existing condition.

as bfold said, the explosive type movements would be a good idea once you get the green light from a doc. they will keep you more in the natural jumping range of motion, you derive power from not only your legs but your hams/hips and low back as well.

you might want to read up on this too.
http://www.medformation.com/mf/crssma.nsf/rex/jumpersk.htm
from what i gather from this article rehab is done mostly isometrically with the leg straight also there is a great deal of emphasis on the hamstrings (for stabilization). take a look at how you do your jumpshot, how do your knees track when you go up or land. to they jut inward? do you start or finish pigeon toed? do your ankles pronate? (fall in?)

this is a common trend among ball players. for some odd reason it became en vogue to shoot this way. but it causes alot of problems with knee tracking.
 
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Very interesting article man...very interesting.

B True
 
Well, I can't do leg extensions, squats, lunges, or leg presses. I'll try the other excercises, but I doubt they will work. I am starting physical therapy sometime this week.
 
Megad, I have done research on this topic. There is some very
good information on the Steadman Hawkins website. There
are many other good sites that can be found by using a web
search engine such as google.

In a nutshell, you have jumper's knee. This condition takes
four months of rest to resolve where damage is not great.
It sounds like you may have gone beyond the initial damage
stage.

My advice to you is read the information on the web and go
see a good sports medicine guy, for example, one of the
Steadman Hawkins folks.

Hope all goes well for you.
 
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