Conditions

Patellar Tendinopathy

Patellar Tendinopathy

Patellar tendinopathy causes pain just below the kneecap and is often most noticeable during running, jumping, climbing stairs, or repeated squatting. Many patients describe a deep, persistent ache that may feel slightly better during activity but worsens later in the day. Over time, the tendon can become thickened, sensitive, and more prone to discomfort even during everyday movements.

Understanding Patellar Tendinopathy

The patellar tendon connects the kneecap to the shinbone and helps transfer force from the quadriceps to the lower leg. Overuse or repeated strain can cause irritation, micro-tears, and thickening, resulting in pain and functional limitations. Early assessment and structured management can help relieve discomfort and support recovery.

Assessment at The London Ultrasound Clinic

Your appointment includes a hands-on assessment and a detailed ultrasound scan of the patellar tendon. This allows us to identify thickening, areas of degeneration, or irritation at the tendon insertion on the kneecap. Understanding the tendon’s condition guides safe loading, rehabilitation, and management decisions.

Conservative Management

Most patients benefit from a structured, conservative approach, which may include:

  • Activity modification to reduce repetitive stress on the tendon
  • A progressive strengthening programme targeting the quadriceps and surrounding muscles
  • Advice on warm-up, stretching, and load management during sport or daily activities
  • Education and reassurance about tendon recovery and realistic expectations

These measures often improve pain, function, and tendon resilience, sometimes without the need for injection.

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Ultrasound-Guided Injection

For patients with persistent or significant pain, an ultrasound-guided injection using local anaesthetic and steroid in selected cases , can help settle tendon sensitivity. Precise placement under ultrasound ensures the medication reaches the affected area, easing discomfort and allowing rehabilitation exercises to be performed more effectively.

Recovery and Ongoing Care

Following assessment and any injection, your clinician will provide guidance on exercise, load management, and a gradual return to activity. Recovery focuses on rebuilding tendon strength, control, and confidence, enabling a return to sport or everyday movements with less pain and a reduced risk of recurrence.

Our aim is to provide clear diagnosis, tailored management, and practical guidance, helping you regain knee comfort, restore function, and return to the activities you enjoy.

Physical therapist fixing patellar tendon with IASTM guasha tool

Conditions we treat

Patient Reviews

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Jason Marcus profile picture
Jason Marcus
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Fantastic experience with Abdul. Not only was he extremely accommodating by twice managing to get to the clinic early so that I could come by at a more convenient time but the treatment itself was excellent and very thorough. So good that he said it would take 10 days to really feel the effects but within 24 hours I was already much better. Highly recommen
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Magdalena Milecka profile picture
Magdalena Milecka
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I had hydrodilatation injection at this clinic, and I couldn't be happier with the care I received. The procedure was carried out by Abdul, who was extremely professional, knowledgeable, and reassuring throughout. Before the injection, he took time to explain the procedure in detail, what to expect, and answered all my questions clearly. He listened carefully to my concerns and made sure I felt comfortable and informed every step of the way. His calm and friendly approach really helped put me at ease. The appointment was very well organised, with no waiting time at all, which I really appreciated. Week on, and I'm already noticing an improvement following the injection, with less pain and better movement, which has been very encouraging. I would highly recommend this clinic, and especially Abdul. Thank you for the excellent care and outstanding service.
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Ruthie Mafeni profile picture
Ruthie Mafeni
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After receiving a high volume Achilles tendon injection, I had a follow up review at the clinic. Abdul provided thorough and professional care throughout, going above and beyond to ensure my injury had the best possible outcome of recovery. Would highly recommend Abdul's services.
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melvyn gandz
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Abdul is an excellant practitioner I received immediate attention Highly professional
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Alis Templeton profile picture
Alis Templeton
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I saw Abdul about an ongoing issue in my ankle and achilles tendon which was not resolving after a previous ultrasound, diagnosis and several months of physio work. He performed a detailed ultrasound and identified some other issues in my ankle, and I have subsequently been referred to a foot and ankle specialist by my GP thanks to his examination. I was impressed by the time and care he took to understand my situation and to clearly explain what the ultrasound was showing. He also provided very helpful, detailed and timely notes following our appointment. I would highly recommend Abdul and the London Ultrasound Clinic.
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Nadine profile picture
Nadine
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I had recently been searching for an ultrasound clinic for knee pain that I had been experiencing for a few weeks and I wanted to get to the bottom of it and not wait months on the NHS. I needed something that wasn’t midweek due to my job and also I wanted somewhere that could do the ultrasound and actually look at my knees. Abdul was initially able to offer a telephone consultation prior to an appointment which was really helpful to explain what was going on and set up a consultation. He offered an appointment that very week and he took the time to listen carefully to all my Symptoms and then did an examination of my knees. Then he did a thorough ultrasound of both knees and explained everything to me as he went through the ultrasound, which was really helpful for someone who has limited knowledge of Anatomy. He gave a diagnosis and also gave me recommendations of a physio and specific exercises to do at home. I would highly recommend to anyone who is experiencing physical issues that require further investigation.
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A S
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Very happy with service provided for my scan and also the detailed summary report which was sent very shortly after. Would happily recommend this clinic
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Delia Marcu profile picture
Delia Marcu
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I cannot recommend Abdul at The London Ultrasound Clinic highly enough. After weeks of severe pain and consultations with multiple healthcare professionals, I attended the clinic expecting an ultrasound for what had been suggested might be bursitis. Abdul carefully assessed my symptoms and, rather than simply proceeding with the scan, he explained that he did not believe bursitis was the cause of my problem. He suspected the issue was coming from my C7 nerve root in my neck and advised me accordingly. What impressed me most was his professionalism and integrity. He refunded my money rather than carrying out an unnecessary procedure and encouraged me to pursue the correct investigations. A subsequent MRI later confirmed that the problem was indeed related to my C7, exactly as he had suspected. Had I continued down the wrong treatment path, my condition could have deteriorated further and valuable time could have been lost. Abdul’s expertise, honesty and patient-centred approach helped prevent that. In a healthcare environment where it can sometimes feel difficult to get clear answers, Abdul stood out for his knowledge, integrity and genuine care. I am extremely grateful for his guidance and would not hesitate to recommend him to anyone seeking an accurate assessment and honest advice. Thank you, Abdul.
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Denise Matthews profile picture
Denise Matthews
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I booked an appointment at The London Ultrasound Clinic with a bad knee pain, after a full assessment and an ultrasound scan Abdul explained the problem and gave me some strengthening exercises to do, which are helping very much, I found him very helpful and professional in the way he explained things.I am very pleased with the results. Thank you Abdul.
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I was treated by Abdul - first we had a phone consultation and then an appointment to do with possible frozen shoulder. Abdul is an excellent clinician and communicator. He talked me through the theory, symptoms and treatment with ease- and seemed to have all the time in the world for questions. I felt confident and assured being treated by him. His letters of summation were swiftly and accurately prepared. Highly recommended!