Patellar Tendonitis Massage

A Patellar Tendonitis Massage focuses on reducing pain, tension, and dysfunction in and around the patellar tendon (commonly called “jumper’s knee”). It uses manual techniques to promote healing, improve flexibility, and decrease load on the tendon.​

Signs & Symptoms

  • Pain and tenderness at the patellar tendon (just below the kneecap)

  • Discomfort worsened by running, jumping, or squatting

  • Swelling, thickening, or warmth locally at the tendon

  • Stiffness or weakness in the knee, especially after activity

  • Decreased athletic performance involving knee extension

  • Pain on resisted knee extension against gravity.​

Contraindications

  • Avoid deep, direct massage during the acute/inflammatory phase

  • Do not treat if you suspect tendon rupture, have excessive swelling, infections, open wounds, or signs of acute bursitis

  • Caution with recent trauma or surgery—ensure medical clearance

  • Avoid cross-friction massage if pain increases sharply or if there’s unremitting pain.​

Assessment

  • Thorough history: onset, activity, and duration of knee pain

  • Palpation: feel for thickening, tenderness, or crepitus in the patellar tendon

  • Assess quadriceps and hamstring length and tone

  • Observe gait and functional activities that provoke symptoms

  • Functional tests: single-leg squat, resisted knee extension, jump/landing mechanics.​

Treatment

  • Start with gentle effleurage and petrissage to the quadriceps and surrounding muscles

  • Apply cross-fiber (transverse) friction massage to the patellar tendon—gently, and only if tolerated (move finger/thumb side to side, across the tendon fibers)

  • Progress pressure slowly and avoid causing sharp pain; typical duration is 30–60 seconds​​

  • Use deep tissue and myofascial work on quadriceps, IT band, and calf to reduce tension and restore function​

  • Gentle stretching and heat to surrounding muscles before friction work, and ice immediately after treatment

  • Treatment frequency ranges from daily to weekly, depending on severity and tolerance.​

Self Care

  • Rest and activity modification—avoid aggravating activities

  • Ice the area after activity and/or self-massage

  • Gentle quadriceps, hamstring, and calf stretches daily​

  • Eccentric strengthening exercises for the knee, progressing under professional supervision​

  • Proper warm-up and cool-down before/after exercise

  • Use of knee straps or taping to offload the patellar tendon, as recommended

  • If symptoms persist or worsen, consult a healthcare professional