03/11/2026
🤕Patellar tendon pain is one of the most common injuries we see in jumping athletes.
Volleyball players.
Basketball players.
Track athletes.
Weightlifters.
And unfortunately, many athletes are given advice that doesn’t match what we know from tendon research.
Here are three of the biggest mistakes we see.
1️⃣ Too much rest
Tendons actually need mechanical loading to stimulate healing and remodeling.
Research in tendon rehabilitation consistently shows that progressive loading programs improve tendon structure, strength, and pain tolerance. Prolonged rest, on the other hand, often leads to decreased tendon capacity and recurring symptoms once athletes return to sport.
This is why effective rehab programs include gradual strength progression and eventually plyometric loading.
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2️⃣ Avoiding all pain
This is one of the most misunderstood parts of tendon rehab.
Current evidence suggests that some level of pain during tendon loading is acceptable and often necessary when rebuilding tendon capacity.
Completely avoiding pain often leads athletes to underload the tendon, which prevents the remodeling process.
A helpful guideline many clinicians use is the pain monitoring model, where symptoms during exercise remain around or below 5/10 and settle within 24 hours.
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3️⃣ Returning to sport without rebuilding capacity
One of the biggest predictors of reinjury is returning to sport before restoring strength and functional performance.
Before athletes return to jumping sports, they should demonstrate:
✔ Quad strength within ~10% of the opposite side
✔ Ability to tolerate repeated jumping and landing
✔ Passing functional hop or jump testing
✔ Confidence in the knee during sport movements
Without this progression, the tendon often becomes irritated again once practice intensity increases.
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The goal of rehab is not just to reduce pain.
It’s to rebuild the capacity of the tendon and the entire lower extremity to tolerate the demands of sport.
That means restoring:
• quadriceps strength
• tendon load tolerance
• landing mechanics
• sport-specific explosiveness
When those pieces are addressed, athletes return to their sport stronger and more resilient.