The Surprising Truth About Patellar Tendonitis (Jumper’s Knee) and How to Finally Fix It

Knee pain can be stubborn. If you’ve ever dealt with patellar tendonitis, jumper’s knee, or another overuse injury, you already know how it can linger for months or even years. The facts are scary: than half of athletes with patellar tendonitis end up quitting their sport, and fewer than half of those who keep going ever return to their full fitness level.

But then there’s this mystery NBA player:

By clicking "Load video", you consent to personal data being transmitted to third parties (e.g. YouTube) and allow them to set cookies.

He had five years of jumper’s knee, a bad patellar tendonitis MRI with a “hole” in the tendon, and zero success with previous treatments for jumper’s knee.

Yet, within two seasons, his tendon looked completely normal again. How did he pull that off? And what can you learn from it? Watch the video to learn more or read the summary below.

What Patellar Tendonitis Really Is

Patellar tendonitis (also called patellar tendinopathy, patellar tendinosis, or jumper’s knee) isn’t inflammation. It’s a structural change inside your tendon. When your patellar tendon gets overloaded, the tiny collagen fibers lose their alignment.

Patellar Tendonitis Cell Changes from healthy to tendinopathy
In a healthy patellar tendon (left) the collagen fibers are well-aligned. In patellar tendonitis, fibers lose alignment in the overloaded areas and the tendon gets weaker.

That’s why the pain sits right below the kneecap and why normal rest or ibuprofen rarely solves the problem.

Why Patellar Tendonitis Lasts for Years

Unlike a sprain or muscle tear, tendon injuries don’t automatically heal with time. If you don’t address the tendon remodeling process, patellar tendonitis symptoms can last for 10–15 years. This explains why so many people feel stuck with patellar tendonitis and jumper’s knee.

Patellar Tendonitis and jumper's knee treatment protocol
Here’s a simplified version of the Tough Tendons treatment protocol for patellar tendonitis: using tendon exercises to load the tendon and stimulate positive tendon adaptation. Work on risk factors to reduce recovery time and prevent setbacks.

Another reason is leaving intrinsic and extrinsic risk factors uncorrected. This leads to higher tendon load with every single step or jump, increasing the risk of future overuse. To recover from patellar tendonitis, you need to do all three:

  1. Rebuild the tendon through patellar tendonitis exercises
  2. Fix all systemic risk factors to speed up tendon healing
  3. Correct intrinsic risk factors to reduce tendon overload when running, jumping, or cycling
  4. Address extrinsic risk factors as best as you can to further avoid overload

Each area has a lot of details and thus a lot of room for error, explaining why patellar tendonitis can last years. You may feel like you’ve “tried everything”, like your jumper’s knee doesn’t get better, but in reality the treatment you’ve used likely didn’t fix these hidden issues.

By fixing those, many of my readers have seen breakthrough progress in weeks, after being stuck for years:

“Martin Koban is the ONLY one, among doctors, physical therapists, and the pill sellers out there who correctly identified my knee problem and gave me the exercise regime to correct it. And he is thousands of miles away!
 
I bless the day I found his online program, and I cannot say enough about the quality and integrity and honesty of his work. I no longer have knee pain where I once was unable to walk down stairs, much less kick up my heels and MOVE.”
 
— Bonnie Bekken

One key requirement for recovery is doing the right jumper’s knee exercises. The following are a great starting point.

The Proven Patellar Tendonitis Exercises

The good news is that research shows you can reverse the problem with the right patellar tendonitis rehab protocol.

The key exercises include:

  • Wall sits and Spanish squats
  • Isometric holds on the leg extension or leg press machine
  • Slow squats and slow leg presses for progressive tendon loading
Basic patellar tendonitis exercises include the wall sit, the leg extension hold, and the leg press.
Basic patellar tendonitis exercises include the wall sit, the leg extension hold, and the leg press.

The most important part isn’t how heavy the weight is, but the time under tension. Recent studies found that both heavy resistance (90% 1RM) and medium resistance (55% 1RM) work equally well, as long as the tendon is loaded slowly and consistently.

Pain improved with heavy physical therapy exercises for patellar tendonitis just like it did with medium resistance.

What doesn’t work, however, is solely relying on passive treatments for patellar tendonitis. Many of these treatments do not lead to long-term improvements and are often no better than placebo.

How an NBA Player Recovered During the Season

The NBA case study proved something experts once thought impossible: full patellar tendonitis recovery while still competing.
His rehab routine included:

  • High-tension isometric exercises (leg extensions, Spanish squats)
  • 1–6 minutes of total time under tension per leg, per session
  • A collagen-boosting supplement mix of gelatin plus vitamin C, taken one hour before training

By his second season, his MRI showed a completely normal tendon—despite years of jumper’s knee pain.

Conclusion

Patellar tendonitis can be frustrating, but it’s not permanent. With the right patellar tendonitis treatment exercises and rehab plan, you can realign your tendon fibers, reduce pain, and get back to the activities you love.

5 Tendonitis Mistakes That Add Years to Your Recovery Time

I have read 1,731 studies about knee pain and discovered 5 mistakes that can make tendonitis last years. To learn more, join my free course Tendonitis Insights. I'd love to share this with you.
Learn More

See you in the course.

References

Agergaard AS, Svensson RB, Malmgaard-Clausen NM, Couppé C, Hjortshoej MH, Doessing S, Kjaer M, Magnusson SP. Clinical Outcomes, Structure, and Function Improve With Both Heavy and Moderate Loads in the Treatment of Patellar Tendinopathy: A Randomized Clinical Trial. Am J Sports Med. 2021 Mar;49(4):982-993. doi: 10.1177/0363546520988741. Epub 2021 Feb 22. PMID: 33616456.

Baar K. Stress Relaxation and Targeted Nutrition to Treat Patellar Tendinopathy. Int J Sport Nutr Exerc Metab. 2019 Jul 1;29(4):453–457. doi: 10.1123/ijsnem.2018-0231. PMID: 30299199.

Kettunen, Jyrki A., Martti Kvist, Erkki Alanen und Urho M. Kujala. „Long-Term Prognosis for Jumper's Knee in Male Athletes: Prospective Follow-up Study.“ The American Journal of Sports Medicine 30, Nr. 5 (2002): 689–692. doi:10.1177/03635465020300051001.

Nuhmani, Shibili, Mohammad Ahsan, Mohd A. Bari, Deepak Malhotra, Al Muslem, Wafa Hashem, Saad M. Alsaadi und Qassim I. Muaidi. „Patellar Tendinopathy—Does Injection Therapy Have a Role? A Systematic Review of Randomised Control Trials.“ Journal of Clinical Medicine 11, Nr. 7 (2022): 2006. doi:10.3390/jcm11072006.

FAQ About Patellar Tendonitis and Jumper's Knee

What does patellar tendonitis feel like?

Typically pain just below the kneecap, especially when running, jumping, squatting, or taking stairs. Use the test in the video to find out.

Can patellar tendonitis heal on its own?

In early stages it might, but once structural changes set in, active rehab exercises are needed. Use the exercises in the article combined with the supplement to recover quickly.

How long does patellar tendonitis take to heal?

Recovery time varies. With the right patellar tendonitis rehab protocol, many people improve in weeks, but full tendon remodeling can take several months. However, without guidance from a tendonitis expert, the injury can last years.

What’s the best treatment for patellar tendonitis?

Targeted strengthening exercises with controlled load, combined with risk factor management and support for collagen synthesis. Read the article or watch the video to learn more about the details.

Can I keep training with patellar tendonitis?

Yes, as long as pain stays below 4/10 during and after exercise, and you follow a structured rehab program. If you ignore the injury, you can cause permanent tendon damage.

About Martin Koban

Martin Koban

My name is Martin Koban, and I've been researching knee pain since 2010. My work has been reviewed by doctors multiple times and has already helped tens of thousands of people.

Maybe the next success story will be yours.

The best way to get started is with my free course: Stronger Knees In Just 7 Minutes Per Day.

Best Tendonitis Exercises according to research
The Knee Reboot Book