Patellar Tendinopathy
Patellar tendinopathy is an overuse injury affecting the tendon connecting the kneecap (patella) to the shinbone (tibia), common in athletes who jump or change direction frequently. The condition involves collagen degeneration and failed healing responses, causing pain below the kneecap that worsens with activity. Traditional treatments like rest, ice, and anti-inflammatories or NSAIDs often provide only temporary relief. PRP therapy addresses the root cause by delivering concentrated platelets directly to the damaged tendon. These platelets release growth factors that stimulate new collagen production and reorganise tendon fibres.
Research shows PRP can reduce pain and improve function in chronic cases that haven’t responded to physical therapy. The treatment is particularly effective when combined with an eccentric strengthening program to remodel the tendon. Unlike cortisone injections that may weaken tendons, PRP promotes actual tissue repair without compromising tendon integrity.
PRP Treatment Process
Ultrasound Diagnosis
Confirms tendon thickening/tears
PRP Preparation
10 ml blood drawn and processed
Injection
PRP delivered to tendon mid-portion under ultrasound guidance
Healing and pain relief
No tendon loading over day to day activities. Pain will gradually decrease after 2-3 weeks post first treatment. Generally requires 3 injections under ultrasound guidance 2 weeks apart.
Treatment Eligibility
Ideal Candidates:
✔ Athletes with chronic (>3 month) anterior knee pain
✔ Patients with ultrasound-confirmed tendon degeneration
✔ Those failed traditional rehab
Exclusions:
✘ Acute patellar tendon ruptures
✘ Infection at injection site
Pricing
Frequently Asked Questions
What is Patellar Tendinopathy, and how does PRP aim to help it?
Patellar tendinopathy, often called “jumper’s knee,” is a common overuse injury affecting the patellar tendon, which connects the kneecap (patella) to the shinbone. It’s characterised by pain just below the kneecap, especially during activities like jumping, running, or climbing stairs. This condition involves degeneration and disorganisation of the tendon fibres, rather than just inflammation.
Platelet-Rich Plasma (PRP) therapy involves injecting a concentrated solution of a patient’s own platelets, which contain numerous growth factors, directly into the affected patellar tendon. The aim is for these growth factors to stimulate cellular repair, promote collagen synthesis, reduce pain, and improve the tendon’s structural integrity, encouraging the body’s natural healing response in a non-surgical manner.
Am I a suitable candidate for PRP treatment for patellar tendinopathy in Australia?
PRP treatment for patellar tendinopathy is generally considered for individuals with chronic symptoms (lasting several months or more) who have not responded adequately to traditional conservative treatments such as rest, ice, eccentric strengthening exercises, and physiotherapy. Your doctor will conduct a thorough assessment, which may include physical examination to confirm the diagnosis and assess the extent of the tendon degeneration. They will discuss your symptoms, activity level, and expectations to determine if PRP is a suitable option for your specific case. It’s often seen as a step before more invasive procedures, but not all cases of patellar tendinopathy will benefit from PRP.
What does a PRP injection for patellar tendinopathy involve, and what's the expected recovery?
The procedure typically begins with a small amount of blood being drawn from your arm. This blood is then processed in a centrifuge to separate and concentrate the platelets into PRP. The concentrated PRP is then injected directly into the affected part of the patellar tendon, often with ultrasound guidance to ensure precise placement. You might experience some mild discomfort during the injection itself. After the injection, it’s common to have some temporary soreness, swelling, or bruising at the injection site for a few days. Your doctor will provide specific post-injection instructions, which usually involve a period of relative rest or reduced activity, followed by a gradual and structured rehabilitation program. This rehabilitation is crucial for optimising the healing process and strengthening the tendon. Full recovery and significant improvement in symptoms often develop gradually over several weeks to months as the tendon heals.
How many PRP injections are usually needed for patellar tendinopathy, and what about Medicare or private health insurance coverage in Australia?
The number of PRP injections needed for patellar tendinopathy can vary. While some patients may find relief with a single injection, many protocols recommend a series of 1 to 3 injections, typically spaced a few weeks apart, to achieve the best results. Your treating specialist will advise on the most appropriate number of injections for your specific condition based on their clinical experience and your response to treatment. In Australia, PRP treatments for patellar tendinopathy are generally not covered by Medicare. This means that the cost of the PRP injections is typically an out-of-pocket expense for the patient. Similarly, most private health insurance funds in Australia do not currently provide rebates for the PRP procedure itself, although consultations with specialists may be partially covered if you have a valid referral. It’s always recommended to discuss the full costs and confirm any potential rebates directly with your health fund before proceeding.
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