Ask Mike Reinold Podcast

Managing Athletes with Patellar Tendinopathy

On this episode of the #AskMikeReinold show we talk about why some people with patellar tendinopathy seem to struggle when trying to get back to sport, and what we can do differently to better manage these symptoms. To view more episodes, subscribe, and ask your questions, go to

#AskMikeReinold Episode 155: Managing Athletes with Patellar Tendinopathy

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4 replies
  1. CE
    CE says:

    Great post guys,

    Greetings from the US Coast Guard Academy in New London
    I think this study sold me over eccentrics as Mike had alluded to earlier. This study compared HSR versus eccentrics and demo’d better outcomes. The previous groundwork by Koonsgard in 2009 also favored HSR over eccentrics and cortisone injections.
    the challenge for most of my military colleagues and certainly in the civilian sector is how to integrate the HSR exercises without having the gym based equipment. Luckily I own all of those pieces of equipment. The Malliaras study JOSPT 2015 has in my opinion the future management of patellar tendinopathy. It lays out a nice system broken by stages, starting off with the pain mitigating effects of isometrics followed by the HSR (heavy slow resistance) protocol without the leg press and hack squat for those who don’t have large space . I place all of my athletes in the 12 week Koonsgard protocol and have had 100% success. Bottom line…precise progressive loading as you already mentioned! Thanks for all of the great info over the years.

    Carlos Estevez, DPT

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