Condition Guide · Atlanta, GA

Pain right below the kneecap that keeps you from pushing off

Athletes call it jumper's knee, but you don't have to be an athlete to have it. Patellar tendinopathy is a breakdown of the thick band linking your kneecap to your shinbone — the tendon that takes the strain every time you squat, land, or climb stairs. When it turns chronic, the tendon stops repairing itself the way it should.

6
Atlanta specialists
~15 min
in-office procedure
Same day
home after

Real Results

A Patellar Tendon Patient's Story

This account comes from a patient whose patellar tendon degeneration was treated with the percutaneous TenJet procedure.

TenJet Patient Testimonial - Chronic Patellar Tendinitis (Jumper's Knee)

Video courtesy of HydroCision, Inc., the maker of TenJet®. Individual results vary; this patient's experience is not a guarantee of outcome. Talk with a specialist about whether the procedure is appropriate for you.

See The Procedure

TenJet® in Action

Watch HydroCision's own demonstration of the patellar tendon procedure, then see why chronic tendon pain is a degeneration problem — not the simple inflammation the name "tendinitis" suggests.

TenJet Patella Tendinosis Minimally Invasive Tenotomy

Healthy tendon fiber structure diagram
Healthy Tendon
Tendinitis inflamed tendon diagram
Tendinitis
Tendinosis degenerated tendon fiber diagram
Tendinosis (Chronic Degeneration)

Diagrams and video courtesy of HydroCision, Inc.

Understanding The Condition

Why it settles in and stays

Patellar tendinopathy tends to build in stages — sore after activity at first, then sore during it, and eventually sore enough to change how you move. The reason it lingers is structural: the collagen in the tendon has become disorganized and weakened, and that damaged tissue has little blood supply to heal itself.

A pinpoint tender spot at the bottom edge of the kneecap
Pain with deep knee bend, jumping, or descending stairs
Morning stiffness that eases as the knee warms up
An ultrasound can distinguish tendon degeneration from a joint problem

Where TenJet Fits

Precise enough to spare the healthy tendon

Physical therapy and progressive loading resolve many cases and are the usual first step. For the tendon that stays painful anyway, TenJet — made by HydroCision, Inc. — gives a specialist a targeted, in-office option that treats the diseased tissue without an open surgical incision.

Ultrasound guidance keeps the specialist on the exact zone of breakdown
A high-pressure saline stream (FluidJet) emulsifies only the damaged tissue
Integrated suction evacuates the debris in the same pass
Entry is a small incision, not a surgical opening
Roughly 15 minutes under local anesthesia, home the same day
Reimbursed by Medicare and most private insurers
Read the technical details at hydrocision.com →

Common Questions

Frequently Asked Questions

What does the patellar tendon actually do?

It transmits force from the quadriceps to the shin, making it central to jumping, squatting and stair climbing — which is why degeneration there is so limiting.

Why does the tendon degenerate rather than heal?

Repeated loading beyond the tendon's capacity to repair produces accumulated damage. Once collagen is disorganised, ordinary rest does not reliably restore normal structure.

How long is the protected phase?

Commonly around two weeks before progressive loading begins, though it depends on lesion size. One published case used a locked hinged brace during that period.

What does the twelve-week mark look like?

In the documented soccer case, gradual return to recreational play began at twelve weeks following staged rehabilitation and a period of light jogging beforehand.

This information is general and is not medical advice. Whether any procedure is appropriate for you can only be determined by a physician who has examined you and reviewed your imaging.

Speak Directly With Each Physician's Office
Call the office below that matches the specialist you'd like to see about knee tendon pain.
CC
Sports Medicine & PM&R
Northside Hospital Orthopedic Institute
(770) 795-5620
MS
Non-Operative Orthopedics
Northside Hospital Orthopedic Institute
(770) 758-5059
KK
Dr. Kamal Kabakibou, MD
Interventional Pain Medicine
Center for Pain Management, Atlanta
(404) 882-9778
EO
Interventional Pain Medicine
OlympusMD Pain & Wellness
(770) 629-9023
OH
Interventional Pain Medicine
OlympusMD Pain & Wellness
(770) 629-9023
UN
PM&R & Spine
Resurgens Orthopaedics, Covington & Decatur
(404) 856-3706