Patellar Tendonitis

Iontophoresis Protocol: Patellar Tendonitis

Patellar tendonitis is the result of inflammation of the patellar tendon at its attachment at the inferior pole of the patella (usually in late adolescence to age 40), or at the base of the patella (commonly after age 40). The region from the inferior apex of the patella to the tibial tuberos­ity is called the patella tendon, or quadriceps tendon, and/ or the patellar ligament.

The patella tendon commonly becomes overused and inflammed in jumping, both during take off and landing. Additionally, females are more predisposed to this overuse injury due to their relative increased genu varum knee position. Patella malalignment, patella alta (high riding patella) or excessive pes planus (foot pronation) can be causative factors in patellar tendonitis. In gait during heel rise to toe off, if the foot is in a pes planus position and does not demonstrate subtalar supination, there will be a medial rotary force on the tibia. This will result in an increased obliquity in the patellar tendon and tendonitis will likely follow.

  • Typical Drug Electrode Sites
  • Typical Dispersive Pad Sites

Pain can be felt at rest, during activity, or on palpation of the patellar tendon.


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PATIENT EVALUATION


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PATIENT EVALUATION

A.     Subjective: •    Patient complaint •    Location •    Onset...
WHY IONTOPHORESIS IS APPROPRIATE THERAPY


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WHY IONTOPHORESIS IS APPROPRIATE THERAPY

Iontophoretic drug delivery for the condition of patellar ten­donitis provides an alternative to hypodermic injection of corticosteroids, with...
RE-EVALUATION


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RE-EVALUATION

In addition to patient's subjective reports, check for: decreased pain, decreased tenderness to palpation at the point of deep tenderness and...
IONTOPHORESIS PROCEDURE


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IONTOPHORESIS PROCEDURE

IMPORTANT: See Phoresor System and electrode instruc­tion guides far indications, contraindications, warnings, pre­cautions and directions...


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