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Relief From Patellar Tendinitis
Pain, Swelling, Stiffness
Runners Knee

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Goode Wraps
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From: Eileen P
To: "'sota@200.com'"
Subject: Thank You
Date: Wed, 29 Dec 1999 11:18:56 -0800

"I wanted to let you know what a wonderful product your knee wrap is. I have a 14 year daughter who plays basketball, volleyball and softball (at the same time) and was suffering from patella tendinitis. I ordered one of the knee wraps and in 3 days the swelling was completely gone. From time to time it will reoccur and she will immediately put the wrap on. Usually in less than 12 hours she is as good as new. Recently she uffered a deep thigh bruise and moved the knee wrap up to the thigh and in 2 days it was as good as new. I just ordered a second knee wrap because she wants to wear one on each knee every night to prevent any further pain associated with the patella tendinitis. It is a great product for my child and I will continue to ecommend it to all of my friends."

One of the big differences between the effects of patellar tendinitis (that is, tendinitis of the patella--the kneecap), and chondromalacia is that tendinitis sufferers are much better able to locate the pain. Whereas people with chondromalacia may rub their fingers up, down, and around the knee to indicate where it hurts, when you have tendinitis you can put a fingertip right on the spot. It's so tiny and specific that you can put the tip of a ballpoint pen right on the spot and just about levitate yourself into the air with pain. And that spot is right at the bottom of the kneecap, where the tendon that goes on to connect to the shinbone begins--hence the name, patellar tendinitis. It's also called jumper's knee, as it was first described in the takeoff leg of high jumpers. But it turns out that basketball players probably have more jumper's knee than anybody else. You also see it in dancers, runners (and it's very hard to deal with in runners, for some reason), volleyball players--anyone who runs and jumps regularly may suffer from it. And, like chondromalacia, it sneaks up on you, first hurting after your activity, then toward the end of the activity, then during, at the beginning, and finally all the time. It's not nearly as common as chondromalacia-nothing is--but it's more difficult to deal with. It's probably the second most frequent knee injury.

Time to Abandon the "Patellar Tendinitis" Myth

Tendinitis such as that of the Achilles, lateral elbow, and rotator cuff tendons is a common presentation to family practitioners and various medical specialists.

Most currently practicing general practitioners were taught, and many still believe, that patients who present with overuse tendinitis have a largely inflammatory condition and will benefit from anti-inflammatory medication.
Unfortunately this dogma is deeply entrenched.

Ten of 11 readily available sports medicine texts specifically recommend non-steroidal anti-inflammatory drugs for treating painful conditions like Achilles and patellar tendinitis despite the lack of a biological rationale or clinical evidence for this approach.

Instead of adhering to the myths above, physicians should acknowledge that painful overuse tendon conditions have a non-inflammatory cause.

A critical review of the role of various anti-inflammatory medications in soft tissue conditions found limited evidence of short term pain relief and no evidence of their effectiveness in providing even medium term clinical resolution of clearly diagnosed tendon disorders.

Laboratory studies have not shown a therapeutic role for these medications. Steroid injections provide mixed results in relieving the pain of tendon problems.
If general practitioners, orthopedic surgeons, and other members of the healthcare professions treating tendon disorders made a quantum shift from previous flawed teaching about overuse tendinitis and adopted these data there would be immediate ramifications.

Some pockets of the sports medicine, orthopedics, and rheumatology specialties have adopted this paradigm, 2-4 10 but it must no longer remain within that cabal. It is time for medical educators to accept the irrefutable evidence that the term tendinitis must be abandoned to highlight a new perspective on tendon disorders.
Adopting the tendinopathy paradigm is essential if general practitioners are to practice evidence based medicine.

British Medical Journal March 16, 2002; 324: 626-627

Goode Wraps Relieve Pain, Swelling and Stiffness by Relaxing Muscles