Knee Tendon Problems — Expert Treatment in Buxton & Bakewell with Shockwave Therapy
Knee tendon issues are a common cause of discomfort, pain and reduced mobility for athletes, active people and those with everyday joint stresses. At Buxton & Bakewell Osteopathy Clinic, we see a wide variety of tendon-related knee problems — including patellar tendinopathy, quadriceps tendinopathy, pes anserine tendon issues, and symptoms linked with underlying inflammation such as bursitis. While many treatments offer short-term relief, our expert clinicians use advanced Shockwave Therapy — a non-invasive, evidence-based treatment — to address the root cause of knee tendon pain and help you return to the activities you love.
This comprehensive guide explains the anatomy of knee tendons, common tendon problems, how they differ from bursitis, and why our Shockwave Therapy programme at Buxton & Bakewell Osteopathy Clinic offers a strong treatment advantage.
Understanding Knee Tendon Problems
Tendons are strong, fibrous tissues that attach muscles to bone. In the knee, several key tendons work together to stabilise and move the joint:
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The patellar tendon, connecting the kneecap (patella) to the shinbone
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The quadriceps tendon, linking the quadriceps muscles to the kneecap
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The pes anserine tendons, at the inside of the knee
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Other supportive tendons around the knee joint
When these tendons are overloaded, stressed, or repeatedly strained, the fibres can develop micro-tears, inflammation and degeneration, leading to a condition called tendinopathy or tendonitis. This often causes pain, stiffness, swelling and difficulty in straightening or flexing the knee.

Common Knee Tendon Conditions
1. Patellar Tendinopathy (Jumper’s Knee)
Pain in the front of the knee, typically just below the kneecap, is a hallmark sign of patellar tendinopathy. It’s particularly common in athletes who perform repetitive jumping, squatting, or running — such as footballers, runners and gym-goers. Over time, repeated stress can outpace the tendon’s ability to heal, causing chronic pain, reduced function and progressive thickening of the tendon fibres.
2. Quadriceps Tendinopathy
This condition affects the tendon that connects the quadriceps muscles to the knee. It often presents as pain above or around the kneecap, especially during uphill walking, running, stair climbing, or explosive leg movements.
3. Pes Anserine Tendon Pain
The pes anserine tendons are on the inside of the knee. Irritation in this area — sometimes mixed with bursitis — causes tenderness and discomfort, especially with bending or ascent/descent of stairs.
4. Tendon Pain Linked with Bursitis
While bursitis itself is inflammation of fluid-filled sacs (bursae) that cushion joint tissues, tendon pain often occurs alongside it. Bursitis may worsen friction and stress on nearby tendons, intensifying pain and functional limitations.
How to Spot Knee Tendon Issues: Symptoms to Watch For
Knee tendon problems often present with a combination of the following symptoms:
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Pain near the tendon — usually at the front or inside of the knee
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Pain during activity — especially after running, jumping, squatting or climbing stairs
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Stiffness or tenderness when touching the knee
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Swelling or localised discomfort
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A feeling of weakness or instability when bearing weight
If these symptoms persist for more than 6–8 weeks, they are unlikely to be simple muscle strains and may represent a chronic tendon condition requiring clinical assessment.
Traditional Treatments: What Works — and What Doesn’t
Conventional approaches to knee tendon pain usually begin with:
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Rest and activity modification
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Ice and anti-inflammatory strategies
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Strengthening exercises and physio modalities
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Steroid injections (less widely recommended for long-term tendon health)
While rest and conservative management can help reduce pain initially, many chronic tendon injuries fail to resolve completely with these measures alone. They may simply mask symptoms rather than stimulate healing deep within the tendon tissue.

This is where Shockwave Therapy offers a compelling advantage — it targets tissue regeneration and long-term repair, not just pain relief.
Why Shockwave Therapy Is an Optimal Choice for Knee Tendon Pain
At Buxton & Bakewell Osteopathy Clinic, we use Focused and Radial Shockwave Therapy (ESWT) as a core part of our treatment strategy for chronic tendon problems. Shockwave Therapy uses high-energy acoustic waves to stimulate healing mechanisms within the tendon. This non-invasive technology delivers therapeutic sound waves that:
1. Stimulate Tissue Repair
Shockwave causes microtrauma in controlled doses that encourages increased blood flow and activation of the body’s natural healing pathways — particularly useful in tendinopathy where healing has stalled.
2. Reduce Pain and Inflammation
Targeted shockwaves help calm ongoing inflammation and modulate pain signalling — reducing discomfort both during function and at rest.
3. Break Down Calcific Deposits
In some chronic tendon conditions, calcium deposits can form and perpetuate pain. Shockwave Therapy helps break these down so the body can reabsorb them more effectively.
4. Enhance Functional Outcomes
By addressing the underlying tissue dysfunction, patients often regain strength, movement and quality of life faster compared with passive conservative care alone.
Research shows that shockwave therapy can significantly reduce pain and improve function for tendon injuries — with improvements often apparent after just a few treatments.
What to Expect at Your Shockwave Therapy Treatment
When you choose Shockwave Therapy at our clinic:
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You’ll receive a comprehensive assessment to diagnose tendon involvement accurately.
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Treatment is non-surgical, outpatient and requires no anaesthesia.
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Sessions typically last 10–20 minutes and most clients benefit from a course of treatments spaced weekly.
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Many patients report noticeable pain reduction and functional gains within the first few sessions.
This cutting-edge therapy is especially effective when combined with personalised rehabilitation plans designed by our osteopathic experts.
Why Choose Buxton & Bakewell Osteopathy Clinic
As a locally trusted clinic serving Buxton, Bakewell and surrounding Derbyshire, we specialise in musculoskeletal and sports-related injuries. Our team has extensive experience diagnosing complex tendon problems and guiding patients from pain to performance.
We focus on:
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Evidence-based care
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Advanced clinical technology including Shockwave Therapy
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Individualised treatment plans
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Long-term tendon health and function
We combine hands-on osteopathic expertise with the latest non-invasive technology to deliver outcomes that traditional methods alone can’t match.ding local authority in treating knee tendon problems.
Conclusion
Knee tendon problems can be painful, persistent and disabling — but with the right diagnosis and treatment, long-term healing is achievable. At Buxton & Bakewell Osteopathy Clinic, we combine expert osteopathic assessment with advanced Shockwave Therapy to treat the underlying causes of your pain, not just symptoms.
If you’re in Buxton, Bakewell or the surrounding area and struggling with chronic knee tendon pain, contact us today to discover how we can help you regain pain-free movement and return to your favourite activities.
Frequently Asked Questions About Knee Tendon Problems
What are the most common knee tendon problems?
The most common knee tendon problems include patellar tendinopathy (jumper’s knee), quadriceps tendinopathy, and pes anserine tendon pain on the inside of the knee. These conditions develop when tendons are repeatedly overloaded and unable to heal properly, leading to pain, stiffness, and reduced knee function.
How do I know if my knee pain is a tendon problem?
Knee tendon pain is usually localised, meaning it hurts in a specific spot rather than the whole knee. Typical signs include pain during or after activity, tenderness when pressing the tendon, stiffness after rest, and discomfort when climbing stairs, squatting, running or jumping. If pain has lasted more than 6–8 weeks, it is likely a chronic tendon issue rather than a simple strain.
What is the difference between knee tendon pain and bursitis?
Tendon pain involves damage or degeneration within the tendon itself, while bursitis is inflammation of a small fluid-filled sac that reduces friction around the joint. The two conditions often occur together, especially around the inside or front of the knee. An expert assessment is needed to identify which structures are involved and guide effective treatment.
Does knee tendon pain go away on its own?
Mild tendon irritation may settle with rest, but chronic knee tendon problems rarely resolve without treatment. Tendons have a limited blood supply, so healing can stall, leading to long-term pain and weakness. Targeted treatment such as Shockwave Therapy, combined with guided rehabilitation, is often needed for full recovery.
What is Shockwave Therapy and how does it help knee tendon problems?
Shockwave Therapy is a non-invasive medical treatment that uses acoustic sound waves to stimulate healing within damaged tendon tissue. It improves blood flow, triggers tissue regeneration, reduces pain signals, and helps break down chronic tendon changes. It is particularly effective for long-standing knee tendon pain that has not improved with rest or exercises alone.
Is Shockwave Therapy effective for patellar tendinopathy?
Yes. Clinical evidence shows Shockwave Therapy to be highly effective for patellar tendinopathy, especially when symptoms have been present for several months. Many patients experience significant pain reduction and improved knee function after a short course of treatments.
How many Shockwave Therapy sessions are needed for knee tendon pain?
Most people require 3–6 Shockwave Therapy sessions, spaced about a week apart. The exact number depends on the severity and duration of the tendon problem. Improvement often begins within the first few treatments, with continued progress over the following weeks.
Is Shockwave Therapy painful?
Shockwave Therapy can feel uncomfortable during treatment, particularly over sensitive tendon areas, but it is well tolerated by most patients. Any discomfort is brief, and treatment intensity is adjusted to suit individual tolerance levels.
Can Shockwave Therapy help avoid injections or surgery?
In many cases, yes. Shockwave Therapy is often used to help patients avoid steroid injections or surgery, particularly for chronic knee tendon problems. By stimulating natural healing rather than suppressing symptoms, it offers a safer long-term solution for tendon health.
Who is suitable for Shockwave Therapy for knee tendon problems?
Shockwave Therapy is suitable for most people with chronic knee tendon pain, including runners, athletes, gym-goers, and individuals with work-related knee strain. A full assessment at Buxton & Bakewell Osteopathy Clinic ensures it is safe and appropriate for your condition.
Do you offer knee tendon treatment locally in Buxton and Bakewell?
Yes. Buxton & Bakewell Osteopathy Clinic provides expert assessment and treatment for knee tendon problems for patients across Buxton, Bakewell, and the surrounding Derbyshire area. We specialise in advanced treatments such as Shockwave Therapy alongside personalised rehabilitation plans.
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