Knee

Jumper’s Knee Treatment That Heals the Tendon, Not Just the Pain

Your knee hurts below the kneecap every time you jump, squat, or take the stairs. You’ve rested, iced, and stretched. It keeps coming back. You’re starting to wonder if your body is betraying you.

We don’t just treat the tendon.

We assess your hips, ankles, core, and quadriceps to find every factor putting extra load on your patellar tendon.

Focused shockwave and EMTT stimulate real tendon repair.

These technologies trigger healing at the cellular level while targeted exercises rebuild the strength your knee needs.

We rebuild so the pain doesn’t come back.

Progressive strengthening and movement retraining address the root causes, so you can jump, run, and train with confidence long-term.

60-minute one-on-one assessment + treatment plan.

No pressure, no contracts.

Is This You?

If any of this sounds familiar, you're in the right place.

Sharp pain below the kneecap when jumping, running, squatting, or going down stairs

Pain eases during warm-up but comes back worse after activity

You’ve tried rest, ice, and basic physio but the pain keeps returning

Active in sports, gym, or running and frustrated about having to scale back

You want a plan that actually fixes the problem, not another round of “wait and see”

The Real Problem

Why Your Knee Still Hurts After "Trying Everything"

Explore 4 slides on Patellar Tendon Pain

Most people have several of these happening at once. That’s why we assess the whole chain, from your hips and core down through your ankle, not just the painful spot below your knee.

OUR APPROACH

The Unpain 3-Part Patellar Tendon Pain Relief Program

INITIAL VISIT

Whole-Body Root-Cause Assessment

Full movement and strength screen of your knee, hips, core, and ankles

Identify which combination of overload, weakness, and tightness is driving your pain

Clear written plan with transparent pricing before you commit to anything

First 4 to 6 Weeks

Pain & Inflammation Modulation

Focused shockwave therapy to stimulate tendon blood flow and tissue repair

EMTT electromagnetic therapy to boost cellular healing and collagen production

Chiropractic mobilization of the knee, hip, and ankle to reduce compensatory strain

Make jumping, stairs, and squatting tolerable, fast.

6+ Weeks and Beyond

Strength & Progressive Aftercare

Progressive quadriceps and core strengthening with eccentric and isometric loading

Hip and ankle mobility work to protect the knee long-term

Guided return-to-sport programming and digital coaching between visits

What To Expect

What Results Can I Expect?

Every case is different, but research and our clinical experience consistently show:

Noticeable improvement within 4 to 6 weeks of combined shockwave, EMTT, and targeted rehab. Many patients feel the first change after their initial session.

Return to jumping, running, and training. In clinical studies, nearly all patients who received shockwave therapy were able to return to sports, compared to roughly half of those who received standard care alone.

Reduced risk of relapse. Research shows patients treated with shockwave therapy had a much lower recurrence rate than those managed with rehab alone, because the tendon itself heals rather than just the symptoms being masked.

Our promise: we will tell you honestly at the assessment if we don’t believe you’re a good candidate for this approach.

EVIDENCE

The Research Behind Our Approach

Focused shockwave therapy has been shown to produce significant pain relief and functional improvement in patients with chronic patellar tendinopathy, with outcomes comparable to surgical intervention in the long term.

EMTT electromagnetic therapy has been shown in laboratory studies to increase tendon cell growth, boost collagen production, and reduce markers of cell aging, supporting its use as a regenerative treatment.

Progressive tendon-loading exercises (eccentric and isometric) are endorsed by multiple systematic reviews as the first-line treatment for patellar tendinopathy.

Ultrasound imaging confirmed that shockwave therapy increased blood flow to the tendon and improved tendon structure, suggesting true tissue regeneration rather than just pain masking.

Combining shockwave with structured exercise programs has shown better results than exercise alone, supporting a multimodal approach to patellar tendon rehabilitation.

Outcomes are group averages from clinical trials; individual results vary.

See full references
  1. [1] Wang CJ, Ko JY, Chan YS, Weng LH, Hsu SL. Extracorporeal shockwave therapy for chronic patellar tendinopathy. Am J Sports Med. 2007;35(6):972–978.
  2. [2] Challoumas D, Pedret C, Biddle M, et al. Management of patellar tendinopathy: a systematic review and network meta-analysis. BMJ Open Sport Exerc Med. 2021;7(4):e001110.
  3. [3] Best Current Research on Patellar Tendinopathy: A Review of Published Meta-Analyses. Med Clin Trials. 2024.
  4. [4] Mancini F, et al. EMTT enhances tenocyte regenerative potential: senolytic-like effects. Int J Mol Sci. 2025;26(2):715.
  5. [5] Modifiable Risk Factors for Patellar Tendinopathy in Athletes: A Systematic Review and Meta-analysis. PMC. 2018.
  6. [6] Patellar Tendinopathy. PMC. 2015.
  7. [7] Jumper’s Knee: Best Treatments, Taping Tips, and At-Home Relief. Unpain Clinic Blog.
  8. [8] Patellar tendonitis: The comprehensive guide all runners need to read. Exakthealth.
  9. [9] Rosen AB, Wellsandt E, Nicola M, Tao MA. Clinical management of patellar tendinopathy. J Athl Train. 2022;57(7):621–631.
  10. [10] Ravon C et al. Effectiveness of shockwave therapy on patellar tendinopathy, Achilles tendinopathy, and plantar fasciitis: systematic review. Front Immunol. 2023;14:1193835.
  11. [11] Stasinopoulos D, Stasinopoulos I. Chronic tendon conditions: effectiveness of shock wave therapy. Br J Sports Med. 2019;53(3):P276–P277.
  12. [12] Cook JL, Khan KM, Kiss ZS, Griffiths L. Patellar tendinopathy in junior basketball players. Scand J Med Sci Sports. 2000;10(4):216–220.
  13. [13] Zwerver J, et al. No effect of ESWT on patellar tendinopathy in-season. Am J Sports Med. 2011;39(6):1191–1199.
  14. [14] Seminal Repair: Patellar Tendon (UCSD). J Orthop Sports Phys Ther. 2020.
  15. [15] Taunton JE, Taunton K, Khan KM. Treatment of patellar tendinopathy with ESWT. BC Med J. 2003;45(10):503–506.
  16. [16] Persson Krogh T. ESWT vs sham. Transl Sports Med. 2021;4(4):534–544.
  17. [17] Shojaei IM, et al. Risk factors for jumper’s knee. Clin J Sport Med. 2014;24(1):71–76.
  18. [18] Lian OB, Engebretsen L, Bahr R. Prevalence of jumper’s knee in elite athletes. Am J Sports Med. 2005;33(4):561–567.
  19. [19] Patellofemoral Syndrome Relief. Unpain Clinic Blog.
  20. [20] Bhole R. Management of patellar tendonitis. Exakthealth blog.
  21. [21] Nguyen N, Leung PH, Malliaras P. Kinesiology tape is not effective for patellar tendinopathy. Phys Ther Sport. 2018;32:77–84.
  22. [22] Gerdesmeyer L, et al. Electromagnetic transduction therapy for Achilles tendinopathy. J Foot Ankle Surg. 2017;56(5):964–967.
  23. [23] Van Ark M, et al. Orthop J Sports Med. 2023. (Structured rehab review.)

Patellar Tendon PainFAQ

Here are answers to some of the most common questions about Patellar Tendon Pain.

6 results found

Does shockwave therapy really work for jumper’s knee?

Research shows focused shockwave can produce significant pain reduction and functional improvement in chronic patellar tendinopathy. It works by stimulating blood flow and tissue repair at the tendon. Results tend to be even better when combined with progressive exercise. We walk you through the evidence during your initial assessment.

Can tight muscles or weak hips lead to jumper’s knee?

Yes. Tight quadriceps, hamstrings, or calves change how your knee moves, and weak hips or core can shift extra force onto the patellar tendon. This is why treating only the sore spot often doesn’t last. We map out your specific imbalances in your first visit.

How many therapy sessions are usually needed to feel better?

Many patients feel the first change after the initial shockwave or EMTT session. Meaningful improvement typically happens over 4 to 6 sessions spanning 4 to 6 weeks. Full recovery and return to sport may take 8 to 12 weeks with consistent therapy and guided exercise. We review this with you during your initial assessment.

Why does jumper’s knee often come back?

Relapse happens when only muscle strength is addressed but the tendon itself hasn’t healed. Research found that patients treated with standard rehab alone had a much higher recurrence rate than those who received shockwave therapy. Healing the tendon and fixing the movement issues that caused the overload in the first place is what makes the difference.

Is patellar tendonitis mainly inflammation or something else?

Despite the name “tendonitis,” chronic cases involve very little actual inflammation. It’s more accurately a degenerative condition called tendinosis, where the tendon’s collagen becomes disorganized and nerves grow into the damaged area. That’s why anti-inflammatories alone rarely solve it. We explain what’s happening in your specific case at your first visit.

If rest and physiotherapy haven’t fixed my knee in months, what else can I try?

Chronic cases that don’t respond to basic rest and physio often have underlying tendon degeneration that needs a regenerative stimulus. Focused shockwave and EMTT are designed to restart the healing process at the tissue level. Combined with correcting any muscle or movement issues, this approach often gets results where standard care stalled. We review this with you during your initial assessment.

YOUR NEXT STEP

Ready to See What’s Actually Driving Your Knee Pain?

Stop guessing, stop collecting random treatments, and get a plan that treats the system, not just the tendon.

Initial Patellar Tendon Pain Assessment — Edmonton

60-minute one-on-one session. Here’s what’s included:

1

Full-body movement and strength assessment (knee, hips, core, ankles)

2

Identify which pain drivers matter for your case

3

Review of history and imaging if available

4

Clear written plan with transparent pricing before you commit

No referral needed. No obligation to continue beyond the first visit.

No pressure, no contracts.

We will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your condition needs something different, we'll refer you directly.

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