Do I need an injection or surgery for jumper's knee?

Is it really failing rehabilitation?

Before considering anything invasive, it is worth checking that the programme has truly been tried: progressive heavy loading rather than light exercises, sustained for several months, combined with sensible changes to jumping volume. Many cases labelled as not responding improve once the programme is adjusted. It is also important to confirm the diagnosis, because other causes of front knee pain can mimic tendinopathy.

Injections: what each one offers

• PRP (platelet-rich plasma): studied for patellar tendinopathy with mixed results; it may help some patients alongside exercise, not instead of it
• High-volume or other image-guided injections: used in some centres for persistent cases, with limited evidence
• Steroid (cortisone) injections: generally avoided in the patellar tendon because short-term relief comes with concern about tendon weakening and rupture

No injection replaces the loading programme, which remains the core of treatment.

When surgery is considered

Surgery is an option for a small number of people with persistent, function-limiting pain after six to twelve months of high-quality rehabilitation, with imaging confirming tendon changes. Procedures, done arthroscopically or through a small open incision, remove degenerate tendon tissue and sometimes address a prominent bone edge at the lower kneecap. Rehabilitation after surgery still takes several months, and return to jumping sport is gradual.

Making the decision in Doha

At Aman Hospital, Dr. Pablo Gelber reviews your history, examines the tendon, looks at your rehabilitation so far and, if needed, arranges ultrasound or MRI. He explains frankly what each option can and cannot achieve. For cost and insurance cover for injections or surgery, check directly with Aman Hospital and your insurer, as this depends on the treatment and your policy.