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Dr. Pablo Gelberالعربية

Patient question

Why do I get pain just below my kneecap after basketball?

Dr. Pablo GelberOrthopaedic Knee Surgeon

Quick answer

Pain in one spot just below the kneecap after basketball, worse with jumping, landing and squatting, is the classic pattern of patellar tendinopathy, or jumper's knee. It is an overload of the tendon that responds well to a progressive loading programme, explains Dr. Pablo Gelber, knee surgeon at Aman Hospital in Doha, Qatar.

Why basketball stresses this tendon

The patellar tendon runs from the bottom of the kneecap to the shin bone and acts like a spring each time you jump and land. Basketball combines repeated jumps, hard landings, sudden stops and deep defensive stances, often on hard indoor courts. When the number or intensity of those efforts rises quickly, for example with a new league season, extra training sessions or a tournament weekend, the tendon can fall behind and become painful.

How it typically feels

  • A sharp or aching spot at the lower tip of the kneecap that you can press with one finger
  • Pain on landing, jumping, sprinting and going down stairs
  • Soreness at the start of a session that may ease as you warm up, then returns afterwards or the next morning
  • Discomfort after sitting with the knee bent for a long time
  • Little or no swelling inside the knee

What to change now

Reduce jumping volume rather than stopping all training: fewer jump shots and rebounding drills, shorter sessions and no back-to-back hard days for a while. Start simple tendon-loading exercises, such as holding a wall sit or a leg extension for 30 to 45 seconds several times, which often eases pain. Keep the rest of the body fit with cycling or upper-body work. Avoid complete rest, which weakens the tendon further.

When to see a knee specialist

Arrange an assessment if the pain has lasted more than a few weeks, is getting worse, affects daily activities such as stairs, or if there was a sudden pop with difficulty straightening the knee, which needs urgent review for a tendon rupture. At Aman Hospital in Doha, Dr. Pablo Gelber confirms the diagnosis by examination, may use ultrasound or MRI if needed, and outlines a structured plan back to court.

Frequently asked questions

Can I keep playing through it?

Many players continue at reduced volume if pain stays mild and settles by the next day. Pain that is increasing, or forcing you to change how you jump, means you need to back off and get a plan.

Will a strap under the kneecap help?

A patellar tendon strap helps some players feel less pain during play. It can be useful while you rehabilitate but does not treat the tendon on its own.

Related

Medically reviewed by Dr. Pablo Gelber · Last updated

This page is general information and not a substitute for a medical consultation. Treatment decisions depend on an individual examination.