Patella tendinopathy is a degenerative condition of the tendon which connects the patella (kneecap) to the long bone of the shin. It arises due to excessive loading over a long period of time. The degenertaive nature of this condition means that the physiological changes in the tendon can be present well before pain begins. This condition is best managed with specific eccentric exercises to load the tendon and improve the structure in addition to changes in equipment, training load and modification of biomechanics. With correct management the time to recovery can be anywhere between three to twelve months.