Re: Patella tendonitis and Butt Punches.

[Guest guest]

Greetings,

Over the years I learned that patella tendonitis is best addressed

with the ice and heat, and such mentioned by Ken.

The outcomes from my " scrape and release " surgery was about a 2 inch

decrease in thigh size (from basically releasing V lateralis?). The

knee problems persisted as before. As Ken says we talked about this

topic at length years ago and from what I remember productive

outcomes for release, were about 5-10%?

The exercise that worked best, for the few athletes who used it, for

maintaing ham and glute strength, was the strange looking exercise I

came up with -- the Butt Punch. The exercise is (very basically) like

doing a good morning in a machine -- starting from the top with

load as much as possible on the rear center of the heals and at the

bottom the load is totally translated to the glute-hamstring complexes

by rocking back on to the rear edges of the heels, lifting the

entirity(sp) of the foot off of the the floor (except of course for

the rear edge). It looks strange and feels even stranger while

learning how to do it. The athletes who learned it could go as heavy

as they wanted with apparently no patella tendon tension. I don't

think anyone who I tried to teach it to, without being present,

performed it correctly? Back extensions on a 45° back extension bench

worked well also -- for the lower back at least?

In general machine leg flexions were also useful but not nearly as

effective as the Butt Punch.

Jerry Telle

Lakewood CO USA

On Apr 30, 2010, at 4:20 PM, CoachJ1@... wrote:

> I posted on this back in '07:

>

> I tried just about every treatment from the most conservative to the

> most

> radical: rest, NSAIDs, electrophoresis, cortisone injection in

> conjunction

> with complete immobilization. Nothing worked except surgery (clean

> out and

> lateral release). For me, the procedure was effective. I've been

> pain free

> for the past eighteen years, and were it not for the scope holes, I

> couldn't tell you what leg was the problem leg. Of course, lateral

> release has

> long since fallen out of favor as an advised surgical intervention.

>

> Ken Jakalski

> Lisle High School

> Lisle, Illinois USA