i had a pattelar tendon injury when i was kicked by a horse below my knee. when will it stop hurting? will it ever be pain free? its been about 2 1/2 years since the surgery and i have done a lot of physical therapy. why does it still hurt everyday when the MRI's and X RAYS are normal?
The imaging studies may not be sensitive to tears at times, unless there is patellar fracture/ dislocation as well; and are generally used to rule out other injuries that can have similar symptoms. Treatment modality with partial tears is generally conservative with anti-inflammatory medications, initial immobilization and physical therapy, while severe tears are treated surgically; while chronic injuries are less likely to heal on their own. Cause of continued pain could be due to inflammation/ tendonitis or neurological in origin or an unrelated cause such as arthritis, bursitis etc. Without a physical examination and probably a few tests it would not be possible point out a single cause. I would suggest getting this evaluated by an orthopedician/ sports medicine specialist for an evaluation, diagnosis and appropriate management.
Hope this helps.
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