Patellar Tendinopathy Responding to Spinal Treatment: A Case Report Using Mechanical Diagnosis and Therapy.

This is one person, not a pattern, and the authors state that cause and effect cannot be presumed. Follow-up was done by phone and at a distance from the initial assessment. The treatment included repeated extension, posture advice, exercise timing advice, and overpressure progressions, so the contribution of any single component cannot be separated. The patient had left Achilles tendon pain that remained unchanged, so the knee result did not resolve all symptoms. The lumbar derangement classification was provisional and needed confirmation over later visits. Knee MRI did not reveal significant findings, and the paper notes poor correlation between pain and MRI findings. The VISA-P can produce false positives when used alone, so the score change alone does not prove the diagnosis.

No funding was provided for the manuscript, and the authors declared no conflicts of interest.

Do not conclude that repeated lumbar extension alone treats patellar tendinopathy. The patient also received posture advice, exercise timing advice, and overpressure progressions, and the paper states that cause and effect cannot be presumed.