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Muscle Imbalance

Muscle imbalance can occur for many reasons, such as paralysis, muscular atrophy, and forms of muscular dystrophy. Fundamentally, the muscle and its tendons shorten, resulting in reduced flexibility

Hamstrings Tendinitis

Hamstring Tendinitis causes pain behind the knee where the hamstring tendons insert. This is usually an overuse knee injury where the symptoms come on gradually.


  • Pain at the back of the knee and thigh which increases over time

  • Pain when resuming activity

  • Swelling and inflammation

  • Aching and stiffness after activity


Quadriceps Tendenopathy

Overuse can cause pain and inflammation of the quadriceps tendon as it inserts into the top of the kneecap. Over time this can lead to degeneration of the tendon.


  • Pain that develops gradually at the front of the knee just above the knee cap.

  • Ache or stiffness in the knee that increases with rest following activities requiring strong or repetitive contraction of the quadriceps muscle that include running, jumping, hopping, squatting or kicking. 

  • Occasionally, local swelling and a feeling of knee weakness

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