Hi again!
Assuming this to be a focal degeneration of the patellar tendon/ patellar tendinopathy the decision between conservative management and a surgical repair would depend on the severity, response to previous conservative management (atleast 6 months), the healing process and the expected response to a surgical intervention. Aprotinin is a drug that may help prevent further tendon degeneration. I am still of the opinion to seek a second opinion before confirming to a decision.
Take care!
Thanks Dr. Kaul for your response. Basically he is calling my tendon "diseased" but it is actually degenerated. I'm not sure why he refers to it that way other than maybe it is a military thing.
Hi there!
Well, without an evaluation, it would be difficult to comment on the possible next best step of management in your case. While PRP may help with tendon inflammations/ tendonitis and minor tears, they do little to other types of tendon pathologies. I am not sure what your doctor meant by ‘diseased tendon’ and hence it would be inappropriate for me to comment if a surgical intervention would be the appropriate next step, though the situation sounds like a tendon tear. You may like to seek a second opinion with a civilian orthopedician, to be sure of the tendon pathology and the appropriate management.
Hope this is helpful.
Take care!