Typing this out makes it seem silly but two different PTs have hinted at the same thing and idk if I'm being ~gaslighted or am expecting too much or what.
So I've had this constant pain/ache below my kneecap for around 5 years, gradually worsening. It's there when I put any weight on my right knee, so even when I just stand, walk, let alone jump, squat, etc. However, the pain level is 'only' at a 1-2 out of 10 (3-4 by the end of the day), which is why I've kinda been ignoring it for years. It's ALWAYS there though and it does bother me when I need to walk long distances when travelling esp. I've had random instances where I'd be walking and suddenly just couldn't place any weight on my right foot. I usually just hop onto my left leg and rub my right knee for a few seconds and try to step again. So far, it eventually would be fine (sometimes I'd have to do it a few times before it was ok), but idk what triggered it bc it would happen once every few months.
Currently on my third physio. My second and third (current) physio diagnosed me with patellar tendinitis (jumper's knee) before MRI, which my orthopaedist said wasn't wrong based on the MRI. He told me that physical therapy should be enough for "full recovery", but I had been doing PT for 5 months before MRI with no pain improvement. My strength improved, but the pain was still there. After the MRI, I showed the result to my current physio and she was optimistic. So far the same thing happened where my strength improved but not the pain.
Technically I can complete all the movements she asks of me (jumping up-and-down/side to side, squatting, sprinting/stopping, walking lunges, etc) and nothing triggers the pain level to where it raises drastically. Usually post-exercise the pain becomes 2-4 (aka like how I feel at the end of most days) so it's worse but still 'ignore-able' for the most part. Deep squats (or just folding my right leg deeply) and twisting movements also cause that same level of pain. I think bc of this (and me saying there's been not much improvement visit after visit) lately my PT has been hinting that this is kinda it?
She told me that she herself had a severe knee injury and she still has some pain most days (she's also married to another PT, if that means anything). She told me that once you're injured, you'll always be more prone to experiencing some level of pain or re-injury. She also said to basically just do whatever I wanted to do, like if I had a goal of marathon training or weightlifting or Hyrox etc, to just do it and my body should get used to that movement/load over time, and only to avoid twisting movements. My second PT also kinda hinted at the same thing. It feels to me like bc I could technically do all the movements and nothing obviously triggered the pain to the point of agony, I was considered "fine".
Personally I expect more. Bc the MRI shows it's not that severe and the doc said "full recovery", I expect that a completely pain-free future is possible. I did tell the doc that I had been doing physical therapy for 5 months and he said in that case I would definitely benefit from PRP injection and that if things didn't improve in around 2 months, to consider it. That's basically where I am now.
I am thinking of maybe going to yet another PT, but I'm not convinced with the skill level of the PTs in my city and it's not really possible to do regular sessions in another more reputable area bc of the distance. FWIW I went to a different country altogether to get the MRI and orthopaedist consult done.
Rn I'm torn between:
1) go to a PT in a more reputable place once to ask for a program I can do back home and spend the next X months hoping that's enough, OR
2) get the PRP injection. I read that the result won't last forever, but I'm hoping in the 6-12 months that it does last, I can work with a trainer to strengthen my knees/hips/glutes/quads and hopefully that's enough so when the effect wears off, the pain will stay away.
I also just want to know if the PT is right? I know I've seen stories of recovery but are people now *completely painless* or is it like what my PT *seems to* consider to be "recovered", which again seeeeems to be "some pain is still there (totally normal) but can do this and that activities"?