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Symptoms Symptoms of patellar tendonitis often start gradually and worsen over time if left unaddressed: Pain and tenderness below the kneecap, especially during activity Stiffness with movement after rest Pain during jumping, squatting, or climbing stairs Swelling or thickening near the tendon Weakness or loss of strength in the knee or leg Discomfort with kneeling or pressing on the tendon Early symptoms are typically mild but can become severe enough to limit sports or even everyday activities