For anyone who’s interested: Saw a physio for a cortisone injection, who did an ultrasound of both knees first, which revealed quad/patellar tendinopathy and calcification on top of the knees, thereby negating the need for steroid injections, as that would not fix the issue and in fact might potentially damage the tendons. He recommended targeted shockwave therapy instead, and specific exercises. Currently doing Shockwave therapy - 4 sessions over 10 days or so - and already feeling the benefits. Has to be done in conjection with specific exercises to have long-term effect. Without strengthening and mobility exercises, the impact of the therapy will wear off after a few months and the issue will return. Am sticking to zone 2 mostly while I do the therapy, but occasional (foolish) forays into Z4 and 5 have not resulted in pain, so something has definitely changed!
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