Running and patellar tendon swelling - just stop running?

Hey y’all -
Really love all the BBM content and programs I’ve run so far. I’m currently in week 7 of General Strength & Conditioning and ran The Bridge before this. I really like the programs and have been trying to use jogging/running as prescribed for my LISS at RPE6. I was doing bike, boxing, sled, and other stuff for my HIIT as I knew sprints would cause my patellar tendon (i think) to swell and effect my squat. It’s not painful unless I get below parallel, or yank on my foot to pull it away from my knee. I believe this is just swelling that creates pressure in the knee which causes the pain and not something more serious. That said, as soon as jogging started getting over 25-30min, it was also causing the swelling below my knee cap. I have lots of other options available to me for LISS: mountain bike, road bike, Peloton, rower.

Should I just select a lower impact activity for LISS?

BACKGROUND ON THE INJURY
I’ve had this issue for many years and I believe its related to a knee tendon/ligament issues I had when I was around 10 years old. I injured my knee ligaments so bad that I was in a full leg brace for around 4 months. My parents do not recall what the injury was specifically, so I don’t know what it was. I can and do participate in quite a bit of physical activities without it ever swelling or causing me trouble. But the impact from running seems to really get the swelling going. It lasts for a week or so and then just goes away. I normally train through it with a knee brace or movement modifications if squatting to depth doesn’t feel good.

BACKGROUND ON ME & TRAINING
I’m a 40yo man, 295lbs, 6’3". I am very regularly very active and bike, walk, hike and box at least weekly in addition to resistance training. I’ve been active my entire adult life and previous raced cyclocross and road as a Clydesdale :smile:. I’ve always used done form of resistance training and weightlifting, but didn’t do what you might call “programmed” training until 3 years ago when I started a SS linear progression. Since then I’ve worked with a few coaches and now am running BBM programs on my own (though my home gym has great coaches who I know personally that give me great tips and pointers). I’ve made consistent gains for the ups and downs of the last 3 years and feel like I am probably at the healthiest I’ve ever been. In terms of my body weight, lean body mass, or BF% - I’m what the BMI would consider obese. This is the size I’ve been my entire life, so this isn’t from any sort of lifestyle change or recent things.

Hey there -

There are likely programming modifications to your running that would allow you to tolerate it better. Some useful resources we have on the topic can be found here:

Running injuries podcast: Episode #117: Running Injuries–Barbell Medicine Podcast – Apple Podcasts
Guide to tendinopathy: https://www.barbellmedicine.com/blog/the-barbell-medicine-guide-to-tendinopathy/
Pain in training: Pain in Training: What To Do?

With that said, if you’re just running for the sake of general conditioning and don’t have any other specific preference or reason to run in particular, it may also be reasonable to choose an alternative modality that is better tolerated.

Thanks so much for the info and links Dr Baraki. I never saw two of those items, but I think I was searching poorly.

Thanks!