Collagen synthesis in tendons is promoted only with appropriate mechanical stimulation. Since complete rest can actually lead to the progression of tendon atrophy, the current evidence-based standard is to begin eccentric exercises (downward squats) within a pain level of 2/10 or less. Sneakers with midsole cushioning reduce the load on the patellar tendon compared to high heels or flat shoes, and low-impact aerobic exercise (swimming, indoor cycling) helps maintain cardiorespiratory function and manage weight.

Perspective of a Korean Medicine Clinic

Just as the principle in Korean medicine states that movement generates Yang energy, appropriate activity promotes the circulation of Qi and blood, aiding tendon recovery. However, excessive movement depletes Qi and blood, so you must adjust the intensity by treating pain signals as a warning from your body. Dongjedang provides guidance on the permissible range of exercise for each treatment stage, and combining light stretching with acupuncture treatment while local Qi and blood circulation is activated enhances treatment efficiency.