A 12-year-old with patellar tendinitis is unable to hop due to pain. What should the therapist focus on initially?

The focus on iontophoresis using dexamethasone, along with education on avoiding activities that exacerbate the condition, is appropriate for managing patellar tendinitis in a 12-year-old. Iontophoresis is a method of delivering anti-inflammatory medication, such as dexamethasone, directly to the affected area, which can help reduce inflammation and pain associated with tendinitis. This approach not only targets the underlying condition but also acknowledges the need to manage the acute symptoms effectively.

Furthermore, educating the young patient and their guardians on avoiding movements that place stress on the patellar tendon, such as squatting or jumping, is crucial for preventing further aggravation of the condition. This conservative management allows for the healing process to begin while minimizing pain during functional activities.

In this scenario, focusing on medication delivery through iontophoresis and patient education provides a balanced approach that prioritizes recovery and symptom relief in a young athlete suffering from patellar tendinitis. Other modalities or aggressive exercise regimens could potentially worsen the condition or lead to further injury if initiated prematurely in the healing process.