Hi SPenny

Looks like you deciphered the handwriting well.

The note seems to identify the insertion of the patella tendon into the Tibial Tuberosity as the area affected.

Strengthening VMO and the Abductors of the hip as part of your rehabilitation should assist in relieving this (as long as treatment is guided well by a physio/sport rehabilitation/athletic trainer).

The VMO muscle attaches on the inside of the kneecap to assist in stabilising your kneecap when it moves. Hip Abductors control the knee from moving inwards when standing. Weakness in either of these areas can increase the load placed on the patella tendon leading to tendinopathy.

Hope this helps explain a few things, but feel free to fire away with any questions.