I have mild patellar tendinopathy, and would like to still get cardio in. I have an elliptical, but wonder the best way to leverage it while minimizing stress on the patellar tendon/quad. I know with biking, it is recommended to bike in reverse to unload the quad. Would using an elliptical in the opposite direction also do this? Or would using it forward be easier on the patellar tendon? Or is elliptical too hard on it?
You can consider swimming. Sometimes the issue may arise from muscular imbalances around the knee.
Personally I have tight quads and weak hamstrings. So it gave me some knee issues. Now I’m working to release my quads and strengthen my hamstrings.
I’m not sure what you mean by reverse biking but anything that involves knee extension (straightening knee) will recruit your quadriceps.