Can bilateral patellar enthesophytes be a factor in my severe chronic knee pain? if so what can be done? fortunately the x-rays didn't show any arthri

Sign of tendinitis: Entheseophytes (bony protuberences emanating from the insertion sites of tendon onto bone) about the inferior or superior poles of the patella can be a radiographic hallmark or sign of underlying tendinitis involving either the quadriceps tendon (superiorly) or the patellar tendon (inferiorly). Physical therapy focusing on a stretching program and then strengthening can help as 1st line treatment.