I have seen a doctor, they did not make a diagnosis, in their opinion there was no evidence of ligament/significant damage (enough to warrant imaging or further treatment), and sent me on my way.

I don’t know what I’m dealing with, sometimes the patellar tendon area gets tight, sometimes the suprapatellar pouch feels junky (especially on the medial side). I’ve flossed/tacked/voodoo flossed/stretched/banded distraction/ up & down stream –  in short, I’ve reached the end range of my ability to treat this.

I would not describe this as pain, just the “junky” feeling of a machine running without proper lubrication/off alignment. I can squat without sharp pain, just excessive tightness and discomfort.