Fifty-one college students with chronic patellar tendinopathy were randomized to receive either combined heavy slow resistance (HSR) training and high-dose therapeutic ultrasound (TUS) (n=17), HSR alone (n=17), or TUS alone (n=17). The primary outcome of interest was the VISA-P score. Secondary outcomes included VAS pain scores, Y-Balance Test, Modified Thomas Test, maximum isometric muscle strength, horizontal jump distance, and musculoskeletal ultrasound measures. Outcomes were assessed at baseline, post-intervention (8 weeks), and at 16 weeks for VISA-P. Overall, the results of the study revealed that the combined group demonstrated the greatest improvement in VISA-P scores, pain reduction, quadriceps flexibility, and muscle strength. The findings suggest that a combined approach is more effective than either intervention alone for treating patellar tendinopathy.