This is a case of a 19-year-old female Division 1 volleyball athlete with right anterior knee pain assessed using evaluation and diagnostic ultrasound. Anterior knee pain symptomology is commonly found among female jumping athletes. The ultrasound was used to examine the intratendinous changes of the patellar tendon. Hypoechoic changes in the infrapatellar tendon were noted on the right patellar tendon. A 6-week therapeutic intervention was implemented. Postintervention ultrasound assessment showed decreased hypoechoic changes in the right anterior knee. The unique feature of this case is the use of point of care ultrasound in detecting hypoechoic changes within the patellar tendon with therapeutic interventions.