Mr. Rowan is a backpacker who love to travel with his bicycle. Due to long hour and long distance cycling, he is facing pain at his both knee cap area. The pain had make him decided to take a break at Johor, Malaysia to receive treatment before he continue his journey. After assessment, we suspected that he has patella tendinitis at both of his knee. His both knee condition is improved after few sessions of treatments with us. Now, he had re-started and continued his bike tour without any pain.