Patellofemoral Pain
What is a Patellofemoral Pain?
Signs & Symptoms of Patellofemoral Pain
One or more of these symptoms may be present.
- Pain around the kneecap during / after activity.
- Pain when / after sitting for a long period of time.
- Occasional buckling, where the knee suddenly gives way and doesn’t support normal body weight.
- Catching, Popping, Grinding sensation during various activities.
Causes of Patellofemoral Pain
There is no specific cause, however a range of factors can contribute to developing Patellofemoral Pain.
Injury – A fall, sporting injury or previous surgery that affects any of the structures that stabilise the kneecap can lead to patello-femoral pain.
Overuse – Continual overuse or overload of the knee form various activates can lead to pain.
Natural Body Shape – The natural position of the hip, knee and feet bones can increase the risk of maltracking of the kneecap.
Conservative treatment of Patellofemoral Pain
Stretching – This is one of the most important aspects of treatment. Stretching should be performed at least 3 times per day as it aids in lengthening the muscles around the knee.
Ice – Icing is the preferred method to decrease inflammation. You can apply ice to the inflamed area for up to 20 minutes, three to four times a day to help relieve symptoms.
Anti-Inflammatory Techniques – Non-steroidal anti-inflammatories (NSAIDs) can be used intermittently to help decrease inflammation and pain.
Activity Modification – Any activities that worsen symptoms should be limited, and once pain ceases exercise should be gradually reintroduced.
Changes to Footwear – It is important to have appropriate fitting footwear to help align structures and decrease maltracking of the kneecap.
Orthotic Therapy – Orthotics are used in footwear to help support and align the bones from the feet to the knee to the hip. Orthotics can also stop the maltracking of the knee.
Shockwave – Shockwave helps with the reduction of pain by stimulating new blood flow in the area, promoting tissue healing and regeneration.
Surgical treatment for Patellofemoral Pain
Surgery for patellofemoral pain may be considered as a last resort once all other methods of management for the condition have been explored.