What Is Patellofemoral Syndrome
It is a general medical term about several clinical conditions in the knee, particularly the patellofemoral joint and soft tissues around it. It is a chronic clinical condition tht worsens with activities such as jumping, running, squats and stairs climbing, and tends to reappear in several cases.
What are the Symptoms fo Patellofemoral Syndrome
Symptoms experienced by patients include:
- Pain on the knee and anterior thigh
- Pain deteriotration with running, jumping, squats, stair climbing
- Pain after exercise
- Pain during exercise
- Functional restrictions
- Performance deteriotation
- Quality fo life deterioration
Risk Factors of Patellofemoral Syndrome
The syndrome usually appears in :
- Adolescence
- Young adults
- Sports or activities involving jumping
- Knee strain
- Load exceeding muscle capability
Differential Assessment
The petient must be assessed by an Orthopedic Physical Therapist, by taking medical history, clinical examination, and clinical tests, in order to determine the tissues affected and prescribe the suitable therapy, or refer to a Doctor. The syndrome involves clinical conditions :
- Patellofemoral Tendinopathy
- Iliotibial Band Syndrome
- Knee Osteoarthritis
- Posterior Cruciate Lingament rupture
- Anterior Cruciate Lingament rupture
- Refered pain for hip
- Refered pain from Spine
- Chondromalacia Patellae
- MCL or LCL Injury
- Meniscus Injury
- Other clinical conditions
What if I do not treat Patellfemoral Syndrome
Patellofemoral Syndrome, if not properly treated, will become a chronic clinical condition with symptms such as :
- Chronic pain
- Episode reccuring every 2 years
- Functional restrictions
- Performance deterioration
- Quality of life deterioration
- Tendon rupture and other medical emergencies
How can Physical Therapy Help
Orthpedic Physical Therapy is a necessary treatment for Patellofemoral Syndrome. Depending on the assessment outcome, a specialized and individualised treatment is prescribed. First, pain is addressed with specialised exercise, massage and electrotherapy invterventions, which bring an immediate result. Later a strucutred exercise program is prescribed, that will restore mobility and strength and protect from reccuring symptoms. Interventions applied :
If you have pain in the knee Contact PhysioDanali today for expert consultation.
References
Gaitonde DY, Ericksen A, Robbins RC. Patellofemoral Pain Syndrome. Am Fam Physician. 2019 Jan 15;99(2):88-94. PMID: 30633480.
van der Heijden RA, Lankhorst NE, van Linschoten R, Bierma-Zeinstra SM, van Middelkoop M. Exercise for treating patellofemoral pain syndrome. Cochrane Database Syst Rev. 2015 Jan 20;1:CD010387. doi: 10.1002/14651858.CD010387.pub2. PMID: 25603546.
Logan CA, Bhashyam AR, Tisosky AJ, Haber DB, Jorgensen A, Roy A, Provencher MT. Systematic Review of the Effect of Taping Techniques on Patellofemoral Pain Syndrome. Sports Health. 2017 Sep/Oct;9(5):456-461. doi: 10.1177/1941738117710938. Epub 2017 Jun 15. PMID: 28617653; PMCID: PMC5582697.
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