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Patello Femoral Pain and its Management

What is Patello Femoral Pain?

Anterior knee pain syndrome is defined as the pain that occurs at the front and center of the knee. This syndrome is also known as Patello femoral pain syndrome. It is the most common type of knee pain and it primarily affects knee joints. It can also be accompanied by swelling and redness on the anterior knee, as well as bleeding. The pain itself varies in intensity from mild to severe and may cause general discomfort or a constant ache that can be very aggravating for those who suffer from it.

The causes of anterior knee pain syndrome primarily stem from wear and tear on the Patellofemoral joint (or where your kneecap connects to your thigh). The tendon and bone tissues in and around the kneecap, in particular, may become irritated and inflamed because it rubs against the femur when you move, Due to incorrect posture, degeneration, misalignment, changes in physical activity, aging, or even overuse which triggers inflammation or impingement at this point of contact which can lead to anterior knee pain syndrome.

Physiotherapy Treatment of Patello Femoral Pain:

  • Strengthening exercises for VMOs, gluteal muscle, and pelvic and hip stabilizing muscles.
  • Close kinematic chain exercises- Closed chain VMO. such as
    • Starting in a standing posture with a ball behind your knee and against a wall, do a terminal knee extension against the ball. The knee should be slightly bend. Next, attempt to straighten your knee by pressing the back of your knee on the ball.
  • Stretching of IT Band and Vastus lateralis muscle, hamstring, rectus femoris, gastro-soleus, and hip flexors.
  • Patellofemoral Kinesio-taping or McConnell taping.
  • Lumbo pelvic mobilization.
  • Patella mobilization.
  • Using a customized insole helps keep your foot arch healthy.
  • Also, Wear shoes that control excessive foot pronation.
  • In addition, Proprioceptive training.
  • Therapeutic modalities are such as ultrasound, Dry needling. Extracorporeal shock wave therapy, Super inductive system, and high-intensity laser.

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