Patellofemoral joint (PFJ) pain is a condition that involves the structures of the knee joint. The bones involved include the thigh bone, the shin bone and more specifically the kneecap (patella). When you are diagnosed with PFJ pain it is condition in which the patella is no longer moving or tracking correctly when the knee is loaded. Managing patellofemoral pain syndrome is a challenge, in part because of lack of consensus regarding its cause and treatment. Contributing factors include overuse and overload of the patellofemoral joint, biomechanical problems and muscular dysfunction. The initial treatment plan should include quadriceps strengthening and temporary activity modification. Additional exercises may be incorporated as dictated by the findings of the physical examination. Footwear should be closely evaluated for quality and fit, and the use of arch supports should be considered. Patellofemoral pain syndrome can be defined as retropatellar or peripatellar pain resulting from physical and biochemical changes in the patellofemoral joint. It should be distinguished from chondromalacia, which is actual fraying and damage to the underlying patellar cartilage. Patients with patellofemoral pain syndrome have anterior knee pain that typically occurs with activity and often worsens when they are descending steps or hills. It can also be triggered by prolonged sitting. One or both knees can be affected. Consensus is lacking regarding the cause and treatment of the syndrome. Physiotherapist will determine what factors may be contributing to your pain and will treat you accordingly and develop a strengthening program for your knee and pelvis after the physical assessment.
Posted on: Fri, 21 Nov 2014 09:43:13 +0000