Patello-Femoral discomfort Syndrome(PFPS) or Anterior knee discomfort is mostly a condition characterised by disabling discomfort in the anterior aspect of knee.
CAUSES of Anterior Knee Pain:
Patellofemoral Instability due to irregular Q- angle, Dysplastic trochlea, Patella Alta, Tight lateral retinaculum, weak medial stabilizers.
Patellofemoral biomechanical dysfunction due to increased Q – angle, femoral anteversion, external tibial torsion, genu valgum, foot hyperpronation.
Soft tissue injuries like Plica Syndrome, fat Pad Syndrome, Patellar Tendinitis, Iliotibial Band Friction Syndrome (Housemaid’s Knee), Osteochondritisa dissecans, distressing Patellar Chondromalacia, Patellofemoral Osteoarthritis, Apophysitis and trauma.
WHEN TO seek guidance from A PHYSIOTHERAPIST
If any on the following indicator or indicator is noticeable within your knee seek guidance from a :
Weakness- it will be due to reflex inhibition of Vastus Medialis Oblique(VMO) or simply Quadriceps.
Pain- it will be within the anterior aspect of knee and around the margin of patella.
Redness- The impacted knee may be inflamed around the patella and in reduce thigh.
Redness- it will be also noticeable in some cases in the top part of patella and around it.
Disability- trouble to perform ADLs like sitting down cross- legged, climbing stairs, walking, jumping
Stiffness- discomfort and stiffness in the morning or just after sitting down in one particular stance for long hours.
Heating modalities like SWD, Therapeutic currents, Hydrocollator packs, Paraffin polish Bath
Healing of tissues by using Ultrasonic therapy
Muscle setting physical exercises for Preferential Activation of Vastus Medialis Oblique (VMO)
RETURN TO function PHASE
Isometric physical exercises on the quadricep femoris and hamstrings
Gentle Patellar Glides
Progressive Resisted physical exercises for that Quadriceps
MET and hold unwind for that Hamstrings
Until the knee is indicator free, the affected individual need to prevent activities which can painful.
Avoid stair ascending and descending.
Avoid sitting down with the knees flexed excessively for prolonged intervals e.g. sitting down with legs crossed, by using ground degree toilet.