Doctor insights on:
Medicine For Patellofemoral Pain Syndrome
Sometimes: Patellofemoral syndrome is often successfully treated with aggressive, committed physical therapy aimed at strengthening the inside portion of your quadricep muscle. Damage of the smooth articular cartilage on the undersurface of the knee cap is called chondromalacia patella. If this damage is severe enough, then either a partial or total knee replacement may be indicated. ...Read more
Patellofemoral pain syndrome causes pain in the front of the knee and around the patella, or kneecap. It is common in people who participate in sports—particularly females and young adults—but patellofemoral pain syndrome can occur in nonathletes, as well. It is sometimes called "runner's ...Read more
Could it happen that a knee replacement surgery treat patellofemoral syndrome or chondromalacia patella?
Last resort treatmen: Running causes high forces in this portion of the joint. So does arising from a chair, going up/down stairs. Treatment consists of activity modification, ice, anti-inflammatory meds and therapy aimed at flexibility and strengthening, especially of your core. Doubt knee replacement would be needed unless other compartments of knee also arthritic. Patellofemoral replacement as a last resort. ...Read more
It depends....: On whether the patella was resurfaced. Some patients will still have pain if their patella was not resurfaced. They may have damaged cartilage on the knee cap that is rubbing against the implant. Unfortunately resurfacing the kneecap later often only helps about half the patients. Talk with your surgeon or get a second opinion. There may be something else going on like loosening or infection. ...Read more
Unlikely: I doubt it would provide any real benefit but you can always try it and find out. ...Read more
Pain around kneecap: Pain surrounding and behind the knee is pfp syndrome. Following a tkr it usually is the result of imbalance of the surrounding soft tissues or tightness of the posterior muscles (hamstrings). It can also result from excessive scarring. Rarely it is the result of component malposition. Treatment is mainly with structured and home therapy. Rarely revision surgery is required. ...Read more
With patellofemoral pain syndrome, is there anything at the gym that I should avoid, and anything I should do more of?
No free weights: Free weights while standing, treatmills, 'zumba', p90x training and anything that requires deep knee flexion will aggravate. Elliptical trainers with low ramp height, fixed weight machines in seated position and stationary cycling with seat set high will probably not cause a problem. ...Read more
Can doing yoga (which I have never done before) help patellofemoral pain syndrome, or is there a risk that it might make it worse?
Could go either way: There are many different styles of yoga and each style has many different exercises/poses. I have no doubt that the proper type can help as well as no doubt that the wrong postures can aggravate it. You should not take a generic class but receive individualized instruction by a qualified teacher aware of your condition- or at least ask a physical therapist what to do and not do. ...Read more
Control Inflammation: Patellofemoral pain is caused by inflammation under the knee cap caused by irregular tracking when bending knee. To control symtoms you can ice joint, strengthen inner thigh muscles (vmo), use patella-stabilization brace, and take oral anti-inflammatory medication. Treatment usually requires activity limits for period of time, such as decreased running and staying on soft, flat surfaces. ...Read more
Can patellofemoral pain syndrome cause pain only every few days (i.E. Not constantly)? Been working out for a month & now I get pain about once a week
Yes it can B episodi: ....C especially if u r doing a specific exercise that stresses the area of involvement of ur patella. Watch it closely ; figure out the activity ; avoid it. ...Read more
PFS can happen: Marfan syndrome patients can get aches and pains in many joints because of the looser ligaments trying to hold the joints together at rest and under physical stress. Patellofemoral syndrome is common in normal, active school-aged children, so it is hard to tell whether or not it occurs more often in Marfan syndrome kids. ...Read more
Do no use incline: It is ok to use the treadmill provided is not in an incline, incline increases the patellofemoral joint forces. Staight line should be ok. ...Read more
I'm 28 and have been diagnosed with patellofemoral syndrome and been refered to a physio for a year. Does this work or is surgery work best?
Surg. Rarely needed: Patellofemoral syndrome (also called chondromalacia patellae) is a common problem. Pain usually occurs going down hills or stairs, kneeling, or squatting. The problem is roughening of the cartilage on the back of the patella (kneecap). Avoiding activities that aggravate the condition, isometric quadriceps strengthening exercises, and simple pain medications help. Surgery is rarely needed. ...Read more
What (in simple english ;-)) is patellofemoral pain syndrome? I'm told it's something to do with one muscle not being as strong as another muscle?
Contact with kneecap: Contact of femur with knee cap, usually related to knee instability. ...Read more
Strengthen quads: 'Permanent cures' from kneecap pain are difficult. Depending on the 'wear' of your patellar cartilage, patellar instability, 'Q' angle, weight and quadriceps strength/ tone and your motivation... My advice without knowing anything about you is this: strengthen your quadriceps as much as u can and keep your weight down (high school weight)...See an ORS who treats patellofemoral pain/ instability. GL ...Read more
Is artificial cartilage going to be an option for patellofemoral syndrome & otherjoint problems soon? I am in pt for my grinding knees but am curious
Cartilage transplant: Has been studies to a small degree. Most of the procedures end up developing fibrocartilage as opposed to hyaline cartilage which is a better tissue type. There may be some promise with stem cell studies, but there are risks associated with this as well. Maybe another physician on the site is performing research that has more information. ...Read more
Treat cause/symptoms: "runner's knee" is not a specific diagnosis but a term for knee disorders occurring in runners. In general, the reason for the pain is overuse and/or inflammation. General recommendations: avoid the aggravating activity, rest, ice, anti-inflammatory medication, compression/bracing, and time. Once improved, gradual return to running, and increased cross-training, may limit recurrences. ...Read more
What are some good cardio workouts for someone with chondromalacia patella (patellofemoral syndrome)?
Careful: Avoid bending the knees more than 45 degrees and almost everything is ok. ...Read more
Can Stress Out About Having Chronic Pain (patellofemoral pain syndrome) Make You Have Anxiety. Been Having pain forweek now.& then the attacks happen.
I've chondromalacia patella and have been strengthening my vmos to resolve my patellofemoral pain syndrome. How long before the chondromalacia is gone?
Months: Can take several months. Need to add a core strengthening program and stretching too. If its not responding by then, go see your orthopedist (again?). ...Read more
Dr. Peter m. Ihle - clarifying earlier mess I do have patellofemoral syndrome & chondromalacia w/subluxable patella....Re pop. What procedures correct?
Try Exercise First: I'm not sure if this is a question that had already been answered or not, but you should address any foot issues (over pronation, flat arches, etc) then use exercises to stretch lateral knee structures and strengthen the vastus medialis muscle in the quads. Physical therapy may help as well. Don't jump to surgery unless you try conservative treatments for a few months first. ...Read more
What exercises will help me cure my patellofemoral pain syndrome and how long should it take if I've been suffering from it in both legs for 8 years?
Strengthen: Work on your quads (muscles in front thighs)- squats, lunges, frog jumps, etc., and your core- abs and back. Exercises that use your own body weight ("closed chain") are better than machines. You may find that initially it bothers you a bit more. Start slowly. Consider a session with a trainer or physical therapist at first to make sure your form is good, so you don't injure yourself. ...Read more