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PATELLOFEMORAL PAIN

Pain in front of the knee is very common and can cause difficulty with sitting for long periods, going up & down stairs, crouching and getting up from sitting. There are several causes of this type of knee pain and it require a careful assessment using special tests and the use of MRI Scans and x-rays to work out what exactly is causing the pain. It could be the cartilage of the kneecap, the tendons around it or other parts of the knee. Occasionally the pain may be from other areas in the leg. Often damaged joint surface behind the kneecap may be causing pain and so stops the knee moving. This lack of movement causes the knee to stiffen and the ligaments around the knee become tighter and so the pain becomes worse. One approach to treat the pain is to undo this tightness by stretching the ligament out. For some this avoids the need for an operation and all of its risks completely. I usually recommend special exercises called DEED-FLEXION EXERCISES. Thet should be done 4 times per day. It only takes 5 minutes and can be done anywhere whether at work or home. No special equipment is needed. To do the exercises 1. Place a watch or clock with a second hand on a table. 2. Then stand facing a table with the tip of the toes about 2 foot away. The feet should be shoulder width apart. 3. Place hands on the surface of the table, shoulder width apart. 4. Then bend both knees so as to drop down, keeping the back straight up. 5. Drop down to the point of maximum pain in the knee. You should aim to eventually make the heal get as close to the buttocks as possible. 6. Hold that position for a full 20 seconds. 7. Lean forward and take the body weight on the arms. 8. Push against the table to assist in standing up again. 9. Repeat steps 4 to 8 above 15 times. In addition I always recommend non-loading range of movement exercises. This includes doing: a) cycling on an exercise bike for 5 minutes every day and adding a further 5 minutes at the end of each week until 60 minutes are reached and b) swimming. These exercises lets you move your knee without putting weight across the joint. These deep flexion and non-loading range of movement exercises often cause the symptoms of pain to get worse especially in the first two weeks of doing these them. Taking painkillers forty five minutes before doing the exercises often helps to keep this under control while exercising. If done regularly (4 times a day) it may have a significant effect on your pain but it does take about six to eight weeks before these exercises are effective. If the exercises fail then I would consider keyhole surgery. This involves treating the joint surface and releasing the tight ligaments using special equipment. I will be happy to make a full assessment, simply make an appointment via Chartwell Hospital: or my secretary on pp@cartilage-surgery.com

Patellofemoral pain  

This is an article that illustrates how to improve the anterior knee pain the causes difficulty navigating stairs, getting up from sitting o...

Patellofemoral pain  

This is an article that illustrates how to improve the anterior knee pain the causes difficulty navigating stairs, getting up from sitting o...