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EXPERT ADVICE
EXPERT ADVICE
WHAT YOU KNEE’D TO KNOW About Patellofemoral Syndrome
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atellofemoral Syndrome (PFS) is also referred to as “runner’s knee.” However, almost anyone can get it. It affects runners, cyclists, curlers and hikers, as well as office workers or anyone who sits for long periods of time. It’s also common in teens. The knee is a complex joint that not only bends and straightens, but also twists and rotates. It is not a simple ball-and-socket joint, like the hip. It depends heavily on the soft tissues that surround it — the muscles, tendons and ligaments — because it is a weight-bearing joint that is subjected to many different types of motion. People with PFS usually have pain in the front of the knee, around or beneath the kneecap. They may have difficulty going up or down stairs. Also, after remaining seated for a prolonged time, they may experience extreme discomfort with their first few steps after rising. These symptoms can be improved with further walking. They may also complain of joint locking or the feeling of joint instability. Some people may have a slight problem in the alignment of the patella, where it moves over the lower femur. This may cause the patella to rub on, rather than glide over, the lower femur. It may be due to the way the knee has developed. Or, it may be due to an imbalance in the muscles around the knee and hip, such
as the large quadriceps muscle above the knee and the muscles that stops the hips from tilting when standing on one leg. A combination of an alignment problem (as above) and overuse with sports may be the most common reason for getting PFS pain. Weak hip muscles may cause patellofemoral pain by causing the thigh bone to be slightly turned inwards, leading to the patella being pulled slightly to one side. Foot problems may also play a part; for example, where the feet do not have strong arches (flat feet). This makes the foot roll inwards (pronate), which means the knee has to compensate for the inward movement. However, it is unclear whether this causes the knee problems or may be an effect. R.I.C.E. (rest, icing, compression and elevation) may be advised to reduce the initial symptoms of runner’s knee. This protocol will be particularly important if the symptoms are manifesting for the first time. Quadriceps strengthening is most commonly recommended because the quadricep muscles play a significant role in patellar movement. Hip, hamstring, calf and iliotibial band (IT band) stretching may also be important. The decision to incorporate these additional exercises depends on an accurate physical examination by a professional. Custom orthotics can be
YOUR HEALTH
helpful for patients with a wide variety of lower extremity complaints, including PFS pain. Braces for patella femoral syndrome help to reduce pain resulting from maltracking or patella instability. However, there are many types of braces for PFS, and the optimal brace must be individually assessed. Soles in Motion encourages you to make a no-obligation appointment so we can talk to you about your condition and solutions to reduce your pain. We are here to help and keep you moving no matter what your abilities!
Jennifer Estabrooks Co-owner, General Manager Soles in Motion Now located at the new Baker Drive Health & Wellness Centre 133 Baker Dr., Dartmouth 902.468.7911 solesinmotion.ca
Keeping you in motion!
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