The Best Treatment for Patellofemoral Pain Syndrome

Patella Femoral Solutions

Patella Femoral Solutions is a complete program that will walk you step by step through 21 exercises proven to eliminate knee pain caused by patella femoral syndrome. It contains the best exercises to treat patella femoral syndrome. Each exercise has been tested and proven on hundreds of patients just like you. Patella Femoral Solutions is divided into 4 levels, with each level building upon the previous as your body gets stronger. These are the same exercises I use with my own patients and I know they work. The entire program requires very little equipment, so you don't have to make any huge investments or gym memberships. That also means you can do it in the comfort of your own home, saving time and gas driving to a rehabilitation clinic or gym. Best of all, patella femoral solutions will give you back your life and the freedom to do the things you love. No more sitting on the sidelines because it hurts to run. No more waking up in the middle of the night from aching knees.

Patella Femoral Solutions Summary

Rating:

4.6 stars out of 11 votes

Contents: Ebook
Author: Barton Anderson
Price: $24.95

My Patella Femoral Solutions Review

Highly Recommended

All of the information that the author discovered has been compiled into a downloadable book so that purchasers of Patella Femoral Solutions can begin putting the methods it teaches to use as soon as possible.

As a whole, this e-book contains everything you need to know about this subject. I would recommend it as a guide for beginners as well as experts and everyone in between.

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Patellofemoral Joint Pain

Hoke,2 a physical therapist, provided a good analysis of the mechanical causes of patellofemoral joint pain The knee extensor mechanism attenuates the shock, accepting body weight when the foot contacts the ground in running. This shock attenuation is accomplished through a smoothly controlled eccentric contraction of the knee extensors. The patel-lofemoral joint is a finely balanced system within the extensor mechanism, and multiple factors affect its alignment and function. The runner frequently experiences pain in the patellar region when this system lacks the necessary balance of power between medial and lateral forces. Excessive pronation of the foot also has been cited by multiple authors3,4 as a contributory factor in the development of anterior knee pain. The early peak in knee flexion after foot contact coincides with the peak in rear-foot pronation, and if the pronation of the rear foot becomes excessive, there will be adverse stress on the knee in the sagittal plane...

Medial Patellofemoral Ligament Pain

The function of the medial patellofemoral ligament is to passively restrict patellar excursion. When the patella is pulled away laterally from the midline, the medial patella sustains the stress of the excessive traction, which results in internal tibial rotation, valgus knee, or excessive pronation. The cyclist feels the pain right on the tendon of the medial patel-lofemoral ligament and a popping sensation with each pedal stroke. The treatment should include trigger points on both thigh and leg muscles, with trigger points on the patellofemoral ligament in addition to core muscles.

Dry Needling For Patellofemoral

Common knee injuries include patellofemoral tracking syndrome and patellar tendinitis. These are overuse knee injuries and are caused by the explosive, repetitive, and multidirectional movements in the sport.60 Patellofemoral tracking dysfunction may be caused by biomechanical imbalance, pronated feet, or a tight lateral retinaculum.54 Dry needling acupuncture is very effective for reducing overuse stresses in soft tissue. The trigger points on the low back, hip, and lower extremity, including the patellofemoral tendon, should be precisely located and needled. As with wrist injuries, relief of pain in knee injuries can be achieved in a few treatments, but this is only a part of the healing complete functional recovery requires more time. De-stressing treatment should be provided once a week before symptoms appear. Symptoms should be treated twice a week. While the low back and the knee are treated, the neck and shoulder should also be examined and treated.

Patellofemoral Stress Syndrome

Patellofemoral stress syndrome (PFSS) is a broad, nondescript term used in sports medicine to describe anterior knee pain when the true etiology is multifactorial or unknown. Multiple factors such as an increased Q angle, femoral anteversion, foot hyperpronation, gluteal hip weakness, tight hamstrings, and patellar malalignment are suggested contributors to anterior knee pain. PFSS is commonly seen in adolescent females but occurs in males and females of all ages. Pain can be unilateral or bilateral and is not usually associated with trauma or injury. Pain occurs with prolonged walking, running, stair climbing, jumping, or prolonged sitting (theater sign), but not usually at rest or at night. Many adolescents experience an increase in pain when they return to sports activity, especially if they do not condition in the preseason. Pain may occur in athletes, nonathletes, or overweight adolescents.

Common Lower Extremity Injuries Knee Injuries

The most common knee injury is a strain of the medial collateral ligament and is commonly referred to as breaststroker's knee. This is a chronic sprain of the medial collateral ligament that results from repetitive stress on this ligament.50 Other knee injuries include patellofemoral pain, medial synovitis, and medial plica syndrome (medial synovitis).51

Subluxation of the Patella

The patella is attached to the quadriceps tendon proximally and to the patellar tendon distally and articulates with the patellofemoral groove on the femur to form the patellofemoral joint. The patella slides over the groove during knee flexion. However, if the vastus lateralis is stronger than the vastus medialis, the imbalance forces the patella out of the groove. The same misalignment may occur if the side of the patella sustains a physical impact or if the knee twists strongly, which may happen upon landing from a jump.

Specific Knee Conditions

Chronic knee pain can be caused by a number of mechanical conditions that primarily result from excessive wear and tear on the knee and surrounding tissues. Chondromalacia patella or patellofemoral dysfunction causes knee pain that is much worse when going downhill or downstairs. Despite the large number of children and young adults who suffer from this condition, it is poorly understood. Although there are many proposed treatments for patellofemo-ral dysfunction, only two are generally agreed upon. The first is to avoid the activities that aggravate the condition. The second is a program of exercises that involve lifting the leg as it is held straight, which increases the strength of the muscles around the knee without bending it. Osteochondritis dissecans is the development of a dense area of damaged bone along the edge of the joint line. This may be the result

Steve Abel Dry Needling

179-181, 180i and thigh muscles, 177f, 178 Knee extensor muscles, 179, 180i Knee flexor muscles, 179-181, 180i Knee injuries, 228-229 in basketball players, 239 bursitis, 228-229 chondromalacia patellae, 229 in football players, 243 ligament sprains, 228 meniscal tear, 228 patellar subluxation, 229 patellar tendinitis, 229 patellofemoral pain syndrome, 229 in skiers, 246 in soccer players, 245 in swimmers, 248-249 in tennis players, 251 in volleyball players, 252-253 Knee joint, ligaments of, 179 Knee lateral rotators, 180i Knee medial rotators, 180i Medial patellofemoral ligament pain, in Patellofemoral pain syndrome, 229

Patellar Tendonitis and Fat Pad Impingement

Case 6 A 16-year-old basketball player has had intermittent anterior knee pain for the last six months that gets worse during basketball. He has pain with prolonged running and jumping. He denies an injury that began his symptoms. He points to the patellar tendon as to where he gets his pain. He has pain with resisted knee extension. He has tight hamstrings and difficulty with single leg squats as he goes into a valgus maneuver.