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Patellofemoral Pain Syndrome & Knee Pain


Patellofemoral pain syndrome (PFPS) is a term used to describe pain originating from the region of the patella (kneecap) and femur (thigh bone). It is a common knee problem. Other names for this syndrome include: retropatellar pain, anterior knee pain, and chondromalacia patellae. None of these terms accurately describe the cause of this pain, which remains elusive and poorly understood.

Signs and Symptoms

  • Pain primarily in the front of the knee
  • The pain may be present in only one knee or in both knees.
  • Pain with stair climbing and especially going down the stairs.
  • Pain with prolonged sitting.
  • The pain is usually exacerbated by squatting and kneeling.
  • The pain may be associated with a cracking.
  • It is generally an aching pain, but can become sharp in nature and even be associated with a burning sensation.
  • The knee may feel unstable or giving way.

Treatment for Patellofemoral Pain Syndrome

  • Ice packs may be helpful when the pain is in an acute phase or a hot pack when the symptoms are less acute. These modalities should not be applied for longer than 10-minutes. The footwear may need to be evaluated and modified. Anti-pronation insoles can help in some cases. Soft braces with patellar cutouts may provide modest symptomatic relief in selected cases.
  • Cryotherapy / Hot packs
  • Ultrasound / Interferential therapy / Functional electrical stimulation
  • Myotherapy
  • Myofascial Release/Trigger point Therapy
  • Patellar Mobilization
  • McConnell’s taping
  • Strengthening Exercise
  • Stretching Exercises ( IT BAND Strecching)
  • Home Exercises
  • Orthotics

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