POPULARITY
8 episodes with Patellofemoral
6 episodes with Patellofemoral
8 episodes with Patellofemoral
6 episodes with Patellofemoral
4 episodes with Patellofemoral
2 episodes with Patellofemoral
2 episodes with Patellofemoral
2 episodes with Patellofemoral
2 episodes with Patellofemoral
[Download] How to Run Injury Free (6 Steps) How to avoid the most common running injuries! From patellofemoral pain syndrome (runner's knee) and IT band syndrome to shin splints and plantar fasciitis, Dr. Duane sits down with Dr. Mani Alavi from the Adaptation by Fire Podcast to share practical strategies to keep you running strong so you can enjoy injury free lifelong running. Dr. Scotti also debunks the myth that running damages the knees and highlights why a dynamic warm-up routine is essential for priming your body before hitting the pavement. Whether you're a new runner or a seasoned marathoner, this episode is packed with actionable advice to help you avoid injuries and enjoy your runs. We chat about all of this and more in this episode! - Patellofemoral pain syndrome (runner's knee) and why you don't need to stop running - IT band syndrome and treatment strategies - Shin splints and plantar fasciitis - The role of hip and glute strength in injury prevention - The importance of foot health and proper progression with running - Myths about running and knee damage Dr. Mani Alavi is an emergency medicine physician, former attorney and avid runner (veteran of multiple world major events including a veteran of the Boston Marathon and the hotter than normal 2024 Boston race) Dr. Alavi's area of focus is heat science with a special focus area on heat acclimation and training. Download Dr. Scotti's Free resources on Runner's Knee, IT band Syndrome, Shin Splints, and Plantar Fasciitis Want the structured run, strength, nutrition guidance on how to improve in your running journey with full accountability and support from our team to run without injuries? Learn more about our program here A big thanks to Naboso for your support for this episode! Want to know how I prioritize foot health as a runner? Kinesis board and toe splays from Naboso. Naboso's product, the Kinesis board features dual sensory stimulation, a micro-wobble system and a single-leg platform to improve my stability for running! Click here and use code HEALTHYRUNNER for 20% off your entire Naboso order! Connect with Dr. Mani Alavi: Email Doctor.apma@gmail.com Listen to Adaptation by Fire Podcast on Spotify Listen to Adaptation by Fire Podcast on Apple Instagram @fit.erdoc Connect with Dr. Duane: - Instagram - @sparkhealthyrunner - Join Our Healthy Runner Facebook Community - Subscribe to our YouTube Channel - duane@sparkhealthyrunner.com - www.sparkhealthyrunner.com Listen & Subscribe: Apple Podcasts Spotify Stitcher Google Play iHeartRadio Amazon Music Website
Do you have patellofemoral joint pain? Have you suffered from patellar instability? Listen to our latest podcast as we sit down with Dr. John Fulkerson, Professor of Orthopedic Surgery at Yale specializing in patella instability surgery and 3-D innovative research.
Patellofemoral pain after an ACL reconstruction or injury can be a huge problem if you don't know how to manage it and can at times grind rehab to a crawl. In this episode we sit down with a good friend Fin Murphy (@finmurphyphysio), who is an expert in ACL rehabilitation, to discuss how we can reduce the likelihood of patients experiencing PFP after ACL-R and what to do about it if you find yourself trying to manage it! This was a fantastic episode to record with loads of practical advice that you can implement straight away into your treatments. Along with (mostly) good analogies / metaphors to help with your communication. Fin can be found online on Instagram @finmurphyphysio and is well worth a follow for information around ACL rehab! Please note, this episode does not constitute medical advice.
Today's episode is going to focus on patellofemoral cartilage restoration and discuss osteochondral allograft transplantation for both patellar and trochlear lesions, as well as off-the-shelf options including Arthrex Cartiform. We will also chat about the addition of osteotomies to offload that cartilage restoration and optimize outcomes.We are joined today by Dr. Tom DeBerardino, a professor of orthopedic surgery at the University of Texas health San Antonio, team physician for UT San Antonio athletics and a retired US Army veteran.So, without further ado, let's get to the Field House!
In this episode, we review the high-yield topic of TKA Patellofemoral Alignment from the Recon section. Follow Orthobullets on Social Media: Facebook Instagram Twitter LinkedIn YouTube
In this episode, we review the high-yield topic of TKA Patellofemoral Alignment from the Recon section. Follow Orthobullets on Social Media: Facebook Instagram Twitter LinkedIn YouTube
Today's episode covers patellofemoral joint pain and strategies that can be implemented to help relieve pain and improve your functional ability. Patellofemoral joint pain syndrome (PFPS) describes a very common condition in which a person experiences pain just behind the kneecap. Pain associated with this condition is usually reproduced with activities that put more stress on the joint, such as running, climbing stairs, squatting or prolonged sitting. Successful treatment of this condition revolves around temporary behavior modification, such as reducing running mileage and avoiding periods of prolonged sitting. Incorporating exercises that strengthen the hip (glutes) and knee (quads) muscles is also important. If you are experiencing pain at the front of the knee with some of the activities mentioned above, I have created a FREE PDF that will teach you some of the best exercises to implement. Visit my podcast page and subcribe to access this free resource. My book has a more comprehensive patellofemoral pain syndrome rehab program that guides you through three phases of rehab and has picture of me doing all of the exercises. Click HERE to learn more about my book.
The right surgery for recurrent patellofemoral instability remains a topic of controversy. While medial patellofemoral ligament reconstruction (MPFLr) is the standby surgical procedure for this condition, many adjuncts including tibial tubercle osteotomy (TTO) are performed concurrently with the hope of improving the chances of success. Historically, a tibial tubercle-trochlear groove (TT-TG) distance greater than 20 mm has triggered surgeons to perform TTO, however recent evidence suggests this may be unnecessarily aggressive. We welcome Dr. Mininder Kocher, MD, MPH from Boston Children's and Harvard Medical School to discuss his study evaluating the outcomes of MPFLr alone versus MPFLr + TTO in patients with recurrent patellofemoral instability with a tibial tubercle-trochlear groove (TT-TG) distance greater than 20 mm.
Patello-femoral pain is a common, and at times, debilitating condition of the knee that can impact people across the lifespan. Professor Bill Vicenzino is a world leading expert on this topic and to that end I've enticed him onto the show to give us the ins and outs of this tricky condition. This is truly a must listen episode with a real pioneer of physiotherapy about a very common and important musculoskeletal condition. Key Papers: 1. Rathleff MS, Holden S, Krommes K, Winiarski L, Hölmich P, Salim TJ, Thorborg K. The 45-second anterior knee pain provocation test: A quick test of knee pain and sporting function in 10-14-year-old adolescents with patellofemoral pain. Phys Ther Sport. 2022 Jan;53:28-33. doi: 10.1016/j.ptsp.2021.11.002. Epub 2021 Nov 4. PMID: 34775189. 2. Powers CM, Witvrouw E, Davis IS, Crossley KM. Evidence-based framework for a pathomechanical model of patellofemoral pain: 2017 patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester, UK: part 3. Br J Sports Med. 2017 Dec;51(24):1713-1723. doi: 10.1136/bjsports-2017-098717. Epub 2017 Nov 6. PMID: 29109118. 3. Powers CM, Ho KY, Chen YJ, Souza RB, Farrokhi S. Patellofemoral joint stress during weight-bearing and non-weight-bearing quadriceps exercises. J Orthop Sports Phys Ther. 2014 May;44(5):320-7. doi: 10.2519/jospt.2014.4936. Epub 2014 Mar 27. PMID: 24673446. 4. Crossley KM, Stefanik JJ, Selfe J, Collins NJ, Davis IS, Powers CM, McConnell J, Vicenzino B, Bazett-Jones DM, Esculier JF, Morrissey D, Callaghan MJ. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. Br J Sports Med. 2016 Jul;50(14):839-43. doi: 10.1136/bjsports-2016-096384. Epub 2016 Jun 24. PMID: 27343241; PMCID: PMC4975817. 5. Nimon G, Murray D, Sandow M, Goodfellow J. Natural history of anterior knee pain: a 14- to 20-year follow-up of nonoperative management. J Pediatr Orthop. 1998 Jan-Feb;18(1):118-22. PMID: 9449112. 6. Dye SF. The pathophysiology of patellofemoral pain: a tissue homeostasis perspective. Clin Orthop Relat Res. 2005 Jul;(436):100-10. doi: 10.1097/01.blo.0000172303.74414.7d. PMID: 15995427. 7. Holden S, Matthews M, Rathleff MS, Kasza J; Fohx Group; Vicenzino B. How Do Hip Exercises Improve Pain in Individuals With Patellofemoral Pain? Secondary Mediation Analysis of Strength and Psychological Factors as Mechanisms. J Orthop Sports Phys Ther. 2021 Dec;51(12):602-610. doi: 10.2519/jospt.2021.10674. PMID: 34847699. 8. Robertson CJ, Hurley M, Jones F. People's beliefs about the meaning of crepitus in patellofemoral pain and the impact of these beliefs on their behaviour: A qualitative study. Musculoskelet Sci Pract. 2017 Apr;28:59-64. doi: 10.1016/j.msksp.2017.01.012. Epub 2017 Feb 2. PMID: 28171780. The Shoulder Physio Online Course Connect with Jared and guests: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Bill on Twitter: @Bill_Vicenzino See our Disclaimer here: The Shoulder Physio - Disclaimer
In this episode, we review the high-yield topic of Patellofemoral Joint from the Knee & Sports section. Follow Orthobullets on Social Media: Facebook Instagram Twitter LinkedIn YouTube --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message
In this episode, we review the high-yield topic of Patellofemoral Joint from the Knee & Sports section. Follow Orthobullets on Social Media: Facebook Instagram Twitter LinkedIn YouTube --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message
In this episode, Dr. Sigman is joined by Dr. Sabrina Strickland, an Orthopedic Surgeon and Sports Medicine Specialist at HSS. Here, they discuss her specialization with patellofemoral joint and ACLS, her education and professional background, and more. This episode is brought to you by MIACH Orthopedic's BEAR Implant.
Roger is a 45-year-old is an avid cyclist who presents with anterior knee pain, especially after long rides. The pain is localized near the patellar tendon's inferior pole. What condition best describes these symptoms? A) Patellofemoral pain syndrome B) Osgood-Schlatter disease C) Patellar tendinitis D) Chondromalacia patellae LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Are you looking for a bundle of Coach K's Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Ortho Eval Pal: Optimizing Orthopedic Evaluations and Management Skills
In today's episode, I talk about...-Which patients are candidates for PF bracing.-Different braces.-What the goal is with PF bracing and so much more!PF Pain Syndrome Evaluation (Video)PF Taping VideoSupport OEP today!Welcome to our new sponsor! Chattanooga. To check out all they have to offer, trial modalities, have your questions answered about shockwave therapy, high level laser, radial pressure wave, connect with them HERE!Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page.Ask me your ortho evaluation questions and I will answer them on the show: paul@orthoevalpal.comCome visit our WEBSITE!! Click HERE to check it outGet our downloadable 1.5 hour shoulder anatomy with cadaver dissection lectureGet our downloadable 7.5 hour cervical and lumbar continuing ed courseGet our downloadable 6.0 hour shoulder continuing ed courseBe sure to "follow" us on our new Facebook PageI finally made it to Instagram. Stop by and check us outAre you looking for One on one Coaching? We have it!Be sure to check out our 500+ videos on our YouTube Channel called Ortho Eval Pal with Paul Marquis#patellofemoralbracing #kneepain #podcasts #PTpodcast #medical #health #orthopedics #Physicaltherapy #running #DPT #Medicalproviders #sportsmedicine #athletictraining#chiropractic #occupationaltherapySupport the show Thanks for listening! If you like our podcast, be sure to check out more of our great content at OrthoEvalPal.com, Instagram and Youtube. We'd love a rating or review on your podcast platform. And, as always, be kind to each other and take care!!
Episurf is a Swedish company who has brought 2020s technology into resurfacing implants with patient matching and 3D printed implants. Episurf is a very careful EU company that has invested in clinical studies for their Episealer implants. They have excellent clinical outcomes and have received US clearance for the Patellofemoral implant system. They are coming to America! Website - https://episurf.com/ Enjoy the discussion. --- Support this podcast: https://podcasters.spotify.com/pod/show/tigerbuford/support
In this episode, we delve into knee injuries in runners. From the common afflictions of Patellofemoral pain, IT band syndrome, and knee osteoarthritis, we explore what they are, why they occur, and how they impact your running performance. Our conversation further expands into the major causes behind these conditions, with special focus on training errors such as 'too much too soon', inappropriate hill training, over-striding, and weaknesses in quads and hips. But it's not all doom and gloom! We're here to offer effective treatment tips and preventative strategies. Learn how tweaking your running cadence, smart de-loading, trail running, strength training, and even changing your shoes can alleviate pain and get you back on track.
Medial patellofemoral complex (MPFC) reconstruction plays an important role in the surgical treatment of patellar instability. Anatomic reconstruction is critical in re-creating the native function of the ligament, which includes minimizing length changes that occur in early flexion. Anatomic risk factors for patellar instability such as trochlear dysplasia, patella alta, and increased tibial tuberosity to trochlear groove (TT-TG) distance have been shown to influence the function of the MPFC graft in cadaveric studies, but the native length change patterns of the MPFC fibers in knees with anatomic risk factors have not been described. In conclusion, the MPFC fibers demonstrated increased length changes in knees when a greater number of morphological risk factors for patellar instability were present, which worsened in the setting of nonanatomic configurations. This suggests that the function of the intact MPFC in patients with anatomic risk factors may not reflect previously described findings in anatomically normal knees. Further studies are needed to understand the pathoanatomy related to these changes, as well as the implications for graft placement and assessment of length changes during MPFC reconstruction techniques. To read the article, click here.
On each episode, we chat about the most recent developments in sports medicine with experts from around the country. In this episode, we're going to continue our discussion with Dr. Cassandra Lee and chat more about osteochondral allograft transplantation and tibial tubercle osteotomy.From the October 2020 issue of Cartilage, we start with the publication titled “Bipolar Osteochondral Allograft Transplantation of the Patella and Trochlea.” David DeWitt and colleagues at Kaiser Permanente Southern California prospectively followed 18 patients who underwent fresh osteochondral allograft transplantation of the patella and trochlea with an average follow up of 33 months. All patients had graft survival at final follow up with no revisions and no conversion to arthroplasty. All clinical outcome scores – including KOOS, IKDC, SANE and VAS – significantly improved from pre-op. We finish up our conversation with a focus on realignment osteotomies to augment cartilage restoration procedures for the patellofemoral joint, referencing an infographic from the 2019 issue of Arthroscopy titled “Optimizing Patellofemoral Cartilage Restoration and Instability With Tibial Tubercle Osteotomy.” The authors explain that the specific type of TTO depends on the pathology being treated, with four subgroups identified. In the absence of patellar instability, distal lateral patellar lesions are treated well with an isolated anteromedializing TTO while medial, central and/or panpatellar cartilage lesions are best treated with combined anteromedializing TTO and cartilage restoration as well. Patients with patellar instability require soft tissue stabilization, i.e. an MPFL reconstruction, and either a medializing TTO for those with lateralized tubercle position or a distalizing TTO for those with patella alta. Did you get all of that? Well, if you didn't don't worry. We have a nice graphic from this article on our Instagram – the sportsdocspod.
Welcome to The Sports Docs Podcast! On each episode we chat about the most recent developments in sports medicine and dissect through all the noise so you know which literature should actually impact your practice. On today's episode we're focusing on patellofemoral cartilage defects with Dr. Cassandra Lee, an orthopaedic sports medicine surgeon, team physician for the UC Davis Aggies and Sacramento Republic FC, and chief of the sports medicine service at UC Davis. Dr. Lee has published on and spoken a lot about cartilage – both at the basic science level as well as clinical application – so we're excited to have her join the discussion today. We have some great articles for you that contribute well to our conversation on the surgical treatment of patellofemoral cartilage disease. As always, links to all of the papers that we discuss on this show can be found on our podcast website. The first article is a systematic review published just this month in OJSM titled “Cartilage Restoration for Isolated Patellar Chondral Defects.” Ronak Patel and his colleagues at the Illinois Center for Orthopaedic Research and Education summarized the results and complication rates of various patellar cartilage restoration techniques. They concluded that osteochondral autograft transplantation and autologous chondrocyte implantation were the most studied procedures for isolated patellar chondral defects. The article also touches upon newer techniques such as augmented microfracture, but the authors state that there is wide variability in indications and techniques that must be clarified in future higher-level studies. Then, from the upcoming June issue of Arthroscopy this year, we review a retrospective cohort study titled “Utilization of Autologous Chondrocyte Implantation in the Knee Is Increasing While Reoperation Rates Are Decreasing Despite Increasing Preoperative Comorbidities.” Drew Lansdown and his team at UCSF observed a significant increase in the use of ACI since 2017 with a significant decrease in the rate of 90-day and 2-year reoperations for ACIs performed after 2017. Older age and tobacco use were predictors of increased risk of conversion to arthroplasty. Male sex was associated with decreased risk of reoperation. We are joined today by Dr. Cassandra Lee, a board-certified fellowship-trained orthopedic sports medicine surgeon and Chief of the Sports Medicine service at UC Davis. Dr. Lee obtained her medical degree from Boston University. She completed her residency training at Wake Forest University and sports medicine fellowship at Washington University in St. Louis, serving as team physician for the Washington University Bears, St. Louis Rams, and St. Louis Blues. Dr. Lee was a 2017 Lars Petersen Travelling Fellow for the International Cartilage Regeneration and Joint Preservation Society and a 2022 American Orthopaedic Society for Sports Medicine / Asian-Pacific Knee, Arthroscopy and Sports Medicine Society Traveling Fellow. She currently serves as team physician for collegiate and professional teams including the UC Davis Aggies and the Sacramento Republic FC. Her research interests are in modulation of post-traumatic osteoarthritis, currently funded by an NIH R01 and Department of Defense grants.
In this episode, we review the high-yield topic of TKA Patellofemoral Alignment from the Recon section. Follow Orthobullets on Social Media: Facebook: www.facebook.com/orthobullets Instagram: www.instagram.com/orthobulletsofficial Twitter: www.twitter.com/orthobullets LinkedIn: www.linkedin.com/company/27125689 YouTube: www.youtube.com/channel/UCMZSlD9OhkFG2t25oM14FvQ --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message
What is Patellofemoral pain syndrome? How can you reduce your risk? and how can you "treat" yourself if you've been diagnosed with it? For questions for us or about the show you can email us at Coach_Adam@graymethodtraining.com. To join in for "Ask Ross anything" click here. To join the "Graymethod health and fitness" community page for more fitness help, tips, and support, click here. For Ross's supplement recommendations click here. "The Get Better Girl"Jennifer Lanie, FDN-PFor The Get Better Girl website, blog, and to schedule a free introductory call click hereClick here to check it out on facebookClick here to check it out on Instagram or any questions for Sarah or to set up a session with her, following being on the previous podcast, use the information provided here! Sarah CoulombeUntapped Potential PT and Wellness WebsiteSarah.Coulombe@upptwellness.com(978)-219-4473
Dr Sinead Holden is an Assistant Professor in Sport and Exercise Science in UCD School of Public Health, Physiotherapy and Sports Science. Her research interests are in optimizing musculoskeletal health and development during adolescent growth, with a view to understanding and preventing overuse and loading - related injuries and their consequences on health and performance in youth. Her track record includes over 60 peer reviewed publications and >10 invited presentations. In this episode she discusses: The differences between Osgood-Schlatters and Patellofemoral pain. A simple rule of thumb for helping reduce the likelihood of Osgood-Schlatters. Why being physically prepared for the chosen sport is critical. What type of sports Osgood-Schlatters presents in. The risk factors for developing Osgood-Schlatters and why Severs may be an early warning sign. Why removing kids from sport is a bad idea and how treatment should focus on continued participation in sport. The Long term consequences of Osgood-Schlatters on physical performance and participation. The excellent rehab guide that Aalborg University group put together on Osgood-Schlatters. You can keep up to date with Sinead's work via her ResearchGate profile here: https://www.researchgate.net/profile/Sinead-Holden and via Twitter here: @Sinead_Holden . To learn more about the LTAD Network check out www.ltadnetwork.com or follow on Instagram: @ltadnetwork or Facebook: https://www.facebook.com/ltadnetwork . You can keep up to date with Athletic Evolution via our www.athleticevolution.co.uk , Instagram: @athleticevouk and Twitter: @athleticevouk .
Understanding the functional anatomy of the knee in barbell training is an important aspect of biomechanics that powerlifters, physical therapists, chiropractors, strength coaches, and doctors should understand. When you understand how the knee joint is structured and functions you'll have a better understanding of why certain ways of performing the squat and deadlift are more optimal than others. This will also help you understand the normal forces on the knee joint and how we can combine our knowledge of powerlifting programming and barbell movement mechanics to maintain healthy, pain free movements despite atypical structure and joint degeneration. In this episode of the PRS Podcast, PRS Clinical Coaches, Drs. Rori Alter, Alyssa Haveson, and John Petrizzo discuss the role of the knee joint and its surrounding structures in the mechanics of barbell training. This episode is an educational experience for barbell trainees, powerlifters, Crossfitters, weightlifters, and other strength lifters to deep dive into the knee joint. If you're a chiropractor, physical therapist, medical doctor, strength coach, or student clinician, this episode is a great review and application tutorial regarding the knee and barbell training. In this episode we discuss the: Joints that make up the knee Normal movement of the knee joint Internal structures and surfaces of the knee Musculature responsible for knee flexion and extension How the hip affects the knee Patellofemoral movement ITB pain Resources mentioned in this episode: Pain & Injuries Podcast Series Part 1 Pain & Injuries Podcast Series Part 2 Pain & Injuries Podcast Series Part 3 If you're enjoying our podcast, please leave us a review on Apple or Spotify. Join our Facebook Community for free form checks, live Q&As & more: https://www.facebook.com/groups/PRS.Barbell.Mastery Got questions or guests you'd like to hear on the show? Submit them here: https://forms.gle/7Vu2HmgHoeQY9xM59 Get in touch with the show! Web: https://www.progressiverehabandstrength.com Email: podcast@progressiverehabandstrength.com Rori IG: @rorimegan_prs Alyssa IG: @alyssahope_prs
This week's episode discusses the 5 Most Common Injuries in Runners and Tips to Prevent Them. We talk about why they happen and the reasons behind them, and you will learn some useful tips to prevent them and how to manage your everyday niggles before they develop into an injury. Achilles tendon pain Plantar fascia pain Patellofemoral pain syndrome (runners knee) Shin splints Stress fractures One great way to reduce your risks of injury is to add a strength training session to your routine. You can download our free talk about the subject here: https://chasingprs.run/
In this episode, we review the high-yield topic of TKA Patellofemoral Alignment from the Recon section. Follow Orthobullets on Social Media: Facebook: www.facebook.com/orthobullets Instagram: www.instagram.com/orthobulletsofficial Twitter: www.twitter.com/orthobullets LinkedIn: www.linkedin.com/company/27125689 YouTube: www.youtube.com/channel/UCMZSlD9OhkFG2t25oM14FvQ --- Send in a voice message: https://anchor.fm/orthobullets/message
In this episode, we review the high-yield topic of Patellofemoral Joint from the Knee & Sports section. This episode is sponsored by: Robin Healthcare Four out of five orthopedists say that note-taking interferes with patient care. Robin is here to change that. Robin provides ambient virtual scribing exclusively for orthopedics. The Robin Assistant device ambiently captures your visits and allows you to focus completely on patients. And its virtual scribes take care of your clinical notes and codes, so you also have more time to take care of patients. Visit robin.co/orthobullets to discover the difference ambient virtual scribing can have on your practice. Follow Orthobullets on Social Media: Facebook: www.facebook.com/orthobullets Instagram: www.instagram.com/orthobulletsofficial Twitter: www.twitter.com/orthobullets LinkedIn: www.linkedin.com/company/27125689 YouTube: www.youtube.com/channel/UCMZSlD9OhkFG2t25oM14FvQ --- Send in a voice message: https://anchor.fm/orthobullets/message
Osteoarthritis commonly affects the knee joint, which consists of three compartments – the medial tibiofemoral compartment, lateral tibiofemoral compartment and the patellofemoral compartment. Osteoarthritis can affect these compartments in isolation or in combination. Although, the majority of osteoarthritis research has focused on the tibiofemoral joints, patellofemoral OA is more prevalent and associated with greater pain and disability. On this week's episode of Joint Action, we are joined by Dr Marieke van Middelkoop to discuss patellofemoral OA, including its prevalence, burden, diagnosis and treatments. Dr. Marienke van Middelkoop is a human movement scientist and an associate professor at the Department of General Practice at Erasmus MC Medical University Rotterdam, The Netherlands. She received her PhD in 2008 on the subject ‘Running injuries' at the Erasmus MC Medical University Rotterdam, The Netherlands.She is currently the project leader of multiple PhD students and is the coordinator of the Osteoarthritis (OA) Trial Bank, an international successful ongoing project including a databank of more than 60,000 OA patients. She is a deputy editor of British Journal of Sports Medicine and in 2010 she was selected to participate in the Oxford International Primary Care Research Leadership Program.RESOURCESJournal articles· International patellofemoral osteoarthritis consortium: Consensus statement on the diagnosis, burden, outcome measures, prognosis, risk factors and treatment· Is patellofemoral pain a precursor to osteoarthritis?: Patellofemoral osteoarthritis and patellofemoral pain patients share aberrant patellar shape compared with healthy controls· Medical Interventions for Patellofemoral Pain and Patellofemoral Osteoarthritis: A Systematic Review· Obesity is related to incidence of patellofemoral osteoarthritis: the Cohort Hip and Cohort Knee (CHECK) study· Incidence, prevalence, natural course and prognosis of patellofemoral osteoarthritis: the Cohort Hip and Cohort Knee studyCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: hello@jointaction.infoWebsite: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! See acast.com/privacy for privacy and opt-out information.
Patients with anterior knee pain may have pain with activities that load the patellofemoral joint (PFJ), such as squatting, going up or down stairs, and running. When is it important to offload patients PFJ during your rehab, to help settle their symptoms? How can you design a rehab program to improve your patients' knee pain? Find out in this podcast with Tom Goom (Running Physio) as you discover how to effectively offload and treat patellofemoral joint pain, exercises to include in rehab, and activities and exercises to reduce during your initial phases of treatment. Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs Tricky tendons - Your free video guide to tendinopathy treatment with Tom Goom. Discover a new, effective approach to treatment of tricky tendinopathy presentations, and lesser known tendinopathies with this free video series presented by Tom Goom (Running Physio) and hosted by Clinical Edge. Tom will reveal the secrets to successfully treat tendon pain, and get your patients back to running and sport quickly and easily, without stirring up their pain. Get your free access to this video series now. CLICK HERE for your access to three free videos with Tom Goom CLICK HERE for your access to three free videos with Tom Goom Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom Links associated with this episode: Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Tom live on Facebook & ask your shoulder related questions every Friday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Tom Goom on Twitter Tom Goom's website David Pope - Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical Edge Article associated with this episode: Hart HF, Patterson BE, Crossley KM, Culvenor AG, Khan MC, King MG, Sritharan P. May the force be with you: understanding how patellofemoral joint reaction force compares across different activities and physical interventions—a systematic review and meta-analysis. British Journal of Sports Medicine. 2022 Feb 3.
I have seen several posts regarding knee pain so I thought maybe you would all appreciate a little free medical advice. The two most common knee pain/discomfort are IT band and patellofemoral tracking issues. IT band pain is very common among runners and the pain is found on the outside of the knee. The iliotibial band is a thick band of fascia on the lateral aspect of the knee, extending from the outside of the pelvis, over the hip and knee, and inserting just below the knee. The band is crucial to stabilizing the knee during running, as it moves from behind the femur to the front of the femur during activity. The continual rubbing of the band over the lateral femoral epicondyle, combined with the repeated flexion and extension of the knee during running may cause the area to become inflamed. Pain is usually felt when the foot strikes the ground. Pain can pain be felt during or can intensify after activity or a few days after. For runners specifically, neuromuscular/gait training may be needed for success in muscular training interventions to ensure that those trained muscles are used properly in the mechanics of running. Strength training alone will not result in decrease in pain due to ITBS, however, gait training, on its own can result in running form modification that reduces the prevalence of risk factors. Patellofemoral tracking aka runners' knees results from problems with the kneecap and femur. Pain may worsen with sitting, excessive use, or climbing and going down the stairs. The most common symptom is diffuse vague pain around the kneecap and localized pain focused behind the kneecap. The pain is usually achy and sometimes sharp. And you could experience the feeling of “giving way of the knee” with this condition as well. When looking at treatment other than rest and ice, we look at strengthening the quad muscle because in many cases it is weak. Specifically the vastus medialis muscles also known as your VMO. There's an imbalance here between the four muscles that make up the quad which is why a majority of time strengthening the VMO will make the most difference. Other muscles that may aid in correcting the problem are - hip abductor, extensor and external rotator muscles. The final piece to assisting individuals who do suffer with this condition is looking at the biomechanics when running. A majority of individuals who have patellofemoral tracking issues are overpronators. This is where getting fitted properly for sneakers is so important and having customized insoles to help maintain proper balance between the foot/ankle & knee. I hope everyone finds this information helpful and educational as that's its purpose. Happy running everyone! Click here to watch the video and don't forget to subscribe to the channel Grab your FREE 7 Day All Access Pass to my Myofascial Release Online Course Connect with Dr. Heather on Social Media:
https://www.youtube.com/watch?v=HGE8-ncLcrw&t=7s Do you or your clients have knee pain? Are you curious about the knee rehab process and how to start rebuilding strength after an injury? You'll definitely want to tune into this one! In this episode of the David Grey Rehab Podcast, I welcome Jake Tuura, a strength and conditioning coach with tons of expertise and experience with knee pain and Patellar Tendinopathy, also known as Jumper's Knee.Tune in as we talk about methods of rehabbing Patellar Tendinopathy and dealing with knee pain, how much pain is okay to train through, how you should progress through the rehab process, exercise selection, isometrics and biomechanics, and much more!You'll gain a lot of insight from this episode, especially if you experience knee pain or if you work with people in pain! Even if you just have a painless knee or two, I'm sure you'll find this episode very insightful.“Why force your body to do something that it doesn't want to do?”, Jake Tuura Episode Timeline | What You'll Learn:00:00 – Introducing Jake Tuura & The topics of today's episode04:52 – Why developing courses is Jake's big struggle as a coach07:35 – Jake's experience with knee pain and Patellar Tendon rehab10:12 – The power of using a training log to find the root of your pain13:40 – Long vs. Short Penultimate & Overcoming muscle slack16:19 – Tendinopathy myths to be aware of17:31 – Squatting with vertical shins & Is it okay to push through pain and discomfort while training?22:16 – The program Jake went through to heal his Patellar Tendinopathy & Does glute activation heal chronic knee pain?25:41 – The biomechanics mindset vs. The load tolerance mindset32:52 – The end goal of tendon rehab… Does it decrease pain and improve function?35:25 – Best way to start healing tendon issues: The 4-stage process41:01 – Yielding tendons in lengthening and leg extensions & Why people fail in tendon rehab programs45:44 – Building athletes back up to jumping after knee injuries52:17 – What do you not agree with now that you would've done when you were a young strength coach?56:37 – If you had a tendon issue and you knew nothing, what would you do, who would you go to?1:04:40 – Do you use sandbags on your hips?1:10:39 – What Jake's excited about right now1:12:11 – Patellofemoral pain is a pressure issue… true or false?1:15:40 – Which 3 coaches would you bring to a deserted island? If you enjoyed this podcast, SHARE it with a loved one and RATE/REVIEW it on Spotify or Apple Podcasts! Resources Mentioned:Listen to the Jacked Athlete PodcastJacked Athlete Podcast Ep #58 with Enda KingListen to Ep #9 with Jamie Smith of Melbourne Strength CultureGame Changer by Fergus ConnollyConnect with David Grey Rehab:Visit our websiteFollow David Grey Rehab on InstagramListen to more podcast episodesSubscribe to our YouTube channelVisit the DGR INTERACTIVE platform!Check out our programsJake Tuura is an assistant strength and conditioning coach at Youngstown State University. Since 2009, he has been obsessed with human performance and muscle gain. His blog is where he organizes his and others' thoughts on training methods, rants about the industry's stupidity, and provides his take on how to actually go about getting jacked while optimizing athleticism.Connect with Jake Tuura:Follow him on InstagramVisit his blogSubscribe to his YouTube channel
In gymnasts, the knee joint has the highest rate of "severe" injuries. Unfortunately, this refers to injuries tending to cause the most tissue damage and pain when they occur. Alongside this, knee injuries also tend to create the most missed time from training and competition. Lastly, as long-term studies have suggested, there is a concerning trend for athletes who suffer injuries like ACL tears having long-term issues related to knee injuries they experienced when younger. Due to these concerning concepts in research studies, and the unfortunate reality that 1000s of gymnasts still struggle with knee injuries each competitive season, we must take more dedicated actions to help. In an ongoing effort to provide high-quality, science-based education to the gymnastics community, I have started this "mega-blog" series. My hope is that by laying out the current science as we know it, and describing it in a way that is accessible to everyone in the gymnastics community, we can all work together to make a positive impact on reducing the rates of knee injuries in gymnastics. 0:00 - Introduction 12:30 - Factor 1 - Forces in Gymnastics 15:00 - Factor 2 - Improper Landing Patterns 17:35 - Factor 3 - Repetitive Impact 22:25 - Factor 4 - Lack of Weight Training 32:00 - Factor 5 - Competition Season Structure 35:00 - Factor 6 - Athletes Are Kids 38:30 - Factor 7 - Early Specialization/Year-Round Training 47:40 - Basic Knee Anatomy 1:15:50 - Patellofemoral Joint Pain 1:23:00 - Osgood Schlatters 1:24:20 - Sinden Jarsen Lohanssen Syndrome 1:25:30 - ACL Tears 1:26:10 - MCL Tears 1:27:40 - Meniscus Tears 1:30:15 - Patellar Tendinopathy 1:36:45 - Bone Bruises & Fractures 1:40:00 - OCD & Cartilage Injuries 1:41:45 - Timelines for Knee Injuries 1:43:20 - 4 Phases of Rehabilitation 1:45:00 - Swelling & Pain Management 1:48:15 - Increasing Knee Mobility 1:50:00 - Basic Knee Strength 1:54:00 - Intermediate Knee Strength Programs 1:58:30 - Building Knee Power & Plyometrics 2:04:35 - Return to Gymnastics Programs 2:08:00 - Reducing Risk 2:10:35 - What To Do If Knee Injuries Aren't Improving
Drs Dekker and Grantham discuss Medial Patellotibial Ligament Reconstruction Improves Patella Tracking When Combined With Medial Patellofemoral Reconstruction: An In Vitro Kinematic Study
Fremre knesmerter, patellofemoralt smertesyndrom, vondt i kneet – kjært barn har mange navn. Som med så mye annet innen MSK-feltet er det overraskende hvor lite vi faktisk vet om en tilstand vi ukentlig ser i klinikken. For, hva erpatellofemorale smerter? Hvorfor er det noen som får det og andre ikke? Skal det trenes bort? I så fall, skal man trene hofter, knær eller begge deler? Har det i det hele tatt noe å si hva man trener, eller er det viktigere hvordan pasienten selv håndterer plagene sine? I denne episoden snakker vi med Alexandra Hott. Alexandra er lege og spesialist i fysikalsk medisin, og jobber for tiden som seksjonsoverlege på Tverrfaglig Smertepoliklinikk samt som overlege ved Fysikalsk medisinsk poliklinikk - begge roller ved Avdeling for Fysikalsk medisin og Rehabilitering, SSHF. For tiden videreutdanner hun seg i idrettsmedisin (Idrettslege NIMF) og i kognitiv terapi (NFKT) og i februar 2021 disputerte hun med avhandlingen Patellofemoral pain. Treatment, outcome measures and prognostic factors.Som du vil høre i episoden er Alexandra opptatt av å forstå kompleksiteten i langvarige smerter, hvilken rolle kommunikasjon har, og viktigheten av et tverrfaglig samarbeid. For, patellofemorale smerter er en tilstand som ikke lar seg redusere til enkeltkomponenter, og krever en bredere tilnærming enn vi har hatt frem til nå.Linken til Alexandras disputas: https://www.med.uio.no/klinmed/english/research/news-and-events/events/disputations/2021/hott-alexandra-christine.htmlREFERANSER: Hott, A., et al.: Effectiveness of Isolated Hip Exercise, Knee Exercise, or Free Physical Activity for Patellofemoral Pain: A Randomized Controlled Trial. Am J Sports Med, 2019. 47(6): p. 1312-1322.Lenke til livepod: https://fb.me/e/7yNSF49NlMUSIKK: Joseph McDade - Mirrors
In this episode, we review the high-yield topic of Patellofemoral Syndrome from the Orthopedics section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets
Dr. Cory Edgar chats with Drs. Miho Tanaka and Cassandra Lee about Patella Instability with topics that include: managing the first time patella dislocator, distal femoral and tibial tubercle osteotomy treatment strategies, hip to ankle alignment, rehab, and cartilage lesions. For more educational resources, visit: https://www.eoa-assn.org/
This time we're joined in studio with none other than returning guest, Claire Robertson! Claire is back to talk to us about patellofemoral pain syndrome (PFPS). From defining what it actually is as an all encompassing term, to rehab strategies and potentially what adjuncts may be useful. Don't forget to head over to www.physiotutors.com/courses to check out our latest course with Claire Robertson on everything you need to know about PFPS including real life case studies and example rehab exercises to complement your programming, everything you need to go back into clinic on Monday feeling more competent and confident!
Notes here: https://jackedathlete.com/podcast-56-patellofemoral-pain-and-hoffas-fat-pad-with-claire-robertson/
In this episode, we review the high-yield topic of TKA Patellofemoral Alignment from the Recon section. Follow Orthobullets on Social Media: Facebook: www.facebook.com/orthobullets Instagram: www.instagram.com/orthobulletsofficial Twitter: www.twitter.com/orthobullets LinkedIn: www.linkedin.com/company/27125689 YouTube: www.youtube.com/channel/UCMZSlD9OhkFG2t25oM14FvQ --- Send in a voice message: https://anchor.fm/orthobullets/message
Osteoarthritis of the knee is a commonly diagnosed condition with studies showing around 20% of the population experiencing some kind of patellofemoral (PF) joint pain in their lifetime. Join the APodA for our recent conversation with Dr Narelle Wyndow as we discuss the symptoms, possible treatment options and the role of the podiatrist in assessing and providing options for PF osteoarthritis in younger and older patients and when to refer for further treatments.
Notes here: https://jackedathlete.com/podcast-34-knee-pain-whats-not-working-with-dave-osullivan/
Welcome to the podcast! Episode 96 is an interview with Luke Nelson, chiropractor at Health and high Performance. In this episode we discuss knee pain. Patellofemoral pain affects 1 in 10 males, and 1 in 5 females. With the name “Runner’s knee”, it is the most common injury seen in runners with close to 50% of runners experiencing this condition. We discuss what it is, how to treat it, what exercises you can do to help it, taping for knee pain & how to keep training with knee pain! If you enjoy this episode, please go on over to Apple podcasts to rate, review and subscribe. It really helps grow the audience and help me get high profile athletes on the show. Thanks so much for your ongoing support! Are injuries or niggles ruining your enjoyment of running and hindering your performance? Get on top of these and see the specialists at Health and High Performance. Utilizing the latest in technology, and with a wealth of experience, the team at Health & High Performance can assist you with all your running injury & performance needs. So to get back to enjoying your running and achieving the results you are capable of, head to www.healthhp.com.au/run or find them on Instagram Healthhighperformance. Health and High Performance are located in Mont Albert, Melbourne but are available for Telehealth appointments not only Australia-wide, but also around the world. Contact them on their website to find out more. Wild Earth Australia are THE online store to help you make the most of the outdoors with top quality gear at great prices. Peak Endurance podcast listeners can use the discount code PEAKENDURANCE (all capitals) to get 10% off at checkout. Head on over to wildearth.com.au to get everything you need for your next adventure! If you are looking to challenge your limits, you need to have structured, individualised training to help you get there. If you want to achieve your best, email me isobel@peakendurancecoaching.com.au to get a program started. Enjoy this injury special with Luke!
In this episode we spoke with Claire Robertson on how to diagnosis and treat the stubborn Hoffa's fat pad.Claire (Patella) Robertson obtained her MSc Physiotherapy, in 2003, and PGCE in 2006. She has worked in the NHS, academia and private practice. Claire currently runs a specialist patellofemoral clinic at Wimbledon Clinics. On top of that she has lectured internationally and has many research papers and editorials published in internationally peer-reviewed journals.Claire recently did a brilliant Masterclass on Patellofemoral pain with us. Learn more about her class here: https://www.physio-network.com/masterclass/patellofemoral-pain/Our host is Michael Rizk from Physio Network and iMoveU: https://cutt.ly/ojJEMZs
Listen to Andrew Duckworth & our Knee Specialty Editor, Sam Oussedik, discuss four papers published in The Bone & Joint Journal.The PAT randomized clinical trial: total knee arthroplasty versus patellofemoral arthroplasty in patients with severe arthritis of the patellofemoral jointReflecting on and managing the emotional impact of prosthetic joint infections on orthopaedic surgeons—a qualitative studyUnicompartmental knee arthroplasty undertaken using a fast-track protocol: a prospective cohort study of 3,927 procedures, their use, length of stay, and readmissionTop ten research priorities for problematic knee arthroplasty: a Priority Setting Partnership led by the British Association for Surgery of the Knee and the James Lind Alliance
Patellofemoral joint degeneration and dysfunction after anterior cruciate ligament reconstruction (ACLR) are increasingly recognized as contributors to poor clinical outcomes. In conclusion, patellofemoral deep cartilage matrix disruption, as assessed by MRI UTE-T2*, was associated with reduced sports and recreational function and with gait metrics reflective of altered patellofemoral loading. As such, the findings provide new mechanistic information important to improving clinical outcomes related to patellofemoral dysfunction after ACLR. Click here to read the article.
Early in his career as an orthopedic surgeon, Dr. John Fulkerson was attracted to focusing on a small part of the knee called the patellofemoral joint because he felt it was overlooked and little understood. Decades later, there is still much to be learned and he’s leading a new program at Yale to advance the understanding of anterior knee pain and how to treat it. It’s actually a common problem in the general population and is responsible for more than 30% of complaints at sports medicine clinics. Despite this, many people never get relief. Check out today’s episode to learn more about this issue, the role of technology in orthopedic surgery, and the importance of perseverance, integrity and honesty in medicine.
Drs Arner and Diduch discuss Sulcus Deepening Trochleoplasty and Medial Patellofemoral Ligament Reconstruction for Patellofemoral Instability: A 2-Year Study
In Episode 12, Dr. Morse discusses the different types of knee injuries, and separates them into 2 different categories, intra-articular and extra-articular. Topics Discussed: - Intra-Articular Knee Injuries - Osteoarthritis - Chondromalaciae Patella - Meniscal tear - ACL - PCL - MPFL tear (knee dislocation)- Extra-Articular Knee Injuries - Quadriceps tendon injuries - Patellar tendon injuries - LCL - MCL - Patellofemoral syndrome - Bursitis (Pre-Patellar) - Pes Anserine Bursitis ____________________________________________________________________________________Prefer the Video Version? Click here: https://youtu.be/nkXXQWGQwwI_______________________________________________________________________________________Be sure to Subscribe! Find us on Apple Podcasts, Google Podcasts and many more! _______________________________________________________________________________________The Osteopathic Centerwww.TheOsteoCenter.comRegenerative Medicine - Sports Medicine - Integrative MedicineCosmetic Therapy - Sexual HealthMiami: (305) 367-1176 Jupiter: (561) 600-1198 Knoxville: (865) 321-1732_______________________________________________________________________________________Social Media: Twitter: @TheOsteoCenter @DrJesseMorseInstagram: @TheOsteoCenter @DrJesseMorse
People with back pain may also have other problems and in this episode hear all about knee pain, what the causes are and what you can do about it with expert Claire Robertson. Claire specialises in Patellofemoral pain syndrome and shares great information about what is actually happening in your knee and some great analogies that mean it's easy to understand how the causes can be different for different people. It's usually not about a specific event or injury but about a gradual change over time. Claire also explains how to be proactive in choosing the right exercise and movement so that you can build the strength that will make the difference. KEY TAKEAWAYS Patellofemoral pain syndrome is an umbrella term used about the pain caused when the knee cap rests on the bottom of the femur. It can happen at all different ages for a range of different reasons It can be a vague pain that is aggravated by walking upstairs or an incline. Often it's about highpoints of pressure rather than damage. It's about looking at changes that may have affected the load and movement pattern of the knee. Calf tightness can a contributing factor and taking the time to stretch out muscles before walking can make a difference and building up the strength in the quadriceps can help. Treatment is very multifactual depending on the drivers. It's important to get an accurate assessment and use this as a basis for treatment. If injections are used it creates a window of opportunity to build strength for the long term. It's about making sure you are doing the right exercise and movement in the right way. Knees are strong and designed to facilitate movement but if you have any pain you should get it checked. BEST MOMENTS ‘A change in lifestyle can be a factor' ‘The cause can be different for different people' ‘Normal knees crack and crunch during movement' VALUABLE RESOURCES The Back Pain Podcast The Back Pain Podcast recommended products affiliate link https://clairepatella.com - Claire's Blog for patients https://clairepatella.com/category/patients/ Book an appointment to see Claire https://wimbledonclinics.co.uk Twitter- @clairepatella ABOUT THE HOSTS Dave Elliot Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him. -Instagram Rob Beaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter CONTACT METHOD Instagram Twitter Facebook hello@thebackpainpodcast.com Support the show: https://thebackpainpodcast.com See omnystudio.com/listener for privacy information.
Adult medial patellofemoral ligament (MPFL) reconstruction techniques are not appropriate for the skeletally immature patient given the proximity of the distal femoral physis. Biomechanical consequences of reconstructions aimed at avoiding the physis have not been adequately studied. In conclusion, in this cadaveric simulation, the epiphyseal technique allowed for a more isometric ligament until midflexion, when the patella engaged within the trochlear groove. The adductor sling and adductor transfer grafts became tighter in flexion, resulting in potential loss of motion, pain, graft stretching, and failure. Marginal between-condition differences in patellofemoral contact mechanics and patellar kinematics were observed in late flexion. Click here to read the article.
In this episode: We are discussing the patellofemoral and patellotibial ligaments, specifically the medial patellofemoral ligament. These ligaments functions together to hold the patella (knee cap) in place. They are often damaged when the patella is dislocated or with a sudden twisting of the knee. Chip Review @ (18:24): Snyder of Berlin – Bar B Q (Thank you Lisa Neiley) Trivia question of the week @ (15:28): When was the snowiest recorded year in Denver history? Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week. Thanks for listening!! To Subscribe, Review and Download select your preferred hyperlink below Apple Podcasts: Google Play: Youtube: Stitcher: Podbean: Spotify:
Dr. Kara Radzak interviews Dr. Cynthia Wright and Dr. Barbara Brandon about Closed-Reduction Techniques for Glenohumeral-, Patellofemoral-, and Interphalangeal-Joint Dislocations. Article Link: https://bit.ly/2CTEYjI Dr. Cynthia Wright is the Athletic Training Program Director and an associate professor of health sciences at Whitworth University. She received her BA in Athletic Training from Whitworth University, went on for a masters degree at Texas State University, and finished her PhD in Rehabilitation and Movement Science at Virginia Commonwealth University. She is currently completing an accredited residency program at the Steadman Clinic in Vail, CO during her sabbatical. Cynthia primarily teaches lower extremity evaluation and treatment, therapeutic modalities, biomechanics and evidence based practice courses in the MSAT program. Her main area of research is the treatment of chronic ankle instability. Dr. Barbara Brandon is a clinical associate professor with the University of Washington School of Medicine. She graduated from a residency in family medicine and continued on to complete fellowships in sports medicine and faculty development. Currently, she is finishing a fellowship in wilderness medicine and is employed by Chas Health working with the underserved. In 2019, she was honored with the Physician of the Year Award from the Washington State Athletic Trainers Association.
Running as a low barrier to entry. All you need is shoes & you are out the door! But with running shoes being the only requirement, are you taking full advantage? Today I talk with Matt Klein from Doctors of Running & we discuss how we can use your shoes as a TOOL to overcome injuries like: Patellofemoral pain ITB friction syndrome Shin splints Calf strains Achilles tendinopathy Matt has a very unique set of skills which is perfect for this topic. He has the benefit of sampling & reviewing tonnes of different shoes along with being fluent in the most up-to-date running evidence literature. You will love this podcast episode! Here are the links for Doctors of running: Website:https://www.doctorsofrunning.com/ Youtube:https://www.youtube.com/channel/UCpUtRsyAx5rluUDmF4k_gHw Instagram: https://www.instagram.com/doctorsofrunning/?hl=en Facebook:https://www.facebook.com/kleinrunsDPT/?ref=bookmarks If you would like to support the podcast and participate in future Q&As sign up for $5US per month at https://www.patreon.com/therunsmarterpodcast To learn more about the Run Smarter Online Course, including FREE preview head to https://courses.runsmarter.online/collections To follow the podcast join the facebook group: https://www.facebook.com/groups/833137020455347/?ref=group_header To find Brodie on instagram head to: https://www.instagram.com/brodie.sharpe/ To work with Brodie Sharpe at The Running Breakthrough Clinic visit: https://breakthroughrunning.physio/
In this lecture we discuss the management of patellofemoral pain syndrome and patella instability.
Patellofemoral pain (PFP) is commonly associated with running, jumping, squatting, and walking up/down stairs. It's thought that PFP is caused by excessive rubbing between the back of the patella and groove, or track, that it rides in. Besides overuse, additional causes for PFP pain include muscle imbalance or weakness or direct trauma. The condition is most common in adolescents and young adults, usually due to overuse and/or misalignment, the latter of which is often referred to as poor “patellofemoral tracking.” This can eventually lead to arthritis, which is more commonly seen in older adults with PF pain. Past research has demonstrated that issues in the foot can increase the risk for musculoskeletal pain in other parts of the body, including the knees. In a 2018 study, researchers examined the effect of knee-targeted exercise vs. a combined approach that included knee- and foot-focused exercise with foot orthotics (shoe inserts to correct pronation or the rolling inwards of the ankle and foot) in patients with patellofemoral pain. Participants were instructed to perform terminal extension quad exercises that emphasized COMPLETE extension (straightening) of the knee. This exercise can be done sitting or lying on the back with a rolled-up towel behind the knees (with or without an ankle weight) and fully flexing the quad muscles for three to five seconds and repeating the process ten to twenty times, as tolerated. The results revealed a significantly greater improvement in the group that included foot care, supporting the conclusion that better outcomes are achieved by combining foot exercise and foot orthotics with knee exercises. The authors reported that the benefits were still present four months after the conclusion of care but not a year, suggesting the importance of continuing exercise and foot orthotic use. Doctors of chiropractic routinely perform posture assessments when examining patients with knee pain in order to identify dysfunction in the hip or feet that may contribute to their chief complaint. www.PainReliefChiroOnline.com
Available for CEU credit!!! Click here! The concepts of Envelope of Function and Physical Stress Theory are very useful in rehabilitation applications. We review these constructs and give ideas for use in the clinic. Reference List Dye SF. The Knee as a Biologic Transmission With an Envelope of Function: A Theory. Clinical Orthopaedics and Related Research. 1996;325:10-18. doi:10.1097/00003086-199604000-00003 Dye SF. The Pathophysiology of Patellofemoral Pain: A Tissue Homeostasis Perspective. Clinical Orthopaedics and Related Research. 2005;NA;(436):100-110. doi:10.1097/01.blo.0000172303.74414.7d Dye SF, Vaupel GL, Dye CC. Conscious Neurosensory Mapping of the Internal Structures of the Human Knee Without Intraarticular Anesthesia. Am J Sports Med. 1998;26(6):773-777. doi:10.1177/03635465980260060601 Mueller MJ, Maluf KS. Tissue Adaptation to Physical Stress: A Proposed “Physical Stress Theory” to Guide Physical Therapist Practice, Education, and Research. Physical Therapy. 2002;82(4):383-403. doi:10.1093/ptj/82.4.383 Post W, Dye S. Patellofemoral pain: an enigma explained by homeostasis and common sense. Am J Orthop. 2017;46:92–100. Music by: Intro - Butta Fly's Jazz Handz - kcentric - ccmixter.org Transition - The Joy Jacket - Pitx - ccmixter.org Close - See You Later - Pitx - ccmixter.org
We welcome onto the show, Dr. Rich Willy, PT, PhD for Part 2 of our interview! Rich is an assistant Professor at the University of Montana's School of Physical Therapy & Rehabilitation Science. His research focuses on the treatment of runners and tactical athletes with patellofemoral pain, achilles tendon injuries, and bone stress injuries. In this episode (Part 2), we talk with Rich about the recent paper that he and his team had published, which is the current Clinical Practice Guidelines for Patellofemoral pain. Here is the link to the paper we discussed (OPEN ACCESS): https://www.jospt.org/doi/full/10.2519/jospt.2019.0302 Follow or Contact Rich on: Twitter: @rwilly2003 Instagram: @montanarunninglab Email: rich.willy@umontana.edu ResearchGate: http://bit.ly/2pSzG1H Google Scholar: http://bit.ly/2pPUFCp You can find other resources on athlete health and performance posted on the ClinicalAthlete website for free, inside of the ClinicalAthlete Forum, at our courses, and through ClinicalAthlete Coaching! https://www.clinicalathlete.com
We welcome onto the show, Dr. Rich Willy, PT, PhD. Rich is an assistant Professor at the University of Montana's School of Physical Therapy & Rehabilitation Science. His research focuses on the treatment of runners and tactical athletes with patellofemoral pain, achilles tendon injuries, and bone stress injuries. In this episode (Part 1), we talk with Rich about the recent paper that he and his team had published, which is the current Clinical Practice Guidelines for Patellofemoral pain. There are so many gems in this one, so we hope you enjoy it! Here is the link to the paper we discussed (OPEN ACCESS): https://www.jospt.org/doi/full/10.2519/jospt.2019.0302 Follow or Contact Rich on: Twitter: @rwilly2003 Instagram: @montanarunninglab Email: rich.willy@umontana.edu ResearchGate: http://bit.ly/2pSzG1H Google Scholar: http://bit.ly/2pPUFCp You can find other resources on athlete health and performance posted on the ClinicalAthlete website for free, inside of the ClinicalAthlete Forum, at our courses, and through ClinicalAthlete Coaching! https://www.clinicalathlete.com
Drs Neulle and Tanaka discuss Radiographic Landmarks for the Anterior Attachment of the Medial Patellofemoral Complex
Drs Neulle and Tanaka discuss Radiographic Landmarks for the Anterior Attachment of the Medial Patellofemoral Complex
Drs Neulle and Sherman discuss Optimizing Patellofemoral Cartilage Restoration and Instability with Tibial Tubercle Osteotomy
Drs Neulle and Sherman discuss Optimizing Patellofemoral Cartilage Restoration and Instability with Tibial Tubercle Osteotomy
In this episode of The Athlete's Garage, we are joined by Physiotherapist Brodie Sharpe. Brodie practices at Back in Motion in Moonee Ponds, and also runs the Break Through Running Clinic where he does small group classes tailored to runners. Brodie is a keen runner himself, having completed the Melbourne Marathon and Half marathons around the world including Switzerland and Amsterdam. Today we are talking about all things the knee! Brodie will touch on the knee anatomy so you all have an understanding of it before diving into the concept of overuse injuries, and all the common types of knee injuries from the front, side and back. The end of the episode will be listener Q&As which is great to actually address what you guys want to know to help each of you in your own running journeys. Time stamps: 1:53- Get to know Brodie 8:11- Knee anatomy 11:04- overuse vs acute injury 15:21- Calculating workload- The 10% rule and the RPE scale 20:48- Front knee pain (Patellofemoral pain) 38:00- Outside knee pain (ITB syndrome) 48:19- Back and inside knee pain 51:00- Pain referral 52:47- Listener Q&As Get in touch with Trang Facebook: The Motion Mechanic Instagram: TheMotionMechanic Email: trang@themotionmechanic.com Website: www.themotionmechanic.com Physiotherapy: BodyMotion Physiotherapy Strength and Conditioning Coaching: Barbell Samurai
In this episode, we review multiple-choice questions related to Reverse Total Shoulder Arthroplasty & TKA Patellofemoral Alignment. --- Send in a voice message: https://anchor.fm/orthobullets/message
In this episode, Dr. Doug Dennis reviews the high-yield topic of TKA Patellofemoral Alignment from the Recon section. Dr. Dennis is a Joint Replacement Surgeon and Fellowship Director of the Colorado Joint Replacement Associates. Core Webinar - TKA PRIMARY TECHNIQUES - by AAHKS ** Sign Up for The Orthobullets Core Curriculum ** --- Send in a voice message: https://anchor.fm/orthobullets/message
In this episode of #shoptalk, Mike and Nick discuss knee pain. It's something they see so many people struggle with in their clinic and they find that it isn't being effectively treated by the medical and rehab community. They go over knee anatomy & how the hip and ankles effect your knees. They talk about patellofemoral pain syndrome, the research around that, & the things that contribute to it. They finish off with the things that they look for when someone walks into their clinic with knee pain and what you can work on to get rid of and prevent knee pain for good.
Drs Endres and Krych discuss Combined Tibial Tubercle Osteotomy and Medial Patellofemoral Ligament Reconstruction for Recurrent Lateral Patellar Instability in Patients With Multiple Anatomic Risk Factors
Drs Endres and Krych discuss Combined Tibial Tubercle Osteotomy and Medial Patellofemoral Ligament Reconstruction for Recurrent Lateral Patellar Instability in Patients With Multiple Anatomic Risk Factors
Julio’s knee surgery experience (0:00:40)Biggest difference between 1st and 2nd surgery (0:03:08)Insurance companies won’t approve MRI before PT (0:04:10)Reasons for Julio’s meniscus tears (0:06:15)Surgery is a Bandaid (0:08:07)Post surgery Recovery (0:10:02)Doctor tells Yeufre’s client to not walk (0:11:26)overuse vs misuse (0:12:36)Assess your knee pain (0:14:15)Client recovering from quad tear (0:15:22)Knee anatomy (0:18:16)Yeufre’s Patellofemoral compression syndrome (PFPS) recovery (0:20:00)Yeufre gets hit by a car (0:21:46)Physical therapy experience (0:24:08)Yeufre’s knee recovery (0:26:05)PFPS (0:29:50)Exercises for knee pain (0:30:12)IT band syndrome (0:31:54)Reasons for Knee pain (0:34:32)Diminished foot arch doesn’t mean you have NO arch (0:36:12)Knee pain Self Assessment (0:36:57)Short foot method (0:37:20)Having control over you foot arch (0:38:29)Toe spreaders (0:39:12)Hells are the Worst (0:40:33)How to improve ankle mobility (0:44:07)5 inch test ankle mobility (0:44:44)Using yoga block to active adductors Yeufre’s knee stability favorite movement (0:47:34)why knee cave internally on a squat (0:48:32)Test your stability (0:49:31)Yeufre’s tackles lack of glute activation on his online client (0:52:36)Creating a connection with your butt (0:54:21)Squats are NOT bad for your knees (0:57:30)should your knees go in front of your toes (0:59:36)3 top recommendation to tackle knee pain (1:01:37)Ankle mobility & foot strength exercises:5 inch testCalf raisesSure foot methodFoot spread Foot grabToe spreaders: https://www.amazon.com/d/Bunion-Pads/ZenToes-Separators-Spreaders-Bunion-Overlapping/B00UM4XY7K/ref=sr_1_4_a_it?ie=UTF8&qid=1548775319&sr=8-4&keywords=toe+separatorsQuad strengthening exercises:Spanish squatsKnee extensions partial repsBox squatsSupported squatsGlute strengthening exercises:ClamsLying abduction Monster walksCrab walksAdduction strengthening exercises:Copenhagen plankBanded reverse lungeAdductor machineStudies mentioned:VMO Training not making a huge difference in patella femoral syndromehttps://www.sciencedirect.com/science/article/abs/pii/S1356689X08000532Squats are bad for your knees debunkedhttp://www.lookgreatnaked.com/articles/the_biomechanics_of_squat_depth.pdfSupport the show (http://Patreon.com/revivalfitness)
Patellofemoral pain syndrome (1:30), neuropsychological evaluation (7:50), intravenous magnesium for asthma (11:20), primary care for persons who inject drugs (13:30), and AFP Clinical Answers lightning round (18:30).
How to do a digital declutter...and why you should do it for a positive mindset! Show note links: To book your ticket to Positive Pants Planning Live head to: https://app.eventsframe.com/e/rSubIsJhK/positive-pants-planning-live/ For more on this head to: https://www.franexcell.com/dontmakeresolutions/ How to set goals that actually work for you: For more information or to apply for The Proactive Pants Mastermind: https://www.franexcell.com/proactivepants/ Book in a discovery call to see how I can help you: https://calendly.com/franexcell/30min To join my Free Facebook Community for daily mindset tips and tricks: https://www.facebook.com/groups/franexcellcommunity/ Download your Free Procrastination Buster here: https://franexcell.lpages.co/procrastinationbuster/ Check out my printable journal store here: https://www.etsy.com/uk/shop/franexcellprintables Why You Shouldn’t Make New Years Resolutions As we approach the end of the year I thought I’d get in early with this message, before it’s too late! I feel like now is a good time to share my NUMBER ONE tip on how to stick to your resolutions with you. Are you ready? Wait for it… DON’T MAKE THEM! Yep….don’t make them! Why I Don’t Make Resolutions I don’t make resolutions anymore, I realised it made January all the more depressing when within a week….ok ok, within a day or two….my plan to ‘cut out carbs’ inevitably fails. Plus, living like that is not really living! You’re constantly in a state of deprivation, always focusing on what you ‘can’t’ have….it then inevitably becomes ALL you want and that is HARD…it’s also VERY unhealthy. A Negative Way To Start Your Year The way I see resolutions is that they tend to end up being ‘fault picking’ exercises and an excuse to just highlight everything you think is wrong with yourself. They are usually inherently negative. Not a great way to start your year off. Why We Can’t Stick To Resolutions Did you know that only 8% of us are actually successful at sticking to them?? 8%!! Why? A big reason is you’re leaving too much to chance. Resolutions are far too ‘fluffy’, they tend to not be either specific enough or measurable. Psychological research also shows that something called ‘ironic mental control’ exists and essentially means that the harder you focus on NOT doing something or being a certain way, it actually makes you do it more. They call it the white bear problem. When someone says ‘don’t think about a white bear’ what instantly comes to mind? And the more you try NOT to think about it, the stronger the image becomes. Normally we even set resolutions already believing we’re going to fail! We’re also not that into them! Know WHY You Want To Achieve Them If you don’t have a solid motivation, and a solid reason ‘why’ you want it then you’re more likely to give up or procrastinate. If you connect to WHY you really want something you’re FAR more likely to achieve it. Ask yourself how things would look for you this time next year if you DID achieve it and if you want it bad enough it will be SO much easier to motivate yourself. Can you see why it’s so difficult?! It Doesn’t Happen Overnight People expect to break habits OVERNIGHT which is near impossible, and when you ‘fail’ it can really damage your self worth. EVERY year since I can remember I essentially tried to starve myself in January and resolved to lose a stone in weight in a ridiculous amount of time. I’ve been through YEARS, at least half my life of yoyo dieting and i set myself up for failure time and time again by thinking that just by deciding it’s what I wanted then it would happen straight away. Shift Your Focus 2017 was the year that changed the cycle. I changed my thought process and shifted my focus, I didn’t focus on the negative thing I wanted to change, having too many spare tyres, and made a conscious decision to be more healthy. I’d been struggling with arthritis and Patellofemoral pain syndrome in my knees so I was always uncomfortable and in pain and something needed to change. I said at the beginning of the year I wanted to find an exercise I could do to improve the pain…and a nice little 20lb weight loss was an added bonus that came with it. So I ended up achieving what I wanted by attaching it to something that was actually positive, bigger and more important than wanting to be thinner. I started by making the decision to go to 2 Bikram yoga classes per week, I don’t know if you’ve ever been to a Bikram yoga class but let me tell you on days you have one of those (1.5 hours in 40 degree heat!) you will NOT want to drink in the day or even the day before, you will drink WAY more water than you would normally and you will NOT eat heavy meals! So you don’t feel like you’re going to pass out or be sick you will make MUCH healthier choices naturally with zero effort. Make Goals Instead Or Resolutions! Pick positive goals, specific, measurable, achievable, realistic (but don’t be afraid to dream big!) goals ideally that directly conflict with what you do want to give up and also allow you to create the new positive habits you want to create with far less effort. Make sure you add in WHEN you want to have achieved it by. So pick goals that REALLY motivate you! Get Accountable! If you’re intent on making this year the year that you finally achieve what you really want to then get an accountability buddy or hire a coach (personal trainer for health or personal development coach for everything else!) that can get you there. Resolutions tend to be BIG changes we want to make that can be overwhelming, but if you have someone to help you break it down into smaller steps and keep you accountable then you’re on your way to success! Use a journal or a habit tracker to keep you motivated and on the right track. There are lots of printable versions on Etsy or Pinterest that you can put up on your wall so you see it every day. Celebrate Celebrate every teeny tiny little win along the way, promise yourself a treat once you achieve it for motivation. I like to get people to do this when they’re setting goals, often they would hit them and then it would be straight onto the next one with no reflection or time to appreciate what you’ve achieved and the milestone that you’ve hit. It Takes Time Know that it will take time and you have to push through the hard bit to create the new neural pathways that allow you to form the new habits you need and THEN get you to the god stuff where it all becomes so much easier, it just becomes something you do. Give yourself that time and understand it’s not supposed to be an overnight shift, it WILL be hard, it WILL be effort but if it’s worth it to you then STICK WITH IT and appreciate you are retraining your brain and KNOW that eventually it will become second nature. If you want a head start with this then book your ticket for Positive Pants Planing Live now. The next 3 full price tickets purchased will get a bonus 45 minute 1:1 call with me. If you've been stuck, frustrated, overwhelmed or procrastinating on your business goals in 2018 and you KNOW you're what's standing in your way then this is the event for you. Have a think, Where would you be in your business without that annoying inner critic telling you you can't do things? What could it do to your income if you took action after action without self-doubt and impostor feelings holding your back? What could being free from overwhelm and procrastination actually bring into your life? More freedom? More income? More calm? We're going to tame those pesky (inevitable) mindset gremlins that have been holding you back, get you looking at things differently and setting you up for success in 2019. You'll learn my tried and tested methods to bust all these pesky gremlins and you’ll end the day with Positive Pants firmly on, feeling fan-flipping-tastic! Here’s to a great 2019! Fx
To determine the return-to-work, pain relief, and perioperative complication rates in a high-demand athletic cohort undergoing patellofemoral ACI. For patellofemoral chondral defects without a failed primary procedure, second-generation ACI successfully returned to work 78% of patients of moderate to very heavy occupational demand with significantly decreased patient-reported knee pain. Risk factors after ACI for patellofemoral articular lesions for overall failure were age
Anterolateral complex injuries are becoming more recognized. While these are known to affect tibiofemoral mechanics, it is not known how they affect patellofemoral joint behavior. This work did not find that an anterolateral injury altered patellofemoral mechanics or kinematics, but adding a lateral tenodesis can elevate lateral contact pressures and induce lateral patellar tilting if the tibia is pulled into external rotation by the tenodesis. Although these in vitro changes were small and might not be relevant in a fully loaded knee, controlling the position of the tibia at graft fixation is effective in avoiding overconstraint at time zero in a lateral tenodesis. Click here to read the article.
Today's episode of the Better Faster Podcast takes us back into the clinic. Per a listener's request, the fellas discuss anterior knee pain, specific patellofemoral pain and patellar tendinopathy. The guys go into topics like clinical presentation, assessment, the joint-by-joint approach and other big overall concepts to consider when rehabbing these conditions, as well as how to train around these issues. This episode is full of information you can put into practice tomorrow in the clinic. Hope you enjoy! Upcoming Courses in Columbia, SC Body Tempering Certification with Donnie Thompson November 3, Columbia, SC. Register here: www.bodytempering.com Clinical Running Essentials with Chris Johnson November 10-11, Columbia, SC. Register here: bit.ly/2MMTJZJSupport the show (http://paypal.me/betterfasterpod)
A lateral patellar dislocation (LPD) is the most common traumatic knee injury with hemarthrosis in children. The redislocation rate is high. Varying operative and nonoperative treatments have been advocated with no consensus on the best treatment. Operative repair of an MPFL injury in the acute phase in skeletally immature children with a primary traumatic LPD significantly reduced the redislocation rate but did not improve subjective or objective knee function compared with a knee brace without repair. The majority of the patients in both groups were satisfied with their knee function. There was a high representation of APIFs, which needs to be considered when evaluating the risk of redislocations. Click here to read the article.
In episode 112 of The Physical Performance Show Brad Beer has a conversation with Dr Christian Barton - Patellofemoral 'knee-cap' pain in this Expert Edition. Dr Christian Barton is a physiotherapist who graduated with first class honours from Charles Sturt University in 2005, from there Dr Chris went on to complete his PHD focusing on Patellofemoral Pain, Biomechanics and Foot Orthoses in 2010. Dr Barton's broad research disciplines are biomechanics, running-related injury, knee pathology, tendinopathy, and rehabilitation, with a particular focus on what's known as research translation. Dr Barton has published well over 40 papers in Sports Medicine, Rehabilitation and Biomechanics journals alongside this Dr. Barton is also an Associate Editor for the acclaimed British Journal of Sports Medicine, more recently Dr. Barton was one of the masterminds behind the Trek, translating research and evidence into knowledge, a website and an online forum to help practitioners wordwide do just that take the literature the science and disseminate that into the clinical landscape ultimately for the benefits of the public and patients receiving healthcare. During today's conversation, Dr. Barton shares around the key concepts that will help you better manage your knee cap pain if you are suffering from it or be aware of it. We talk about load management, exercise prescription which exercises work best, the number of sets. reps etc. Education and your understanding about this condition. Exercise progression, the importance of being adaptable and patient, how to monitor the irritability of your knee cap pain, what the evidence says works regarding best treatments for knee cap pain, we talk about adjunctive therapy such as PRP. Dr Barton jumped online for a follow up conversation after our initial conversation to answer the question about stretching in the role that it plays in the management and the treatment of kneecap pain. So jump in for this expert edition, if you are a knee cap pain sufferer, a Patellofemoral pain sufferer I hope this conversation with Dr. Christian Barton really helps you. Listen in as we delve into the following: A general week in overall practice What is Patellar Femoral Pain and where does it come from How common is the injury Physical Pain and Quality of Life Managing the pain and loads What are the main aims of muscle intervention Most common exercises for rehab Biomechanical Studies Focusing on step rate The role of orthotics Taping as an intervention Top mistakes Runners make Pain Management Physical Challenge Stretching program If you enjoyed this episode of The Physical Performance Show please hit SUBSCRIBE for to ensure you are one of the first to future episodes. Jump over to POGO Physio - www.pogophysio.com.au for more details Follow @Brad_Beer Instagram, Twitter, and Snapchat Please direct any questions, comments, and feedback to the above social media handles.
Listen to leading physiotherapists continue their conversation on common ground when treating patients with disabling pain. (Link to Part 1 here http://ow.ly/mi3c30iqGSI) In this episode the focus is treatment - what can you do to provide an all-around programme that respects the biopsychosocial model. · How to assess the patient given the history you have obtained · Common ground they have discovered in treating backs and knees – there are many shared experiences and lessons from them · Exercise is the most powerful treatment – which ones, when, how to promote adherence with a programme. Links to papers: 1. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. bjsm.bmj.com/content/50/14/839 2. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 2: recommended physical interventions (exercise, taping, bracing, foot orthoses and combined interventions) bjsm.bmj.com/content/50/14/844 3. Evidence-based framework for a pathomechanical model of patellofemoral pain: 2017 patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester, UK: part 3. bjsm.bmj.com/content/51/24/1713.long The link to Part 1 of the conversation: http://ow.ly/mi3c30iqGSI The link to previous podcasts by these experts: Prof Kay Crossley’s previous BJSM podcast on treatment of patellofemoral pain (2015) http://ow.ly/PnHl30iqNlJ (10,000 listens) Prof Peter O’Sullivan on treatment of back pain (2014) http://ow.ly/Ws2Y30iqNyD
Nesse episódio eu, Heric Lopes, conto com a presença do doutorando e fisioterapeuta Ricky Watari, do professor e fisioterapeuta Ricardo Guerra e do professor e educador físico Sergio Cunha para discutir o tratamento da dor patelofemural. Se liga no que deu! Esse podcast é parte do canal Fisio na Pauta. Nesse canal, assuntos relevantes serão discutidos usando a ciência e o ceticismo como pedras fundamentais. Minha intenção é oferecer informação sobre saúde, ciência, reabilitação e claro… Fisioterapia! O Fisio na Pauta Podcast é uma produção independente, elaborado por um fisioterapeuta disposto a disseminar conhecimento em prol da evolução da ciência da Fisioterapia. O conteúdo desse programa é meramente informativo e não deve ser utilizado como conselho médico, uma vez que o conteúdo científico está constantemente evoluindo. Em caso de sintomas e/ou dúvidas, recomendo procurar um profissional da área da saúde. As informações e opiniões expressas nesse programa são de inteira responsabilidade de seus autores, não correspondendo necessariamente ao ponto de vista dos colaboradores do canal. Você pode acompanhar o Fisio na Pauta Podcast das seguintes maneiras: website: www.fisionapauta.com.br email: contato@fisionapauta.com.br Twitter: @fisionapauta Facebook: @canalfisionapauta Instagram: fisionapauta Deixe seu comentário no iTunes! Quer colaborar e apoiar o canal Fisio na Pauta? Acesse: https://fisionapauta.com.br/apoie/ Ouça, divulgue, compartilhe! Músicas: DJ Cam Quartet – Rebirth of Coll – https://www.youtube.com/watch?v=oU0ZmbBY9QI Dope Lemon – Home Soon – https://www.youtube.com/watch?v=wyU7324m10M Edvaldo Santana – Gelo no Joelhos – https://www.youtube.com/watch?v=Q7gOqYJjA2I Referência bibliográficas: Willy, R. W., & Meira, E. P. (2016). CURRENT CONCEPTS IN BIOMECHANICAL INTERVENTIONS FOR PATELLOFEMORAL PAIN. International journal of sports physical therapy, 11(6), 877. Crossley, K. M., Callaghan, M. J., & van Linschoten, R. (2015). Patellofemoral pain. bmj, 351, h3939. Dye, S. F. (2005). The pathophysiology of patellofemoral pain: a tissue homeostasis perspective. Clinical orthopaedics and related research, 436, 100-110. Dye, S. F. (1996).
Nesse episódio eu, Heric Lopes, conto com a presença do doutorando e fisioterapeuta Ricky Watari, do professor e fisioterapeuta Ricardo Guerra e do professor e educador físico Sergio Cunha para discutir o tratamento da dor patelofemural. Se liga no que deu! Esse podcast é parte do canal Fisio na Pauta. Nesse canal, assuntos relevantes serão discutidos usando a ciência e o ceticismo como pedras fundamentais. Minha intenção é oferecer informação sobre saúde, ciência, reabilitação e claro… Fisioterapia! O Fisio na Pauta Podcast é uma produção independente, elaborado por um fisioterapeuta disposto a disseminar conhecimento em prol da evolução da ciência da Fisioterapia. O conteúdo desse programa é meramente informativo e não deve ser utilizado como conselho médico, uma vez que o conteúdo científico está constantemente evoluindo. Em caso de sintomas e/ou dúvidas, recomendo procurar um profissional da área da saúde. As informações e opiniões expressas nesse programa são de inteira responsabilidade de seus autores, não correspondendo necessariamente ao ponto de vista dos colaboradores do canal. Você pode acompanhar o Fisio na Pauta Podcast das seguintes maneiras: website: www.fisionapauta.com.br email: contato@fisionapauta.com.br Twitter: @fisionapauta Facebook: @canalfisionapauta Instagram: fisionapauta Deixe seu comentário no iTunes! Quer colaborar e apoiar o canal Fisio na Pauta? Acesse: http://www.fisionapauta.com.br/apoie/ Ouça, divulgue, compartilhe! Músicas: DJ Cam Quartet – Rebirth of Coll – https://www.youtube.com/watch?v=oU0ZmbBY9QI Dope Lemon – Home Soon – https://www.youtube.com/watch?v=wyU7324m10M Edvaldo Santana – Gelo no Joelhos – https://www.youtube.com/watch?v=Q7gOqYJjA2I Referência bibliográficas: Willy, R. W., & Meira, E. P. (2016). CURRENT CONCEPTS IN BIOMECHANICAL INTERVENTIONS FOR PATELLOFEMORAL PAIN. International journal of sports physical therapy, 11(6), 877. Crossley, K. M., Callaghan, M. J., & van Linschoten, R. (2015). Patellofemoral pain. bmj, 351, h3939. Dye, S. F. (2005). The pathophysiology of patellofemoral pain: a tissue homeostasis perspective. Clinical orthopaedics and related research, 436, 100-110. Dye,
Join BJSM editor in chief Karim Khan eavesdropping on Professors Kay Crossley (La Trobe University, Melbourne) and Peter O’Sullivan (Curtin University, Perth) as they discuss the assessment and management of typical patients who present with long-standing knee pain and/or back pain. In podcast 1 (episode 320), they discuss: · The context from which to begin the consultation. What is the physio’s goal when taking the history? · What to ask about · How to frame the assessment when discussing the patient’s fears · What NOT to do or say! Links to papers: 1. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. bjsm.bmj.com/content/50/14/839 2. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 2: recommended physical interventions (exercise, taping, bracing, foot orthoses and combined interventions) bjsm.bmj.com/content/50/14/844 3. Evidence-based framework for a pathomechanical model of patellofemoral pain: 2017 patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester, UK: part 3. bjsm.bmj.com/content/51/24/1713.long Links to podcasts: Prof Kay Crossley’s previous BJSM podcast on treatment of patellofemoral pain (2015) https://soundcloud.com/bmjpodcasts/assoc-prof-kay-crossley-on-procedures-for-patellofemoral-pain Prof Peter O’Sullivan on treatment of back pain (2014) https://soundcloud.com/bmjpodcasts/professor-peter-osullivan-curtin-walks-you-through-two-cases-of-low-back-pain
From the University of Queensland, Australia, physiotherapist and PhD candidate Liam McLachlan and Professor of Sports Physiotherapy Bill Vicenzino share clinical pearls relating to the patient with patellofemoral pain. Dr Erin Macri, physiotherapist and BJSM editorial board member doing her postdoctoral studies at the University of Delaware leads the conversation. • Why is it important to consider psychological factors in patellofemoral pain? • Which instruments should I use in the clinic (clue, google “Startback tool”) • Which comes first, the psychological distress or the pain? • Can explanation and reassurance contribute to reducing pain and improving function? • Bottom line – time to rethink from the narrow mechanical (only) perspective. Here are some key links: *Systematic review: The psychological features of patellofemoral pain: a systematic review. First author: Liam Maclachlan. http://bjsm.bmj.com/content/51/9/732 FREE *Be sure to check the 3 BJSM Patellofemoral consensus statements (all free): 1. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. http://bjsm.bmj.com/content/50/14/839 2. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 2: recommended physical interventions (exercise, taping, bracing, foot orthoses and combined interventions) http://bjsm.bmj.com/content/50/14/844 3. Evidence-based framework for a pathomechanical model of patellofemoral pain: 2017 patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester, UK: part 3. http://bjsm.bmj.com/content/51/24/1713.long *The STarT Back Screening Tool (SBST): Home page. https://www.keele.ac.uk/sbst/startbacktool/ Twitter: @Bill_Vicenzino: https://twitter.com/Bill_Vicenzino @PaulWHodges: https://twitter.com/PaulWHodges (coauthor)
Nesse episódio eu, Heric Lopes, conto com a presença do professor e educador físico Sergio Cunha, do professor e fisioterapeuta Ricardo Guerra e do doutorando e fisioterapeuta Ricky Watari para discutir as causas da dor patelofemural. Confira! Esse podcast é parte do canal Fisio na Pauta. Nesse canal, assuntos relevantes serão discutidos usando a ciência e o ceticismo como pedras fundamentais. Minha intenção é oferecer informação sobre saúde, ciência, reabilitação e claro… Fisioterapia! O Fisio na Pauta Podcast é uma produção independente, elaborado por um fisioterapeuta disposto a disseminar conhecimento em prol da evolução da ciência da Fisioterapia. O conteúdo desse programa é meramente informativo e não deve ser utilizado como conselho médico, uma vez que o conteúdo científico está constantemente evoluindo. Em caso de sintomas e/ou dúvidas, recomendo procurar um profissional da área da saúde. As informações e opiniões expressas nesse programa são de inteira responsabilidade de seus autores, não correspondendo necessariamente ao ponto de vista dos colaboradores do canal. Você pode acompanhar o Fisio na Pauta Podcast das seguintes maneiras: website: www.fisionapauta.com.br email: contato@fisionapauta.com.br Twitter: @fisionapauta Facebook: @canalfisionapauta Instagram: fisionapauta Deixe seu comentário no iTunes! Quer colaborar e apoiar o canal Fisio na Pauta? Acesse: https://fisionapauta.com.br/apoie/ Ouça, divulgue, compartilhe! Músicas: DJ Cam Quartet – Rebirth of Coll – https://www.youtube.com/watch?v=oU0ZmbBY9QI Dope Lemon – Home Soon – https://www.youtube.com/watch?v=wyU7324m10M Filipe Sambado – Joelhos – Ups…Fiz isto outra vez (EP) Referência bibliográficas: Willy, R. W., & Meira, E. P. (2016). CURRENT CONCEPTS IN BIOMECHANICAL INTERVENTIONS FOR PATELLOFEMORAL PAIN. International journal of sports physical therapy, 11(6), 877. Crossley, K. M., Callaghan, M. J., & van Linschoten, R. (2015). Patellofemoral pain. bmj, 351, h3939. Dye, S. F. (2005). The pathophysiology of patellofemoral pain: a tissue homeostasis perspective. Clinical orthopaedics and related research, 436, 100-110. Dye, S. F. (1996). The knee as a biologic transmission with an envelope of function: a theory. Clinical orthopaedics and related research, 325, 10-18. Blond, L., & Hansen, L. (1998). Patellofemoral pain syndrome in athletes: a 5.
Nesse episódio eu, Heric Lopes, conto com a presença do professor e educador físico Sergio Cunha, do professor e fisioterapeuta Ricardo Guerra e do doutorando e fisioterapeuta Ricky Watari para discutir as causas da dor patelofemural. Confira! Esse podcast é parte do canal Fisio na Pauta. Nesse canal, assuntos relevantes serão discutidos usando a ciência e o ceticismo como pedras fundamentais. Nossa intenção é oferecer informação sobre saúde, ciência, reabilitação e claro... Fisioterapia! Esse podcast é uma produção independente elaborado por voluntários dispostos a disseminar conhecimento em prol da evolução da ciência da Fisioterapia. O conteúdo do programa é meramente informativo e nada de ser utilizado como conselho médico, uma vez que o conteúdo científico está constantemente evoluindo. Em caso de sintomas e/ou dúvidas, recomendo procurar um profissional da área da saúde. As informações e opiniões expressas nesse programa são de inteira responsabilidade de seus autores, não correspondendo necessariamente ao ponto de vista dos outros integrantes da equipe. Você pode acompanhar o Fisio na Pauta Podcast das seguintes maneiras: website: www.fisionapauta.com.br email: contato@fisionapauta.com.br Twitter: @fisionapauta Facebook: @canalfisionapauta Instagram: fisionapauta Deixe seu comentário no iTunes! Quer colaborar e apoiar o canal Fisio na Pauta? Acesse: http://www.fisionapauta.com.br/apoie/ Ouça, divulgue, compartilhe! Músicas: DJ Cam Quartet - Rebirth of Coll - https://www.youtube.com/watch?v=oU0ZmbBY9QI Dope Lemon - Home Soon - https://www.youtube.com/watch?v=wyU7324m10M Filipe Sambado - Joelhos - Ups…Fiz isto outra vez (EP) Referência bibliográficas: Willy, R. W., & Meira, E. P. (2016). CURRENT CONCEPTS IN BIOMECHANICAL INTERVENTIONS FOR PATELLOFEMORAL PAIN. International journal of sports physical therapy, 11(6), 877. Crossley, K. M., Callaghan, M. J., & van Linschoten, R. (2015). Patellofemoral pain. bmj, 351, h3939. Dye, S. F. (2005). The pathophysiology of patellofemoral pain: a tissue homeostasis perspective. Clinical orthopaedics and related research, 436, 100-110. Dye, S. F. (1996). The knee as a biologic transmission with an envelope of function: a theory. Clinical orthopaedics and related research, 325, 10-18. Blond, L., & Hansen, L. (1998). Patellofemoral pain syndrome in athletes: a 5.7-year retrospective follow-up study of 250 athletes. Acta Orthop Belg, 64(4), 393-400. van Linschoten, R. (2012). Patellofemoral pain syndrome in athletes. Aspetar Sports Medicine Journal, 1(3), 204-207. Post, W. R., & Dye, S. F. (2017). Patellofemoral Pain: An Enigma Explained by Homeostasis and Common Sense. American journal of orthopedics (Belle Mead, NJ), 46(2), 92-100. Rathleff, M. S., Thomsen, J. L., & Barton, C. J. (2017). Patient education in patellofemoral pain: potentially potent and essential, but under-researched. bjsports-2017. Esculier, J. F., Bouyer, L. J., Dubois, B., Fremont, P., Moore, L., McFadyen, B., & Roy, J. S. (2017). Is combining gait retraining or an exercise programme with education better than education alone in treating runners with patellofemoral pain? A randomised clinical trial. Br J Sports Med, bjsports-2016. Noehren, B., Pohl, M. B., Sanchez, Z., Cunningham, T., & Lattermann, C. (2012). Proximal and distal kinematics in female runners with patellofemoral pain. Clinical biomechanics, 27(4), 366-371. Draper, C. E., Fredericson, M., Gold, G. E., Besier, T. F., Delp, S. L., Beaupre, G. S., & Quon, A. (2012). Patients with patellofemoral pain exhibit elevated bone metabolic activity at the patellofemoral joint. Journal of Orthopaedic Research, 30(2), 209-213. Noehren, B., Hamill, J., & Davis, I. (2013). Prospective evidence for a hip etiology in patellofemoral pain. Medicine and science in sports and exercise, 45(6), 1120-1124. Powers, C. M. (2003). The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. Journal of Orthopaedic & Sports Physical Therapy, 33(11), 639-646.
Nesse episódio eu, Heric Lopes, conto com a presença do professor e educador físico Sergio Cunha, do professor e fisioterapeuta Ricardo Guerra e do doutorando e fisioterapeuta Ricky Watari para discutir as causas da dor patelofemural. Confira! Esse podcast é parte do canal Fisio na Pauta. Nesse canal, assuntos relevantes serão discutidos usando a ciência e o ceticismo como pedras fundamentais. Nossa intenção é oferecer informação sobre saúde, ciência, reabilitação e claro... Fisioterapia! Esse podcast é uma produção independente elaborado por voluntários dispostos a disseminar conhecimento em prol da evolução da ciência da Fisioterapia. O conteúdo do programa é meramente informativo e nada de ser utilizado como conselho médico, uma vez que o conteúdo científico está constantemente evoluindo. Em caso de sintomas e/ou dúvidas, recomendo procurar um profissional da área da saúde. As informações e opiniões expressas nesse programa são de inteira responsabilidade de seus autores, não correspondendo necessariamente ao ponto de vista dos outros integrantes da equipe. Você pode acompanhar o Fisio na Pauta Podcast das seguintes maneiras: website: www.fisionapauta.com.br email: contato@fisionapauta.com.br Twitter: @fisionapauta Facebook: @canalfisionapauta Instagram: fisionapauta Deixe seu comentário no iTunes! Quer colaborar e apoiar o canal Fisio na Pauta? Acesse: http://www.fisionapauta.com.br/apoie/ Ouça, divulgue, compartilhe! Músicas: DJ Cam Quartet - Rebirth of Coll - https://www.youtube.com/watch?v=oU0ZmbBY9QI Dope Lemon - Home Soon - https://www.youtube.com/watch?v=wyU7324m10M Filipe Sambado - Joelhos - Ups…Fiz isto outra vez (EP) Referência bibliográficas: Willy, R. W., & Meira, E. P. (2016). CURRENT CONCEPTS IN BIOMECHANICAL INTERVENTIONS FOR PATELLOFEMORAL PAIN. International journal of sports physical therapy, 11(6), 877. Crossley, K. M., Callaghan, M. J., & van Linschoten, R. (2015). Patellofemoral pain. bmj, 351, h3939. Dye, S. F. (2005). The pathophysiology of patellofemoral pain: a tissue homeostasis perspective. Clinical orthopaedics and related research, 436, 100-110. Dye, S. F. (1996). The knee as a biologic transmission with an envelope of function: a theory. Clinical orthopaedics and related research, 325, 10-18. Blond, L., & Hansen, L. (1998). Patellofemoral pain syndrome in athletes: a 5.7-year retrospective follow-up study of 250 athletes. Acta Orthop Belg, 64(4), 393-400. van Linschoten, R. (2012). Patellofemoral pain syndrome in athletes. Aspetar Sports Medicine Journal, 1(3), 204-207. Post, W. R., & Dye, S. F. (2017). Patellofemoral Pain: An Enigma Explained by Homeostasis and Common Sense. American journal of orthopedics (Belle Mead, NJ), 46(2), 92-100. Rathleff, M. S., Thomsen, J. L., & Barton, C. J. (2017). Patient education in patellofemoral pain: potentially potent and essential, but under-researched. bjsports-2017. Esculier, J. F., Bouyer, L. J., Dubois, B., Fremont, P., Moore, L., McFadyen, B., & Roy, J. S. (2017). Is combining gait retraining or an exercise programme with education better than education alone in treating runners with patellofemoral pain? A randomised clinical trial. Br J Sports Med, bjsports-2016. Noehren, B., Pohl, M. B., Sanchez, Z., Cunningham, T., & Lattermann, C. (2012). Proximal and distal kinematics in female runners with patellofemoral pain. Clinical biomechanics, 27(4), 366-371. Draper, C. E., Fredericson, M., Gold, G. E., Besier, T. F., Delp, S. L., Beaupre, G. S., & Quon, A. (2012). Patients with patellofemoral pain exhibit elevated bone metabolic activity at the patellofemoral joint. Journal of Orthopaedic Research, 30(2), 209-213. Noehren, B., Hamill, J., & Davis, I. (2013). Prospective evidence for a hip etiology in patellofemoral pain. Medicine and science in sports and exercise, 45(6), 1120-1124. Powers, C. M. (2003). The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. Journal of Orthopaedic & Sports Physical Therapy, 33(11), 639-646.
On this episode of the Healthy Wealthy and Smart Podcast, I welcome Dr. Christian Barton on the show to talk about exercise for patellofemoral pain. Dr Christian Barton is a physiotherapist who graduated with first class Honours from Charles Sturt University in 2005, and completed his PhD focusing on Patellofemoral Pain, Biomechanics and Foot Orthoses in 2010. Dr Barton’s broad research disciplines are biomechanics, running-related injury, knee pathology, tendinopathy, and rehabilitation, with a particular focus on research translation. Dr Barton has published over 40 papers in Sports Medicine, Rehabilitation and Biomechanics journals, and he is an Associate Editor for the British Journal of Sports Medicine. In this episode, we discuss: -Why exercise is so important in treating patellofemoral pain -Exercise prescription principles for optimizing therapeutic programs -Muscle power and its role in absorbing load during activity -Utilizing graded exposure to address fear around movement -And so much more! The current literature shows, “Exercise is the key intervention, along with education” for patellofemoral pain. Although uncertainty exists around specific exercise prescription parameters, Dr. Barton has found that, “The exercise that probably should be provided is primarily hip and knee based on current evidence.” Dr. Barton is a proponent for conservative management over injections and surgical interventions for patellofemoral pain and encourages all clinicians to, “[make] sure that patients take this on board and you stop them from looking for quick fixes.” While strength and power deficits will exist for individuals with patellofemoral pain, other factors such as recovery expectations and fear of movement can further impact clinical presentation and intervention. Dr. Barton stresses, “Ultimately, you need to treat the patient in front of you.” For more information on Dr. Barton: Dr Christian Barton, APAM, is both a researcher and clinician treating sports and musculoskeletal patients in Melbourne. He is a postdoctoral research fellow and the Communications Manager at the La Trobe Sport and Exercise Medicine Research Centre. Christian’s research is focussed on the knee, running injuries and knowledge translation including the use of digital technologies. He has written and contributed to a multitude of peer-reviewed publications and is a regular invited speaker both in Australia and internationally. He also runs courses on patellofermoral pain and running injury management in Australia, the United Kingdom and Scandinavia. He is on the board of the Victorian branch of the Musculoskeletal Physiotherapy Association, and a guest lecturer at La Trobe University and the University of Melbourne. Christian is currently studying a Master of Communication, focussing on journalism innovation. He is an Associate Editor and Deputy Social Media Editor at the British Journal of Sports Medicine, as well as Associate Editor at Physical Therapy in Sport. Resources discussed on this show: Christian Barton Twitter La Trobe University Sport and Exercise Medicine Research Blog The International Patellofemoral Research Network Proximal muscle rehabilitation is effective for patellofemoral pain: a systematic review with meta-analysis How can we implement exercise therapy for patellofemoral pain if we don’t know what was prescribed? A systematic review IPFRN Exercise Guide 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 2: recommended physical interventions (exercise, taping, bracing, foot orthoses and combined interventions) Hip rate of force development and strength are impaired in females with patellofemoral pain without signs of altered gluteus medius and maximus morphology La Trobe University Blog: Hip muscle rate of force development is impaired in females with knee cap pain Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes! Have a great week and stay Healthy Wealthy and Smart! Xo Karen
On this episode of the #AskMikeReinold show we talk about Medial Patellofemoral Ligament Surgery, Manual Therapy, and Professional Study Groups. To view more episodes, subscribe, and ask your questions, go to https://mikereinold.com/askmikereinold. #AskMikeReinold Episode 81: Medial Patellofemoral Ligament Surgery, … Read more > The post Medial Patellofemoral Ligament Surgery, Manual Therapy, and Professional Study Groups appeared first on Mike Reinold.
Physio Edge 055 Patellofemoral pain in runners with Brad Neal Runners regularly present for treatment of anterior knee pain. Accurate diagnosis is vital in guiding your treatment, and helping your patients return to painfree running. In episode 53 of the Physio Edge podcast Brad Neal and David Pope discuss the different patient presentations with anterior knee pain, along with the subjective clues and objective tests that will help guide successful treatment. We also explore: • Sources of anterior knee pain - Patellofemoral pain - Acute synovitis - Fat pad irritation - Osteochondral defects • The role of imaging • How to perform an objective assessment in patients with anterior knee pain, including key special tests • Red flags • Saphenous nerve involvement • How to assess if the patient will benefit from an orthotic intervention • Treatment of patellofemoral pain, synovitis, and fat pad irritation • Taping techniques ’ Links of Interest Download and subscribe to the podcast on iTunes Download your free podcast handout on patellofemoral pain in runners with Brad Neal Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy Brad Neal on Twitter Connect with David Pope on Twitter Brad Neal on ResearchGate Brad Neal on Google Scholar Pure Sports Medicine Team PFP TREK – Translation of research education and knowledge Review the podcast on iTunes Like the podcast on Facebook Free sports injury videos Enrol on the free webinar “How to perform a running assessment” with Dr Rich Willy Articles related to this episode: Conscious neurosensory mapping of the internal structures of the human knee without intraarticular anaesthesia Runners with patellofemoral pain have altered biomechanics which targeted interventions can modify: a systematic review and meta-analysis Related resources Infographic - Running retraining with Dr Rich Willy
Dr. Rosenblum discusses Tarsal Tunnel in this free version of the podcast. For the rest of the lecture that discusses Patellofemoral syndrome, be sure to subscribe to the premium podcast or go to PainExam.com and sign up for access to the full lectures. Reference https://en.wikipedia.org/wiki/Tarsal_tunnel_syndrome For the Full Version, Subscribe to our Premium Subscription via our App, or Download the Full Lecture Library at PainExam.com PainExam Podcast For Board Review and Practice Management Updates TEXT the word PAINEXAM to the number 33444 Download our iphone App! Download our Android App! For more information on Pain Management Topics and keywords Go to PainExam.com David Rosenblum, MD specializes in Pain Management and is the Director of Pain Management at Maimonides Medical Center and AABP Pain Managment For evaluation and treatment of a Painful Disorder, go to www.AABPPain.com 718 436 7246 DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment. You should regularly consult a physician in matters relating to yours or another's health. You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional. Copyright © 2015 QBazaar.com, LLC All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.
Welcome to the podcast review of JISAKOS volume 1, issue 5. See full issue here: http://jisakos.bmj.com/content/1/5 Social Media Editor, Peter D. Fabricant, MD, MPH, reviews this issue, including the introductory Editorial by Editor-in-Chief Prof. Niek van Dijk, MD, PhD, which focuses on the debate between patellofemoral arthroplasty (PFA) vs. total knee arthroplasty (TKA) for patellofemoral arthritis. See Editorial here: http://jisakos.bmj.com/content/1/5/239 Additional topics include cartilage restoration in the hip, state of the art in hip arthroscopy, and state of the art in anatomic PCL reconstruction.
Physio Edge 049 Running from injury part 2 with Dr Rich Willy In Running from Injury Part 2, Dr Rich Willy will help you perform a running assessment and tie this into running retraining for patients with achilles tendinopathy, patellofemoral joint pain, ITB Syndrome and stress fractures. We explore the latest evidence and how it will help you address your running patients pain and injuries. You will discover: Treadmill or overground running assessments? Gait retraining for particular musculoskeletal conditions How to provide your patients with the individual running cue they need What cadence should we be aiming at for runners (hint: it may not be what you expect!) Is heel strike important to assess Running assessment from the side Important factors when treating runners with PFJP Running assessment & retraining for achilles tendinopathy Factors involved in ITB Syndrom When are orthotics useful You can download the handout to go along with this podcast to help you perform a running assessment, retrain runners and address achilles tendinopathy, knee pain and tibial stress injuries. Download your free handout by clicking here Links mentioned in this episode Physio Edge podcast 048 Running from injury part 2 with Dr Rich Willy Dr Rich Willy on Twitter Dr Rich Willy on ResearchGate RunCadence app for iOS and Android Bone stress injuries in runners webinar with Tom Goom Achilles tendinopathy in runners online course Free trial of Clinical Edge membership David Pope on Twitter Other Physio Edge podcasts related to running injuries Physio Edge podcast 048 Running from injury part 2 with Dr Rich Willy Physio Edge 046 Proximal hamstring tendinopathy with Tom Goom Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Seth O’Neill Physio Edge 039 Patellofemoral pain in adolescents with Dr Michael Rathleff Physio Edge 038 Plantar fasciopathy loading programs with Michael Rathleff Physio Edge 023 Lower limb tendinopathies with Dr Peter Malliaras Physio Edge 012 Plantar fascia, achilles tendinopathy & nerve entrapments with Russell Wright Physio Edge 010 Biomechanics Of Running With Blaise Dubois Physio Edge 005 Tendons And Tendinopathy with Dr Jill Cook
Are you looking to improve your assessment & treatment of runners? Would you like to know exactly what to look for in a running assessment? What are the most important factors to treat when your running patients have achilles tendinopathy? How is that different when they have patellofemoral joint pain (PFJP)? The research around running is evolving quickly, and with Dr Rich Willy we explore the latest evidence and how it will help you address the most important factors with different musculoskeletal issues. You will also discover: How to perform a running gait analysis Key communication points with runners How to explain your gait analysis & running injuries to your patients Important questions to ask runners Intensity runners should train at to avoid illness and injury Technology you can incorporate in your running assessment and retraining Important factors when treating runners with PFJP and achilles tendinopathy Does pronation & foot mechanics matter? I have an awesome freebie for you with this podcast! You can download free the podcast handout that will take you through the 8 essential areas to analyse when performing a running assessment, communication tips, advice to give your running patients during their recovery and much more. Links mentioned in this episode Dr Rich Willy on Twitter Dr Rich Willy at East Carolina University Dr Rich Willy on ResearchGate Some papers of interest: i. Patellofemoral Joint and Achilles Tendon Loads During Overground and Treadmill Running ii. In-field gait retraining and mobile monitoring to address running biomechanics associated with tibial stress fracture: In-field gait retraining and monitoring iii. Mirror gait retraining for the treatment of patellofemoral pain University of Delaware Irene Davis - Harvard Garmin 620 RunCadence app for iOS and Android Run Scribe Purchase a RunScribe Article on polarised training approach Bone stress injuries in runners webinar with Tom Goom Achilles tendinopathy in runners online course Free trial of Clinical Edge membership David Pope on Twitter Other Physio Edge podcasts related to running injuries Physio Edge 046 Proximal hamstring tendinopathy with Tom Goom Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Seth O’Neill Physio Edge 039 Patellofemoral pain in adolescents with Dr Michael Rathleff Physio Edge 038 Plantar fasciopathy loading programs with Michael Rathleff Physio Edge 023 Lower limb tendinopathies with Dr Peter Malliaras Physio Edge 012 Plantar fascia, achilles tendinopathy & nerve entrapments with Russell Wright Physio Edge 010 Biomechanics Of Running With Blaise Dubois Physio Edge 005 Tendons And Tendinopathy with Dr Jill Cook
01:25:35 no podcast,edge,david,michael,sport,research,pain,joint,pope,stretching,knee,strengthening,clinical,anterior,patella,physio,physioedge,patellofemoral,rathleff PE039 info@clinicaledge.com.au (Physio Edge)Physio EdgeInspiring interviews with leading Physiotherapists, discussing real life assessment and treatment, clinical issues and ways to give you an edge in your Physiotherapy clinical practice.
We are back from hiatus and on this episode we look at the correlation between quadriceps weakness and patellofemoral chondral damage after ACLR. Might the chondral damage progress due to quadriceps weakness? Is this another reason to aggressively seek quad strength after surgery? How was JW's summer?
How to treat anterior knee pain with Kurt Lisle Anterior knee pain can occur in your elite sports patients right through to office workers and weekend warriors. In this podcast with Kurt Lisle, we discuss anterior knee pain, the causes, how to diagnose the source of the pain, and the best ways to treat and rehabilitate these patients. Kurt Lisle is the Australian Socceroos Physio and co-owner of The Knee Joint Physio in Queensland. Kurt and I discussed acute knee injuries on the Physio Edge podcast in episode 29, and I really wanted to get Kurt back on the podcast to discuss the anterior knee. In this fantastic, detailed episode of the Physio Edge podcast, Kurt and I explore: Subjective clues that give you ideas about differential diagnosis Fat pad - location of pain, activities that irritate Patellofemoral joint - aggravating activities and DDx Patellar tendon - subjective clues, location of pain Objective examination of the anterior knee Tests for PFJ Functional tests first or examination on the treatment table? Palpation of the anterior knee Fat pad palpation and tests Is the fat pad tender medial and laterally, or can it be tender only on one aspect Neuromuscular patterning Squat and one leg squat examination What causes “catching” pain on movement Chondral defects - identifying Is there value in the grind test When to refer for MRI and other imaging Important factors that may contribute to AKP Gait contributors to AKP Treatment of PFJ pain Modifying PFJ aggravating activities Using EMG Quadricep rehabilitation and strengthening When to incorporate squats into your rehabilitation program The role of taping for PFJ or fat pad irritation Red flags causing knee pain You can download this episode from iTunes or Soundcloud. If you enjoy the Physio Edge podcast, we would love you to take a couple of minutes write us a review on iTunes. Please take a screenshot of your review before posting it, and email it to info@physioedge.com.au so I can give you a shoutout in the next podcast Links of Interest Kurt Lisle The Knee Joint Physiotherapy, Bokarina, QLD Socceroos Review the Physio Edge podcast in iTunes Download the Physio Edge podcast from iTunes Clinical Edge 20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE Review the Physio Edge podcast in iTunes Download the Physio Edge podcast from iTunes Clinical Edge 20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE Tags: anterior knee, pain, knee, knee injuries, socceroos, patellofemoral joint, fat pad, impingement, patellar tendon, knee joint, imaging, strengthening, examination, rehabilitation, return to play, graft, tendon, conservative, football, soccer, physio edge, physiotherapist, physio, edge, clinical edge, podcast, online education, kurt lisle, socceroos, the knee joint
Show Sponsors: www.newbalancechicago.com www.lemsshoes.com * Gait Guys online /download store (National Shoe Fit Certification and more !) : http://store.payloadz.com/results/results.aspx?m=80204 * Other web based Gait Guys lectures: www.onlinece.com type in Dr. Waerlop or Dr. Allen, ”Biomechanics” Show Notes and links: Forget Cheetah Blades. This Prosthetic Socket Is a Real Breakthroughhttp://www.wired.com/2014/10/forget-cheetah-blades-prosthetic-socket-real-breakthrough Rebuilding and Regenerating Damaged Knees: The Future Has Arrived!http://www.huffingtonpost.com/nicholas-dinubile-md/rebuilding-and-regenerati_b_6043374.html the foot gym: http://www.ingsource.com/products/foot-gym/ From a reader:Thanks for sharing all the great information over the years. I would like to pose to you some simple questions. How do you decide what area/s are relevant to the issue a patient presents? How do you decide what is "normal" given anatomical variations, history of injuries, torsion's, etc., and if pain is present, why would you address biomechanics, since pain is a neurological phenomenon not a biomechanical phenomenon? This may not be that simple but would like to hear what you have to say on these topics.Thank you,Joe COMPARISON OF ISOMETRIC ANKLE STRENGTH BETWEEN FEMALES WITH AND WITHOUT PATELLOFEMORAL PAIN SYNDROMEhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4196327/ the drawbacks of technology http://www.cnbc.com/id/102088318
Irene Davis is a renowned biomechanics clinician and scientist. Barefoot running has been one of her areas of focus and she co-authored the Nature paper that received cover attention and created mainstream attention to that topic. She and first author Dr Patrick McKeon, conceived of the idea of a foot ‘core’; if certain foot muscles act as a core it has immediate implications for management in clinical practice. Listen to Professor Davis and see the linked paper (below). Let us know if you agree, disagree. Tweet or write a blog post (email to karim.khan@ubc.ca). One of few researchers who addresses this issue, Prof Davis is a regular keynote speaker at major international conferences. In this BJSM podcast she shares her clinical approach to assessing patients where the ‘foot core’ may be relevant. See also: ‘The foot core system: a new paradigm for understanding intrinsic foot muscle function’: http://bit.ly/1zw4Syw Listen to Prof Davis discussing how to treat patellofemoral pain in another BJSM podcast: http://goo.gl/kxse10 Barefoot running: an evaluation of current hypothesis, future research and clinical applications: http://bjsm.bmj.com/content/48/5/349.full The foot core system: a new paradigm for understanding intrinsic foot muscle function: http://bjsm.bmj.com/content/early/2014/03/21/bjsports-2013-092690.full Running in a minimalist and lightweight shoe is not the same as running barefoot: a biomechanical study: http://bjsm.bmj.com/content/47/6/387.full Patellofemoral pain: consensus statement from the 3rd International Patellofemoral Pain Research Retreat held in Vancouver, September 2013: http://bjsm.bmj.com/content/48/6/411.full Baffled by the barefoot running vs traditional running shoe controversy? How to make an informed choice!: http://blogs.bmj.com/bjsm/2013/10/28/baffled-by-the-barefoot-running-vs-traditional-running-shoe-controversy-dont-be-make-an-informed-choice/ Patellofemoral pain syndrome? Consider orthoses or more comfortable shoes!: http://blogs.bmj.com/bjsm/2011/02/24/patellofemoral-pain-syndrome-consider-orthoses-or-more-comfortable-shoes/ Professor Irene Davis (Harvard) on treating patellofemoral pain: https://soundcloud.com/bmjpodcasts/professor-irene-davis-harvard-on-treating-patellofemoral-pain
Background: Patellofemoral complications are one of the main problems after Total Knee Arthroplasty (TKA). Retropatellar pressure distribution after TKA can contribute to these symptoms. Therefore we evaluated retropatellar pressure distribution subdivided on the ridge, medial and lateral surface on non-resurfaced patella before and after TKA. Additionally, we analyzed axial femorotibial rotation and quadriceps load before and after TKA. Methods: Seven fresh frozen cadaver knees were tested in a force controlled knee rig before and after TKA (Aesculap, Tuttlingen, Germany, Columbus CR) while isokinetic flexing the knee from 20 degrees to 120 degrees under weight bearing. Ridge, medial and lateral retropatellar surface were defined and pressure distribution was dynamically measured while quadriceps muscles and hamstring forces were applied. Aside axial femorotibial rotation and quadriceps load was recorded. Results: There was a significant change of patella pressure distribution before and after TKA (p = 0.004). In physiological knees pressure distribution on medial and lateral retropatellar surface was similar. After TKA the ridge of the patella was especially in higher flexion grades strongly loaded (6.09 +/-1.31 MPa) compared to the natural knee (2.92 +/-1.15 MPa, p < 0.0001). Axial femorotibial rotation showed typical internal rotation with increasing flexion both before and after TKA, but postoperatively it was significantly lower. The average amount of axial rotation was 3.5 degrees before and after TKA 1.3 degrees (p = 0.001). Mean quadriceps loading after implantation of knee prosthesis did not change significantly (575 N +/- 60 N in natural knee and after TKA 607 N +/- 96 N; p = 0.28). Conclusions: The increased retropatellar pressure especially on the ridge may be one important reason for anterior knee pain after TKA. The trochlea of the femoral component might highly influence the pressure distribution of the non-resurfaced retropatellar surface. Additionally, lower axial femorotibial rotation after TKA might lead to patella maltracking. Changing the design of the prosthesis or a special way of patella shaping might increase the conformity of the patella to trochlea to maintain natural contact patterns.
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