POPULARITY
10 episodes with Patellofemoral
6 episodes with Patellofemoral
7 episodes with Patellofemoral
8 episodes with Patellofemoral
4 episodes with Patellofemoral
3 episodes with Patellofemoral
2 episodes with Patellofemoral
2 episodes with Patellofemoral
2 episodes with Patellofemoral
Patellofemoral pain can affect anyone at any age, which mean you're likely to come across it in your clinical career. What is best practice in managing patellofemoral pain? Today, Dr Brad Neal (Queen Mary University of London) walks us through how to apply the best research to your practice. Dr Neal has worked for over a decade in elite sport, private and public health care settings as a specialist musculoskeletal physiotherapist. His PhD work in biomechanics has helped guide understanding of how to manage patellofemoral pain. ------------------------------ RESOURCES Best practice guide for patellofemoral pain: https://pubmed.ncbi.nlm.nih.gov/39401870/ Effects of treatment for patellofemoral pain - systematic review with meta-analysis: https://www.jospt.org/doi/full/10.2519/jospt.2022.11359 Patellofemoral pain 2019 clinical practice guideline: https://www.jospt.org/doi/10.2519/jospt.2019.0302
Welcome to Episode 404 of the Strength Coach Podcast, brought to you by PerformBetter.com, the Experts in Functional Training & Rehabilitation. In this episode, we discuss Pain-Free Quad Training and dive into strategies for building stronger, healthier quads during PFJ rehab while avoiding common pitfalls. Here's what we covered: - The importance of functional, closed-chain exercises like split squats for pain-free quad training during rehab.- Why leg extensions might not be the best choice for those with patellofemoral joint pain—and what to do instead! - How to target quads effectively while addressing glute and hamstring strength for optimal knee rehab. - Conditioning strategies for youth athletes and how to balance sport-specific activity with functional fitness. - A discussion on attacking the hips and the role of hamstring strength in minimizing knee and back pain. Enjoy the episode and let us know your thoughts in the comments! Thanks for listening!----------------------------------------------------------------------------------------------------------------Check out Perform Better (https://www.performbetter.com) for their latest sale, the New Signature Series and all the upcoming education, including this summer's Functional Training Summits.---------------------------------------------------------------------------------------------------------------CHAPTERS:00:00 - Intro04:52 - Coaches Corner with Mike Boyle07:13 - Mike Boyle on Patellofemoral Joint Health15:30 - Understanding Hamstrings19:12 - Addressing Hamstring Tightness20:00 - Managing Back Pain23:50 - Importance of Stability Work26:30 - Overthinking Movement Patterns28:14 - Anti-Rotation Exercises30:05 - Conditioning Techniques35:52 - Wrapping Up
Our next AAOS 2025 Annual Meeting poster is titled Mid-term Follow-up of Patellofemoral Osteochondral Allograft Transplantation. This study was performed by Dr. Bill Bugbee and his team at the Scripps Clinic. Dr. Bugbee was a guest on our show back in November 2023. That is episode 59 and 60, if you want to go check it out. In that episode, we discussed osteochondral allograft transplantation for various cartilage defects of the knee, including medial and lateral tibiofemoral, which are the more common locations for OCA transplantation. This study focuses specifically on outcomes of OCA transplantation for patellofemoral cartilage defects.This study identified 127 patients undergoing OCA transplantation in the patellofemoral compartment – 51 to the patella, 47 to the trochlea and 29 bipolar patella and trochlea. The most common indication was a degenerative cartilage lesion at 47%, followed by a traumatic cartilage injury at 25% and osteochondritis dissecans at 15%. All patients had a minimum follow-up of 2 years. OCA failure was defined as any reoperation that involved removal of the allograft. Patient reported outcomes were also assessed pre-op and post-op, including the IKDC score and KOOS score.So, what did this study find? First, reoperations occurred in 39% of the knees. Rate of reoperation was not statistically significant between patella, trochlea and bipolar grafts. Second, OCA failures occurred in 16% of the knees at a median 4.4 years following the index surgery, and the most common revision procedure was arthroplasty. Although it did not reach statistical significance, trochlear grafts had a lower failure rate of 9% compared to patellar grafts at 20% and bipolar grafts at 21%.Overall, graft survivorship at 5 and 10 years was 91% and 82%, respectively. Patients with patellar, trochlear and bipolar grafts all had significant improvement in IKDC scores and KOOS scores from preop to the latest follow-up and no statistically significant differences were observed between the groups. Overall, 77% of patients reported being satisfied with the results of the OCA transplantation with no statistically significant differences in satisfaction between the groups.Also check out:Episode 91: Dr. Tom DeBerardino 0n Advances in Patellofemoral Cartilage Restoration
Welcome to Season 2 of the Orthobullets Podcast.Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature Dr. Victor Hugo Hernandez and is titledPatellofemoral Knee Arthroplasty.FollowOrthobullets on Social Media:FacebookInstagram TwitterLinkedInYouTube
In this episode of the Braun Performance & Rehab Podcast, Dan is joined by Dr. Sabrina Strickland and Dr. Andreas Gomoll to discuss the patellofemoral joint in detail, with considerations to instability, cartilage defects, and more. Dr. Sabrina Strickland is board certified in sports medicine and orthopedic surgery at HSS, where she specializes in patellofemoral surgery for instability, cartilage disease, ACL and meniscal surgery and shoulder surgery. She completed her residency and fellowship in sports medicine at HSS after completing medical school at Rush in Chicago. Prior to that, Dr. Strickland received her BA from Cornell University. Currently, Dr. Strickland is an associate professor of orthopedic surgery at Weill Cornell Medical College. She retired from her part-time position as the Chief of Orthopedics at the VA in 2012 after seven years of service. Dr. Strickland is also the co-founder of the HSS Patellofemoral Center. Dr. Strickland is a member of the American Academy of Orthopaedic Surgeons, the American Orthopaedic Society for Sports Medicine, and the Arthroscopy Association of North America. Her research focuses on the knee joint, specifically cartilage transplants, patellofemoral arthritis and instability, and ACL and meniscal repair. Prior to pursuing her medical career, Dr. Strickland was a ski instructor during college at Stratton and spent a year skiing in Crested Butte, Colorado where she still has a home. In her spare time, Dr. Strickland enjoys skiing, hiking near her home in Salisbury, CT, and paddle boarding on Twin Lakes. For more on Dr. Strickland, you can find her at https://www.hss.edu/physicians_strickland-sabrina.asp or by visiting her website https://sabrinastrickland.com/ Dr. Andreas Gomoll is double board certified in Orthopedic Surgery and Sports Medicine. His practice is devoted to preserving or restoring quality of life for patients with injuries to the knee and shoulder. He is widely recognized as one of the leading surgeons specializing in joint preservation with extensive experience in ACL reconstruction and meniscus repair, both performing primary procedures, as well as revision surgery for failed prior procedures. He also specializes in rotator cuff and biceps injuries. Dr. Gomoll is a Professor of Orthopedic Surgery, a Fellow of the American Academy of Orthopaedic Surgeons, the American Orthopaedic Society for Sports Medicine, and the International Cartilage Repair Society. He holds leadership positions in these and other US and international professional societies, as well as being on the editorial boards of several orthopedic journals. He has been awarded several Best Doctors designations, is a Castle Connolly Top Doctor, recipient of the Who is Who Humanitarian award, and was recognized as one of 16 stand-out sports knee surgeons in North America. He leads and participates in multiple surgical and non-surgical research trials of innovative new treatments for ligament, meniscus and cartilage damage, and has published over 100 articles and several books in this field. For more on Dr. Gomoll, you can find him at https://www.hss.edu/physicians_gomoll-andreas.asp or by visiting his website http://www.andreasgomollmd.com/ *SEASON 5 of the Braun Performance & Rehab Podcast is brought to you by Isophit. For more on Isophit, check out isophit.com and @isophit -BE SURE to use coupon code BraunPR25% to save 25% on your order! **Season 5 of the Braun Performance & Rehab Podcast is also brought to you by Oro Muscles. For more on Oro, check out www.oromuscles.com Episode Affiliates: MoboBoard: BRAWNBODY10 saves 10% at checkout! MedBridge: https://www.medbridgeeducation.com/brawn-body-training or Coupon Code "BRAWN" for 40% off your annual subscription! CTM Band: https://ctm.band/collections/ctm-band coupon code "BRAWN10" = 10% off! Check out everything Dan is up to by clicking here: https://linktr.ee/braun_pr Liked this episode? Leave a 5-star review on your favorite podcast platform --- Support this podcast: https://podcasters.spotify.com/pod/show/daniel-braun/support
The Banff Patellofemoral Instability Instrument 2.0 (BPII 2.0) is a disease-specific, quality of life patient-reported outcome measure (PROM) that is valid and reliable in patients with recurrent lateral patellofemoral instability (LPI). Quality of life encompasses the physical, emotional, and psychological aspects of patient functioning and recovery. In conclusion, a statistically significant correlation was evident between the BPII 2.0 and the other PROMs. The BPII 2.0 does not explicitly measure kinesiophobia or pain catastrophizing; however, the significant statistical relationship of the TSK-11 and PCS to the BPII 2.0 suggests that this information is being captured and reflected. Click here to read the article.
In this episode, we review the high-yield topic of Patellofemoral Syndrome from the Orthopedics section at Medbullets.com Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets
[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
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
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
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.
Femoral tunnel enlargement after MPFL reconstruction is common, with patients with patella alta at an increased risk. The influence of tunnel malposition and trochlear dysplasia on this condition requires further research. Recurrent instability and patient-reported outcome scores are not affected by tunnel enlargement. Click here to read the article.
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