Patellofemoral Pain Syndrome

Patellar Tendonitis occurs most often as a result of stresses placed on the supporting structures of the knee. Tendonitis, a type of tendinopathy, is an injury that involves larger-scale acute injuries accompanied by inflammation. The most likely affected areas are the upper and lower limps, whereas the hips and torso are much less common regions that develop this condition. Variation of form and regularity of Tendonitis depends on the type, frequency and severity of exercise or use. For an example, a rock climber is more likely to develop Tendonitis in their elbows or fingers and a swimmer is more likely to develop this ailment in their shoulders. There are two different ways to cause the miniscule tears to a tendon that cause Tendonitis. One is caused by overuse, when the tendon is used or stretched too often, and the other is overload, when the level of a certain activity,

Per medical report dated 2/16/16 by Dr. Bakhos, the patient has been in physical therapy and using brace with goof relief of his pain. However, he reports increasing pain in the anterior knee for the past 3 weeks. The pain is exacerbated with stairs and kneeling. It is decreased with a brace and Advil. The patient received steroid injection to the right knee.

The first patient I witnessed was a 25 year old female. Pertinent patient medical history is anxiety, depression, and sleep dysfunction. The referring diagnosis is Chondromalacia of the right patella, which is also known as runner’s knee, is a condition where the cartilage on the undersurface of the kneecap deteriorates and softens. The physician who referred the patient, Victor N. Egwu, MD, orders the PT to evaluate and treat three times per week for four weeks. Right knee ROM and strengthening exercises should be done to treat patient. The PT evaluation justification history includes 1-2 person factors examination is addressing three or more elements. The clinical presentation is stable. The clinical decision-making is low co-morbidities.

With patellar dislocation, there are many ways for this injury to occur. One of the most common ways is through contact sports such as football, soccer and lacrosse where there is more of a higher risk to have a patellar injury (Dath, 2006, p. 6). In 2004, Dr. Fiftain recorded that the most prominent sports to manifest anterior knee pain are soccer players, weight lifters, runners, and shooters. From my experience, this pain arises from improper form, sharp movements to the left or right, and prolonged stress on the knee.

Osgood-Schlatter disease is an inflammation of an area below the kneecap called the tibial tubercle.

12/24/15 Progress Report describes that the patient has right knee pain. The pain is frequent. It is aching and burning in quality. The current pain level is 0/10 and worst pain is 4/10. Bending, squatting, walking, weight bearing, changing clothes and ROM aggravate the pain. Rest, ice,

They are able to perform a physical exam to test for this condition. The doctor will check the child’s knee tenderness, swelling, pain and redness. A bone x-ray might show swelling or damage to the anterior tibial tubercle. However, Osgood-Schlatter usually resolves on its own as the bones grow into place and stop growing overall. The symptoms disappear once the child’s bones stop growing. Until this happens, the child’s doctor will give some medication to help rid some of the symptoms. There are over-the-counter pain relievers like acetaminophen, ibuprofen or naproxen. The brand names may be called Tylenol, Advil, Motrin and Aleve. (Mayo Clinic Staff). There are also some physical therapy that may be useful and help the child learn exercises to stretch the thighs quadriceps and hamstring muscles. Doing these stretches can help reduce the tension on the spot where the kneecap tendon attaches to the shinbone. Helping strengthen the quadriceps will allow the knee joint to be stabilized. (Mayo Clinic Staff). An alternative to physical therapy is just to allow the shins to rest, decrease the physical activity and put ice on the painful spot 2 to 4 times a day and after activities. (“Osgood-Schlatter”). In very rare cases, surgery may be the only option or one may need a cast or

Certain treatments can be done to help ease he pain as well. According to the National Complementary and Integrative Health, Vitamin D may be a good source for pain reducer as well as different activities like yoga, tai chi, and biofeedback. Acupuncture is also suggested, though these do not have hard evidence to prove that these things most definitely help. The activities listed normally are safe approaches, but these activities can be difficult at first to

Based on the progress report dated 08/23/16, the patient complains left knee pain upon walking. Discomfort was described as aching, tingling, intense, severe, continuous, pain, discomfort, increasing with movement and varying with activity. Pain is rated as 5/10 without medications and 4/10 with medications.

Resistance training, in which you have to use your body weight to add strength to your muscles, may also help relieve your chronic pain.

Complementary therapies. Complementary therapies aim to maximise health. If an individual is feeling discomfort an example of a complementary therapy would be acupressure. There are many other therapies that will alleviate pain: massage, music therapy, reflexology, physiotherapy.

Osgood-Schlatter is and diseases that is inflammatory injury of the growth plate on the shin bone. Just below the knee bone. This bone connected to the front thigh bone. It is one disease that can cause a lot of pain ad cause other joints in both of your legs in other parts. There could be a lot of causes to this disease but the most important is repetitive stress, stress over and over, so try and stay relaxed as possible. Another one is the injury has a waking and waning course. Even after pain has subsided for some time, repetitive stress can causes a flare-up. Risk factors are most important, basically things you should do while you’re experiencing the disease, activities that involve you jumping or jogging are putting too much pressure on one are and poor physical

Matt recently got hired for a new job that requires him to get a physical exam prior to starting work. During the exam, the physician checked the reflexes of his lower limb to test for peripheral neuropathies, including his knee and his ankle. Explain the anatomy of the knee joint. Include bones (and projections of bones), ligaments, tendons, cartilaginous structures, arteries, and nerves.

After reading the case study and piecing together what I believe might be a torn or strained Lateral collateral ligament with inflammation to the patella. Though the study does not say what caused the damaged to the the knee. The evidence suggest that is the likely diagnoses. My reasoning behind this is because of the edema and swelling to the knee on the lateral portion of the femoral condyle. The LCL orgin is the epicondyle of the femur which is very close in proximity to the condyle causing the ligament to become strain by what ever force was exterted on it. The study also states rectangular shaped chondral defect involving the superior aspect of the central patellar facet with a measuremental defects. This tells me that the person fell

Osteoarthritis is the most common joint disorder, and more than half of all Americans who are older than 65 have been diagnosed with osteoarthritis. However, recent US data has revealed knee osteoarthritis does not discriminate age, and there is growing evidence that osteoarthritis affects individuals at a young age. The annual cost of osteoarthritis due to treatment and loss of productivity in the US is estimated to be more than 65 billion dollars.1 With no cure currently available for osteoarthritis, current treatments focus on management of symptoms. The primary goals of therapy include improved joint function, pain relief, and increased joint stability. Although the exact cause of osteoarthritis is unknown, many risk factors have been identified including increased age, female gender, obesity, and trauma.2 Within these risk factors, the etiology of osteoarthritis has been divided into anatomy, body mass, and gender.