(Knee cap pain cannot be treated in isolation with one type of treatment and will often require a combination of physio, exercise and orthotics)
Some of the common questions for this treatment
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What is patellofemoral pain syndrome?
Patellofemoral pain syndrome is the medical term for pain felt behind your kneecap, where your patella (kneecap) glides over your thigh bone (femur). This joint is known as your patellofemoral joint. Patellofemoral pain syndrome, is mainly due to excessive patellofemoral joint pressure from poor kneecap alignment, which in time can lead to arthritic joint surface changes on the under surface of the kneecap.
What causes patellofemoral pain syndrome?
Your patella normally glides up and down through the femoral groove. As your knee is bent, pressure between your kneecap and the groove increases. This retro patellar pressure is further increased if the patella does not ride normally through the groove, but “mistracks”, meaning it travels more to one side, making it rub against the femur. The mistraking or sliding of the patella to the outside is increased when the foot rolls in and the leg internally rotates.
How does Advanced Podiatry treat this condition?
Advanced Podiatry receives many referrals to work closely with physiotherapists and sports medicine specialists. Our treatment aims at stabilizing the kneecap (patella) and to improve its glide path across the front of the knee (femur). We are often requested to assess and treat the alignment the leg and the foot with foot orthotics and improve the tracking or gliding of the kneecap.
If the foot is rolling in and is out of balance with the leg, the leg is allowed to internally rotate.
An Advanced Podiatrist is able to assess the amount of foot correction needed to balance alignment of the foot with the leg. With this knowledge a foot orthotic can be designed or chosen which will externally rotate the leg and improve the glide or tracking of the knee cap.
What results can I expect after treatment?
Patello femoral (kneecap pain) cannot be treated in isolation with one type of treatment. When the combined treatment of physiotherapy, exercise and orthotics are introduced the results can be quick with pain free return to activity.