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Patellofemoral Syndrome

Patellofemoral syndrome, also known as chondromalacia patella, is a painful knee condition caused by a degeneration of the cartilage in the kneecap, which may be caused by overuse, injury, obesity or malalignment of the kneecap. While this condition can affect anyone, it is most common in athletes and people who put heavy stress on their knees.

Symptoms of Patellofemoral Syndrome

Individuals with patellofemoral syndrome experience knee pain that gets worse when the knee is bent, during activities that may include:

  • Kneeling
  • Walking up or down stairs
  • Squatting
  • Sitting
  • Jumping

Some individuals also experience a buckling or popping sensation within the knee, as well as feelings of tightness or fullness.

Diagnosis of Patellofemoral Syndrome

Patellofemoral syndrome is diagnosed through a physical examination of the knee and leg. Imaging tests may include X-rays, MRI scans or CT scans to visualize the tissue within the knee and rule out structural damage as the cause of pain.

Treatment of Patellofemoral Syndrome

While patellofemoral syndrome may be a chronic condition, there are several basic treatment options available to relieve symptoms, most of which focus on avoiding activities that may cause pain. Additional treatment may include:

  • Anti-inflammatory pain medications
  • Rest
  • Icing the affecting area
  • Supportive braces
  • Physical Therapy

Customized physical therapy exercises, including stretching of the hip, knee, and ankle to improve flexibility and relieve tightness, may also be effective for treating patellofemoral syndrome. Strengthening of the quadriceps and hamstrings is also important to ensure muscle balance about the knee joint. Weakness and stiffness are two common causes of patellofemoral syndrome that is amenable to rehabilitation.

More Information

I’ve Torn My ACL, Now What?

A torn ACL is a diagnosis that no one wants to have. Studies estimate that between 100,000 and 200,00 people suffer the injury each year. A torn ACL can be particularly troublesome for athletes whose livelihoods often depend on their ability to play. Whether you’re an athlete or not, your priority is to get back in action after you’ve torn your ACL.

Before you get concerned about your recovery, it’s crucial to understand the nature of your injury, your treatment options, and how to have confidence in your knee stability.

How Is a Torn ACL Diagnosed?

If you’re in the midst of activity and you hear or feel a sudden ‘pop’ in your knee, it’s time to see the doctor. During your exam, your doctor will compare the differences in your knees and check swelling, tenderness, and range of motion. Your doctor may call for an x-ray, MRI, or ultrasound to officially confirm the diagnosis.

How a Torn ACL Can Happen

There are many ways to tear your ACL. Any sport or fitness activity that involves sudden stopping, starting, and cutting movements puts you at greater risk.

These include:

  • Soccer
  • Football
  • Basketball
  • Skiing

It can also happen if you take a direct hit to your knee, land awkwardly, or try to pivot if your foot is planted firmly in the ground.

Treating a Torn ACL

Recovering from an ACL tear can be done with or without surgery. However, it depends on the severity of your case and age. 

If you want to take your time, you can opt for a conservative approach to your recovery. Non-surgical options involve wearing a brace and undergoing physical therapy to strengthen and stabilize your knee. 

On the other hand, athletes may have to take more aggressive steps to get back in action as quickly as possible. Reconstructive surgery and physical therapy are primary tools in the recovery process.

The recovery time varies. Typical torn ACL recovery can last between 6 to 12 months, but it can take up to two years to get the knee back to full strength.

Trusting Your Knee Again

Surgery and physical therapy treat the tangible aspects of a torn ACL. However, regaining trust in the stability of your knee is a psychological battle and takes time to overcome. 

Putting your knee to the test after injuring your ACL can be nerve-racking. Following your doctor’s advice and not pushing yourself too hard are a solid foundation for regaining trust in your knee.

Do you have questions about an ACL injury? 

Schedule a consultation with us today by calling (508) 363-6363.