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Thread: Anterior knee pain

  1. #1
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    Smile Anterior knee pain

    What is anterior knee pain?
    It is a variety of knee pain in which the
    discomfort is felt in the front of the knee in
    and around the kneecap (called the patella).
    The usual cause is a relatively non-serious
    condition called “chondromalacia patella,”
    also known as the patella-femoral syndrome.
    There are other causes of anterior
    knee pain but this is by far the most common
    and needs to be distinguished from
    arthritis of the knee joint.
    It is one of the most common problems in
    sports medicine and is referred to sometimes
    as “jogger’s knee”, “runner’s knee” or
    “cyclist’s knee”.
    How does it happen?
    The basic cause is repeated flexion (bending)
    of the knee in activities such as sport,
    climbing stairs and bushwalking — especially
    on uneven ground. Usually there is no
    history of a preceding injury but it can follow
    an accident such as falling directly and
    heavily onto the kneecap. It is a type of wear
    and tear on the cartilage on the underneath
    surface of the patella which becomes soft
    and stringy, and sometimes inflamed.
    People who have an abnormal shape or
    position of the patella are more likely to
    develop the condition.
    Who gets anterior knee pain?
    It may affect people at any age but is
    more common in adolescents or young
    adults and is associated with active participation
    in sports.
    What are the symptoms?
    The main symptom is pain or an ache in
    the front of the knee that sometimes can
    be felt deep in the knee. The pain may
    come on slowly “out of the blue” and then
    gradually get worse with activities such as
    running or going up and down stairs.
    The pain is worse with the following:
    • Walking up and down stairs (especially
    climbing).
    • Running (especially downhill).
    • Walking on rough ground.
    • Squatting.
    • Prolonged sitting.
    A cracking sensation (called crepitus) or
    clicking or clunking on bending the knee is
    often heard. Occasionally the knee may give
    way. Knee swelling is relatively uncommon.
    Movie-goer’s knee: This condition is
    sometimes called “movie-goer’s” knee
    because patients prefer to use an aisle seat to
    stretch the leg out straight into the aisle.
    These people get a diffuse ache when they
    sit for long periods with the knee bent.
    What is the outlook?
    The outlook is very good and a steady
    recovery can be expected with attention to
    relatively simple guidelines.
    Elite athletes require more guidance
    from therapists if they wish to remain
    competitive.
    Surgery is rarely necessary. X-rays of
    the knee are usually normal.
    What is the management?
    The key approach is to rest from aggravating
    activities such as running, cycling or
    excessive climbing of stairs and to retrain
    muscles, especially the quadriceps.
    Correction of any biomechanical abnormalities
    of the patella or the feet with the
    use of taping, orthotics or footwear will be
    important.
    Referral to a sports medicine therapist
    may be necessary to supervise rehabilitation.
    Acute inflammation: This is relieved
    by relative rest and the application of
    icepacks. Sometimes a short course of
    NSAIDs will be necessary. Otherwise,
    aspirin or paracetamol will control pain.
    Taping: If the patella is “off centre”,
    taping of the patella will help relieve
    acute pain.
    Muscle retraining: Your doctor or
    therapist will advise on the most appropriate
    exercises. For straightforward cases
    of anterior knee pain simple quadriceps
    exercises can be very effective.
    Quadriceps exercise Tighten the muscles in front of
    your thighs (as though about to lift the leg
    at the hip) and bend the foot back but
    keeping the knee straight. Hold your hand
    over the lower quads above the knee to
    ensure it is felt to tighten.
    This tightening and relaxing exercise
    should be performed at least six times
    every two hours or so. It can be done sitting,
    standing or lying.



    PROFESSOR JOHN MURTAGH
    " VALUE HAS A VALUE ONLY IF ITS VALUE IS VALUED "
    Never Let Student Die In Your Heart When It Dies You Want Remain A Doctor But You Will Be A Technician

  2. #2
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    Post All about Anterior knee pain

    For complete information with images goto:


    [HIDE]http://www.clinicalsportsmedicine.com/chapters/24a.htm[/HIDE]

  3. #3
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    Thanks for the overview, and for the mention of orthotics...many people do not realize the importance of good foot posture when dealing with problems up the kinetic chain into the knees, hips and back.

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