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Knee Pain
Published in Benjamin Apichai, Chinese Medicine for Lower Body Pain, 2021
Pain in the anterior patellar could mimic the location of patellar tendonitis. The patients who suffer from the patellofemoral pain syndrome also experience more diffuse kneecap pain when in sustained knee flexion such as when sitting in a chair.
Running
Published in Paul Grimshaw, Michael Cole, Adrian Burden, Neil Fowler, Instant Notes in Sport and Exercise Biomechanics, 2019
Symptoms of patellofemoral pain syndrome are generally described as pain in and around the knee joint. This pain is increased when the athlete climbs stairs, walks or even sits. Often an audible “click” may be heard as the knee moves, and chronic cases can lead to an inflammation of the bursa underneath the patella and painful knee swelling. Ultimately, if left untreated, patellofemoral pain syndrome can lead to irreversible degenerative changes to the patella bone. Finally, it is important to remember that patellofemoral pain syndrome may result from a problem that is evident in another part of the body (e.g. the back) and indeed may be a symptom caused by another injury.
The Kidney (KI)
Published in Narda G. Robinson, Interactive Medical Acupuncture Anatomy, 2016
Saphenous neuritis causes pain and arises when the saphenous nerve becomes irritated or compressed, usually at the adductor canal or elsewhere along its course.8 Surgical or non-surgical trauma to the medial or cranial knee can inflame the saphenous nerve, imitating medial meniscal tear or osteoarthritis in the joint. Unrecognized, this condition complicates treatment and confuses the clinical picture. It may accompany patellofemoral pain syndrome and degenerative conditions of the knee. Palpation of the nerve and acupuncture or other physical medicine maneuvers designed to address nerve compression and irritation not only lends insight into the true cause(s) of patients’ complaints, but also aids them in avoiding invasive procedures that they may not need.
Monopolar dielectric diathermy by emission of radiofrequency in Patellofemoral pain. A single-blind-randomized clinical trial
Published in Electromagnetic Biology and Medicine, 2020
M Albornoz-Cabello, AJ Ibáñez-Vera, ME Aguilar-Ferrándiz, L Espejo-Antúnez
Patellofemoral Pain Syndrome (PFPS) is a health condition characterized by pain in the anterior surface of the knee and which tends to chronicity (Collins et al. 2010). Although it affects all population groups, its incidence is higher in adolescents and young adults (Satkunskiene et al. 2017). Patients usually describe an increment in the severity of their symptoms (especially pain) when walking upstairs or downstairs, squatting, running, or when sitting for a long time. This could be due to the fact that these activities increase compression forces in the patellofemoral joint (Rothermich et al. 2015). PFPS has usually been associated with knee osteoarthritis and elevated body mass index, but a recent study observed that this relation is not true (Hart et al. 2017) and it is known that joint cartilage is aneural (Insall 1982). For this reason, it can be considered that causes of this pain are still unknown.
Three dimensional kinematics of visually classified lower extremity movement patterns during a single leg squat among people with chronic hip joint pain
Published in Physiotherapy Theory and Practice, 2020
Davor Vasiljevic, Gretchen B. Salsich, Darrah Snozek, Bradley Aubin, Stefanie N. Foster, Michael J. Mueller, John C. Clohisy, Marcie Harris-Hayes
Recently, we reported on a movement pattern training approach to optimize biomechanics among patients with CHJP. We found that after completion of six-weeks of treatment, patients improved their movement pattern by reducing their hip adduction motion. Additionally, the patient’s ability to reduce hip adduction after treatment was associated with improvements in pain and function (Harris-Hayes et al., 2018). Similar approaches have been used in the treatment of patellofemoral pain syndrome. Previous work by Salsich et al. (2018) and Noehren, Scholz, and Davis (2011) has shown that with treatment focused on changing lower extremity movement patterns, people with patellofemoral pain syndrome can also decrease hip adduction and internal rotation. Importantly, participants in each of these studies reported significant improvements in pain and function after treatment. Our data, along with previous treatment studies, suggests that poor movement patterns can be identified with visual assessment and may represent a modifiable target for treatment for patients with CHJP.
Women’s Sports Medicine Programs in the United States: an interdisciplinary approach to the care of girls and women
Published in The Physician and Sportsmedicine, 2020
Meghan K. Hayes, Symone Brown, Mary K. Mulcahey
Title IX of the Education Amendments of 1972 made it illegal for federally funded education and activities to discriminate based on sex[1]. Following this landmark legislation, an increased number of women began participating in a wide variety of sports and competing at an elite level [1,2]. The year before Title IX took effect, only 7.4% of high school girls participated in athletics. By 2013, this number increased to 48.5%[3]. This increase in female athletes precipitated an increased incidence of athletic-related injuries in women and girls. Since that time, multiple studies have shown that women are more susceptible to certain musculoskeletal (MSK) injuries than their male counterparts, including stress fractures, patellofemoral pain syndrome, and anterior cruciate ligament (ACL) tears [3–14]. In response to these identified differences, several institutions in the United States have established Women’s Sports Medicine Programs (WSMPs) [6,15].