{"id":931,"date":"2020-04-24T13:49:48","date_gmt":"2020-04-24T13:49:48","guid":{"rendered":"https:\/\/ontheballorthotics.ca\/?p=931"},"modified":"2020-04-24T13:49:50","modified_gmt":"2020-04-24T13:49:50","slug":"patellofemoralpainsyndrome-pfps","status":"publish","type":"post","link":"https:\/\/ontheballorthotics.ca\/patellofemoralpainsyndrome-pfps\/","title":{"rendered":"Patellofemoral Pain Syndrome (PFPS)"},"content":{"rendered":"\n

Patellofemoral Pain\nSyndrome (PFPS)<\/h1>\n\n\n\n

What is Patellofemoral Pain Syndrome?<\/h3>\n\n\n\n

Patellofemoral\npain syndrome (PFPS) is pain at the patellofemoral joint. This joint is the\ncontact point between the knee cap (patella) and the upper leg bone (femur).\nThe knee cap (patella) is imbedded into the quadricep muscle, which will be\nimportant to remember when we talk about the cause of pain. <\/p>\n\n\n\n

When you\nbend and straighten your knee, the patellofemoral joint is in motion. If there\nis damage to this joint, or the patella is not tracking properly against the\nfemur, pain may develop. <\/p>\n\n\n\n

Causes of Patellofemoral Pain Syndrome<\/h3>\n\n\n\n

Because\nstructures in the body are connected to each other, what happens at the feet do\naffect structures up the chain, such as the knee. This is also the case from\nthe top down. What happens at the hips can affect the knees. Both the feet and\nthe hips can be contributing to the knee pain. One may have caused the other,\nbut sometimes it can be hard to determine which one came first. <\/p>\n\n\n\n

\"Foot<\/figure><\/div>\n\n\n\n
Mechanics<\/h5>\n\n\n\n

Looking at the feet, pronation and\/or flat feet<\/a> rotate the lower (tibia\/fibula) and upper (femur) leg inwards. When they rotate in, the knee cap (patella) also rotates in, causing the joint to be in the improper position. Contributing to the misalignment are the quadricep muscles (on the front of the thigh). The quadriceps contain a group of four muscles. Three of these muscles are pulling the knee cap (patella) slightly outside, where only one is opposing these muscles and pulling in. When the foot rolls in (pronation\/flat feet), rotating the lower and upper legs in, the three muscles on the outside are at an advantage and pulling even harder on the knee cap.<\/p>\n\n\n\n

Muscle\nImbalances<\/h5>\n\n\n\n

Muscle\nimbalances can originate from foot pronation\/flat feet, or can be from other\ncauses. If the inner quadricep muscle is too weak, the outer quadricep muscles\nwill pull at the knee cap (patella) causing improper tracking at the joint.<\/p>\n\n\n\n

This can be\ncaused and\/or exaggerated from bad form. Squatting with the knees pointing\ninwards will strengthen the outside muscles and almost ignore the inside\nmuscle. This improper squatting can begin from foot pronation, or from another\ncause.<\/p>\n\n\n\n

A physiotherapist\nwould have more information and treatment for muscle imbalances.<\/p>\n\n\n\n

What will I feel and see?<\/h3>\n\n\n\n

Pain from\npatellofemoral pain syndrome can be felt at the front of the knee cap. This can\nalso be felt almost \u201cinside\u201d the knee, or pain around the knee cap. <\/p>\n\n\n\n

An\nindication of improper tracking at the patellofemoral joint is squatting with\nthe knees pointing inwards. This can indicate pronation\/flat feet or imbalanced\nquadricep muscles. <\/p>\n\n\n\n

As there\nare other conditions leading to knee pain, speak to your doctor to confirm a\ndiagnosis.<\/p>\n\n\n\n

Pedorthic Treatments<\/h3>\n\n\n\n

Because\nthere may be multiple issues leading to pain, a multidisciplinary approach may\nbe necessary. The treatments described here are focused on pedorthic\ntreatments, but do not include all treatments available. <\/p>\n\n\n\n

\"Foot<\/figure><\/div>\n\n\n\n
Orthotics<\/h5>\n\n\n\n

Orthotics\nhelp to deal with any pronation and\/or flat feet leading to pain from\npatellofemoral pain syndrome. By providing support and\/or correction, the lower\nand upper legs rotate outwards, providing a better angle for the patellofemoral\njoint. To determine if custom or over the counter inserts are more appropriate,\nan assessment is recommended. <\/p>\n\n\n\n

With the\nsupport, the muscles are able to work more efficiently, but may need additional\nrehabilitation to treat any imbalances. In some cases, an orthotic may be\nnecessary to aid with muscle rehabilitation. In this case, the orthotic works\nto provide a mechanical advantage and optimize healing during muscle\nrehabilitation. <\/p>\n\n\n\n

Footwear<\/h5>\n\n\n\n

Although\nproper footwear may play a smaller role in pain management, it is still\nimportant to reduce and prevent pain in the future. A supportive shoe\ncompliments a good orthotic by providing a good base and support for the\northotic. Find a shoe with a good heel counter (strong back) and a solid\nmidsole. There are also different types of support in running shoes, such as\nneutral and stability. To determine if a neutral or stability running shoe is\nbest, an assessment is recommended. <\/p>\n\n\n\n

Knee\nBraces<\/h5>\n\n\n\n

There are knee braces available that help to pull the knee cap\n(patella) into the most appropriate position. In some cases, the brace may not\naddress the cause of the pain, but act as a temporary fix as rehabilitation of\nthe muscles occur. <\/p>\n\n\n\n

Other<\/h5>\n\n\n\n

To treat a\nmuscle imbalance, physiotherapy would be recommended to rehabilitate the\nmuscles.<\/p>\n\n\n\n

If it sounds like the condition you have, or you would like more information, feel free to contact us<\/a>!\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"

Patellofemoral Pain Syndrome (PFPS) What is Patellofemoral Pain Syndrome? Patellofemoral pain syndrome (PFPS) is pain at the patellofemoral joint. This joint is the contact point between the knee cap (patella) and the upper leg bone (femur). The knee cap (patella) is imbedded into the quadricep muscle, which will be important to remember when we talk […]<\/p>\n","protected":false},"author":2,"featured_media":822,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,63],"tags":[68,85,86],"yoast_head":"\nPatellofemoral Pain Syndrome (PFPS) | On the Ball Orthotics, Barrie<\/title>\n<meta name=\"description\" content=\"Patellofemoral pain syndrome (PFPS) is pain at the patellofemoral joint. 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