What Is Patella Femoral Syndrome (PFS)? | Pain Science Physical Therapy

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  • Опубликовано: 19 ноя 2024

Комментарии • 14

  • @dimitra3574
    @dimitra3574 Год назад

    I just got diagnosed by my physiotherapist with PFSS and she just told me to do squats and calf raises and I got so disappointed by that “program” she gave me. I have been into sports since I was 9 until to today and I’m only in my early twenties. When I was 12 my knees started locking themselves up if I was sitting still for like 10-15 minutes I could feel the pain and stiffness and if I tried to rise up my knees just locked themselves directly and A SEVERE PAIN took place for like 30sec without letting go where I couldn’t move my legs because of it until it stopped by itself. This has happened for many years back and forth for 8 years. Now she said I have PFSS but I really believe that when I was younger I had something else maybe a bigger injury that healed by time but because it was left untreated this thing and symptoms I expected keeps happening to me still. My question is do you really believe that I only have PFSS? Cause the pain I’m talking about is just awful when I try to stretch my knees if I was having them still for a few minutes before. It’s like the stiffness and the pain when I try to move and that my knee locks itself at that moment like WORSE than a terrible cramp combined with stiffness and PAIN that takes place. If I only have PFSS I believe that it is just so disappointing for her to only tell me to squat and do calf raises cause I have been active in sports and did those things regularly and at some point even though I got stronger my knees couldn’t keep up with my training. What do you believe I should do? She basically told me “that’s it just squats and calf raises, take it or leave it”.

    • @subyouwont
      @subyouwont Год назад

      I have this and mine looks different to yours. Age range is the same, I think mine started later. Pain is a sore-throbbing that sometimes prevents me from being able to walk. A few times I’ve experienced acute sharp pain while idle.
      My sports medicine doctor gave me braces called tru pull lite from donjoy and the result is amazing.
      My general pain level is inconvienced/discomfort and when doing anything active and fun it gets painful enough to stop to prevent injury. As a child I was very proud of how athletic and flexible I was so I could of injured my knees at any point, or it could be genetic.
      Wearing the braces is a little bulky, but I take the off for PT and my legs feel like they’ve been swapped for a body builder and I actually have power again

    • @PainSciencePhysicalTherapy
      @PainSciencePhysicalTherapy  Год назад

      I would recommend you find another PT who spends time doing a full evaluation and gives you something else-- that is not the program I would recommend for someone with PFSS-- assuming that is what you actually have. I agree with you that that clinician is not a good fit for you. Walk away and don't look back.

  • @HugaHeather
    @HugaHeather 10 месяцев назад

    I have had tremendous knee pain so i went to an orthapedic doctor. After x-rays, he showed me that I have bilateral patellofemoral. I work as a caregiver and it's almost impossible for me to do my job. I'm starting physical therapy this week, but I live on the top floor of a house so I'm going up and down quite a few stairs several times a day. Will that make it worse? He also said it means my knee caps pop in and out of socket. When I stand, they will pop extremely hard and extremely loud. They're literally dislocating all the time then popping back in socket.

    • @PainSciencePhysicalTherapy
      @PainSciencePhysicalTherapy  10 месяцев назад

      I am so sorry to hear that you are going through that and glad you will be starting PT. Make sure to ask your PT if they are familiar with working with someone who has hypermobility and to be able to check you for this as this maybe an underlying issue. Something to remember about pain-- it can feel really bad and not be causing severe damage. Great example is a splinter-- feels really painful but isn't a lot of damage. If there is a lot of acute inflammation in and around the knee it will be painful to walk and load the joint. However, movement is your friend and necessary. Try not to think about the stairs as the enemy and instead a tool to help you build strength in your muscles as you work through PT.

    • @HugaHeather
      @HugaHeather 10 месяцев назад

      @@PainSciencePhysicalTherapy OK. Thank you

  • @charbeltt
    @charbeltt 9 месяцев назад

    Hello, I'm uncertain if you'l come across this
    message, but I have a question I'd appreciate if
    you could address
    Firstly, thank you for providing such content and sharing your valuable knowledge.
    I've been experiencing pain in the back of my right knee for the past three weeks. The team physio advised a 7-day course of anti-inflammatory pills, which somewhat alleviated the back knee pain after 10 days. However, I started feeling discomfort in the knee next to the ligament. The physio mentioned that my patella had slightly shifted (Patellofemoral ayndrome)but assured me it's not a serious issue, and I should recover in about a month. I just came across your page and wanted to ask you if those symptoms are 100% patellofemoral syndrome?
    My knee doesn't click, but there's persistent pain on the inner side when I bend it, walk, or climb stairs.

    • @PainSciencePhysicalTherapy
      @PainSciencePhysicalTherapy  9 месяцев назад

      Based on the little bit you told me it is hard to give a clear diagnosis but it does sound like PFS if you are having pain with bending and stair climbing. Pain in the back of the knee does not always occur with PFS so it might be that you have more than one thing that is irritating the knee. If the team physio did a thorough examination then you should be good to go. My main question is what brought on the symptoms? Was there a change in training/ activity levels? Did anything happen to bring on the symptoms? This can be helpful in diagnosing. We don't just diagnose based on symptoms. We also try to look at everything going on around you at the time of the onset of pain.

    • @charbeltt
      @charbeltt 9 месяцев назад

      To provide context, I am a football goalkeeper. Approximately three months ago, I began focusing on improving my flexibility, particularly for executing split saves. Consequently,I incorporated hamstring stretches into my routine
      twice a day because my hamstrings are soo stiff. However, after about a month, I started experiencing discomfort in the back of my right knee. But the discomfort was only felt while stretching and exercising hamstring but nothing more even after games or training. Notably, 4 weeks ago, I began feeling the
      discomfort even during periods of inactivity. Although the pain didn't escalate after 24 hours, the discomfort is persisting. I told this to my team physio( note that our physio are not the best physio because there is a lack of budget in the club) and he told me maybe its a tendonitis but nothing serious i can play. 1 week after i started feeling pain in my inner side of my knee next to the patella. Again i played a game but this time he applied tape to my knee. After the game the real pain and discomfort began and this is the 3rd week in experiencing this pain all over my knee. Im tacking anti-inflammatory pills as he prescribed but it is not getting any better even though i stopped training completely.
      So this is a detailed recap of what happened.
      Any guidance would be greatly appreciated.

    • @PainSciencePhysicalTherapy
      @PainSciencePhysicalTherapy  9 месяцев назад

      @@charbeltt thank you so much for the context. Ok I am going to take a stab at this-- it is actually possible that this is a sciatic nerve irritation. The reason I am thinking of this is mechanism of injury might be overstretch to this nerve region. The other possibility is the capsule of the knee in the back (posterior capsule) has been overstretched and the popliteus muscle, whose job is to "unlock the knee" is not firing appropriately. I would recommend seeing if you can see a physio outside of the school physio and off campus who is a sports medicine physio. If it is just sciatic nerve irritation then you want to stop stretching the hamstrings and add in nerve glides (I have a video for this on the youtube channel-- just look for sciatic nerve glides). If it is the posterior capsule then it is a bit more complicated to treat-- still can be addressed in PT but will require more specific assessment of lower body mechanics and then specific exercises for this region. It no longer sounds like patella-femoral syndrome though. Although doing any exercises for this diagnosis won't hurt and might help just because it is general strengthening.

    • @charbeltt
      @charbeltt 9 месяцев назад

      yesterday i went to another physio outside my club he told me that all the muscles related to that knee in other words hamstrings hip etc... are now tender because of the overuse(causing back of the knee tendons pain) and because they became weak, it affected the patella
      again i cant spend more money because im a fresh graduate searching for a job and its irritating me because im spending money without even knowing the main problem of my knee.
      note that i have league games and I've already skipped 3 games without even doing anything to my knee.

    • @PainSciencePhysicalTherapy
      @PainSciencePhysicalTherapy  9 месяцев назад

      @@charbeltt sorry to hear you are going through all of that. Was the physio able to give you some treatment/ movement/ exercises to do?