How To Stop Anterior or Patellofemoral Knee Pain

Рет қаралды 12,487

14 күн бұрын

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Пікірлер: 78

@alisonsmith6727 9 күн бұрын

Love these videos. About eighteen years ago I fell while ice-skating. The knee hit the ice while knee was bent at about a 90 degree angle. Patella suffered a comminuted fracture plus a long vertical fracture. Surgeon decided not to do a knee replacement due to the fact they were so new. We waited seven months with leg in a long immobilizer and crutches. I am happy that the outcome with zero surgery, my knee pretty much put itself back together. My surgeon told me, nature did a better job, than he could have done. Of course, I do have chondromalcia, patella tracking problems now and then, a ton of P.T. so far, still living with some pain, but its intermittent. My advice is to LISTEN AND FOLLOW your doctor's advice, when you begin PT, it can feel like torture at times, but the outcomes can be extremely fulfilling. If you can't tolerate the pain, ask your doctor if you can take a Tylenol before your PT session. I am kind of lucky. I have a very high pain tolerance. To the point one doctor told me I need to come in sooner when things happen. Also, always warm up and cool down at PT and when you do your home program. Know that your Attitude is very important on your recovery. If you stay positive, your outcome will be much better. A negative will cause you a longer amount of sessions.

@mike9147 12 күн бұрын

ALWAYS great to see your video's! A little surprised you guys didn't address torn meniscus and other tears of the knee.

@BionicMilkaholic 11 күн бұрын

I think I started with this. Back in high school, my knees already sounded like rice krispies. But I didn't have pain till I was 30 and it progressed fast. I also had some malalignment and a shallow trochlear groove, so my knee caps were out of place laterally when bent. PT, injections, meds, arthroscopic surgery. By 35, I was in so much pain it kept me up at night. I had weakness. Had to change jobs. Couldn't walk the dog or mow the yard. Finally found a doctor who agreed to a partial replacement, patella femural, at 36/37. He also addressed the malalignment with an osteotomy. Today is 9 and 6 months out from surgeries. I live my new knees! I can do stuff again. I'm going on hikes. The only lingering issue, that could still improve, is getting up and down from the ground is quite difficult and comical.

@ruthirwin8222 12 күн бұрын

Hi drs i was in contact over 1 year ago re getting both knees replaced, your advice was spot on im now just over 1 year and my surgeon said i couldnt have done any better so thank you

@dianemalek436 11 күн бұрын

I had surgery on my right knee about 50 years ago to align the kneecap. I had little or no pain for many years, even though I was a runner. About 9 months ago it started to be painful again so I went to an orthopedic doctor and he prescribed PT. I did a course of PT and do some exercises at home and mostly it is not painful. The exercises are leg lifts, both straight and with foot turned out a little to strengthen the thigh muscle. My husband and I do some hiking, usually about 2 to 3 miles on hilly terrain (some on the Appalachian Trail). A couple of Tylenol usually helps if it's really painful. Thanks for another great video!

@merryhaveman353 12 күн бұрын

Have bone on bone knee arthritis. Physical therapy has not helped. Getting first injections next week. Hoping it helps. Seventy eight and not wanting to consider surgery.

@wm8705 11 күн бұрын

Both of my knees suffer from activity-induced patellar femural pain disorder. It happens a couple of times a year in both knees. I've found the best way to manage the flare-up is to get off of my feet for two to three days, apply cold, and use a surface applied pain medication (I use THC and CBD salve). After it has calmed down, I will slowly begin my knee strengthening exercises. This regime works very well for me.

@vincedavis5326 10 күн бұрын

In my 60’s. Cycling helps my knee pain a lot, both road and mountain bike. I generally keep my cadence fairly high.

@marieungerer4384 7 күн бұрын

Thanks for your enjoyable and insightful videos. This video is exactly my issue with my knees. I am very flexible which apparently exacerbates that roughness behind my kneecaps even with just ordinary use. Very frustrating as I like to be active. 59 years old and can do very little exercise. I will try strengthening my VMO... Regards from South Africa.

@2pugman 12 күн бұрын

I have been receiving knee injections and draining the fluid behind the knee for the past two years. My Dr. also had me begin P/T twice a week to build the muscles up. At 82, my heart doesn't allow me to have total knee replacement. The P/T seems to be helping.

@loriwilliams8302 2 күн бұрын

This video sounds like it was made just for me. I started dislocating my patellas as soon as I got hips at 12 yo. In my 20s I had a lateral retinacular release on one knee that has stopped the dislocations, but I hear that that procedure is no longer used. Now I have severe arthritis in the other knee but I'm in my early 50s so trying to delay arthroplasty. I'm hoping that when I finally have arthroplasty it will also correct my malalignment.

@pattysuemcgowen 12 күн бұрын

Arthritis is a huge problem for me. Both knees were replaced when I was 45 yrs old. The right knee just got replaced again after 16 years with the first one. The left knee is better than before because I’m walking correctly now but it will need replaced again soon but waiting as long as possible.

@Joe_Souza 9 күн бұрын

56 year old with pain in left knee when climbing stairs. Doc and PT say it’s lack of hip strength.

@SusynStecchi 11 күн бұрын

Can you do an episode on shin splints? I developed that while I was in basic. Combat training for the US Army, but it eventually went away on its own (worked through the pain).

@billhunt533 8 күн бұрын

Thanks for the great videos! By any chance, would you consider doing an episode on nerve pain in the legs and feet? Peripheral neuropathy?

@DavidSamui 10 күн бұрын

Mine's just the opposite. I sometimes have pain in the back of my knees (where it bends) and sometimes it might give out a bit when I walk upstairs. Doing the stair stepper exercise is ok for a few minutes, but then I have to stop. I do a stationary bike (tension not quite as high as it used to be) for 45 minutes every other day........no issues there.

@RichRich1955 11 күн бұрын

I was stretching the quads daily and it seemed to help somewhat but I thought I'd strengthen the quads using the leg extension machine which really helps. Holding the legs straight with a load I do as well. That works the vmo's? Thanks for the info on that. Dr knows his stuff!

@kevinlobo761 10 күн бұрын

These doctors didn't talk about the possible root causes. My suggestion would be to get a DEXA scan to check for Osteopenia/Osteoporosis. Weak knees, bones, and cartilage could be due to a Vitamin K2 MK4/MK7 deficiency. Try taking the supplement Ortho-K or AlgeCal to see if the pain resolves before considering medical intervention. Collagen, essential amino acids, and Boron also help. Using a vibration plate like Lifepro Plus Rumblex is another treatment option.

@lovnbnhome 6 күн бұрын

Yes they did. Overuse, new movement for knee, weak muscles.

@lindamcclure3923 11 күн бұрын

Have you done a video on inner knee pain?

@lorenabort9717 10 күн бұрын

Do specific shoes help? Wide toe box with zero lift?

@julieswanson5946 8 сағат бұрын

Pain when walking, excercising. Stiffness and lack or range of motion. I have had ACL MCL reconstruction and two scopes. Severe osteo arthritis and torn meniscus currently. Just had my first HA injection two weeks ago. The more I use the it the more it hurts, swells, stiffens. Sitting at my desk and laying in bed cause stiffnes and inability to walk like a healthy 57 year old. I can't not walk, excercise etc, to stop the pain. The "if it hurts don't do it" is infuriating as its not realistic. It has been over a decade since my first injury and recond=struction surgery. The pain, stiffness (which is the more irritating than the pain) and lack of range of motion worsen every year. I also have an off loader brace, still have pain when walking. I can't run anymore. As well as physical therapy as often is affordable within each year. You said it docs, its a very frustrating situation. I feel like my docs think I am a malingerer as I proably go into the office for consult /assessment every 12-18 months. Same answers, no resolve and issue worsens. I don't want a miracle. I just want to walk without a limp and enjoy even the small every day things like getting out of bed without looking and felling like I'm 80. I know 80 year old that walk better than I. Thanks for reading. Julie in Colorado

@Humpflicks 10 күн бұрын

Might be wrong, but uh, think it was frozen cow dung. As always, thanks for the great info and the chuckles. Cheers!

@woodturner1954 12 күн бұрын

Only knee thing for me, and it's weird, when walking the leg goes too far forward and locks up. No pain, it' like stumbling. Several times a day. I'm 70 and for the last year my biggest pain or annoyance is sharp pain between the joints on several fingers, not the joints. Odd, yes. I worked as a mechanic all my life and still do lots of work with my hands. When I get up in the morning my hands hurt so bad I can't pick up anything heavy for an hour. So during breakfast I set there wiggling my fingers till the pain subsides. I know, odd. No swelling, aspirin sometimes helps.

@02CARD 12 күн бұрын

What do you have for CMC Artritis ??

@JB-uq5nj 12 күн бұрын

Your last several videos have been low audio. Just FYSA

@user-sy4ej8iv5x 10 күн бұрын

What about pain behind the knee?

@johnnymagpie2245 11 күн бұрын

Is there a fix for osteonecrosis? I had trauma to my knee 20+ years ago. It’s been throbbing ever since. MRI’s show a small spot where the bone died. I’ve been told I pretty much need to live with it. Over the years I’ve had steroid and hyaluronic acid injections, the last Dr. gave me exercises for patella chondromalacia problems, my current Dr. prescribed me diclofenac…..nothing has helped one bit. At night is when it’s the worst, throbbing.

@Huh-cl5jx 12 күн бұрын

I had this in my early teens, it was gruesome to deal with. I was never checked out and just told to suck it up, I guess i eventually just outgrew it. :D

@cookiemomma123 11 күн бұрын

Question- is it true that if your right hip is not functioning properly (arthritic) that it will impact/injure your left knee to compensate ? What is role of high impact jumping like in volleyball or stepping down when hiking on rocky terrain in exacerbating knee joint inflammation

@martypowell5723 12 күн бұрын

My knee pain is almost unbearable. I take Norco 4x a day for back problems & it barely takes the edge off for my knees. I've lost count of how many injections. I've had rooster combs at least twice. The last time was the platelet enriched. No relief. I've tried the neoprene sleeves, no help. What's odd is that it's the worst when I lay down. I'm a 64 yr old female. I'm 5'5" & around 165 lbs. I do have osteoporosis. I tried Voltran, not much help. Now I'm trying emu oil. I worked in a home improvement store for 10 yrs when I was younger. A lot of hours walking & kneeling on concrete floors without supportive shoes. (Young & dumb) Any suggestions on anything else that I can try? I forgot to mention that my pain is also on both sides of the knees as well as the kneecaps & down the front of my legs. I'm a mess 😢

@BionicMilkaholic 11 күн бұрын

Replacement. I'm 37 and have had partials in both knees.

@martypowell5723 11 күн бұрын

@BionicMilkaholic I went to the orthopedic center a few years ago. He told me that my knees looked fine, even though my pain management Dr, who did my injections, said that they're bone on bone. He uses ultrasound for needle guidance. That left me totally confused.

@kimpilkey3189 10 күн бұрын

Try sleeping with a pillow between your knees.....I have been doing it for years and it really gives me relief.

@martypowell5723 10 күн бұрын

@kimpilkey3189 I've tried that also. I fractured a vertebrae & and the Dr recommended it at that time. Thank you for the suggestion!

@sassysandie2865 12 күн бұрын

I tore R. MCL years ago and never been the same. If I do too much I feel it. I can’t do curtesy type of exercises without pain. I know it should have healed long ago so puzzled.

@wattheheck6010 12 күн бұрын

Great info hilariously delivered. Is being Catholic and taught to always pray on your knees bad for your knees?

@BionicMilkaholic 11 күн бұрын

I don't think kneeling to pray is bad for your knees, or else there would probably be a noted increase in knee problems in areas that are highly Catholic or Muslim. I could even see it as potentially helpful as you probably have better range of motion and use the muscles for getting up and down more. But if you have bad knees, it can affect your ability to kneel. As a Baptist who has had partial replacements, I do make the joke that I'm glad I'm not Catholic.

@Joy21090 9 күн бұрын

You're allowed to pray any time and don't have to limit your prayer time to an on-the-knees marathon. Just sayin'.

@anhnguyenghet9093 12 күн бұрын

Dr how about pain behind the knees, both knees. I also have pain on the outside of the knee. What cause the problem and fix? Thank you

@TalkingWithDocs 11 күн бұрын

Often related to arthritis and swelling that goes to the back of the knee commonly called a Bakers cyst. Start with an assessment, physio, medication, injections and sometimes bracing

@wattsmichaele 12 күн бұрын

Osgood Hatters syndrome…..painful….in teens….used to require a full length cast….not sure today

@TalkingWithDocs 11 күн бұрын

Osgood Schlatters disease definitely is associated with anterior knee pain. No cast anymore thankfully 😅

@halogenic 11 күн бұрын

What about squatting heavy, once a week at the gym, can that wear out your knee joints?

@andyallom4357 12 күн бұрын

45 years,experience? What, the Doc start practicing at age 15 ?

@Joy21090 9 күн бұрын

He looks exceptionally good for being like 900, doesn't he?!

@cookiemomma123 12 күн бұрын

Orthotics I find really help. I will listen to see how baritone my knees sound 😂Great video!

@gc6854 11 күн бұрын

I only get pain on the inside of knee. Why?

@user-vy5qx1xq5b 12 күн бұрын

I have reactive arthritis and I get inflammation liquid above the knee. And I don't know why I get this at a young adult

@Judy-fi7ce 12 күн бұрын

My left knee started hurting 12 months after left hip replacement. Didn't hurt prior to hip replacement and only hurts when I go down steps. No pain at all going up. Would this be an underdeveloped muscle?

@JamesAlexander14 11 күн бұрын

Wow! Carrying a pile of cholesterol in your knapsack on your back can give you knee pain…😉

@TalkingWithDocs 11 күн бұрын

So true!

@user-vy5qx1xq5b 12 күн бұрын

Hi Doctors, I have liquid of fluid in my left knee above the knee. What should I do

@barbarak8158 12 күн бұрын

I have a plate in my left knee. TY docs! Dr. Z ... I can't hear you as well as the other two. :(

@elsabiebezuidenhout4734 12 күн бұрын

Mine sounds like popcorn in a pot .....what about a bakers cyst please make a video about that

@TalkingWithDocs 11 күн бұрын

Yes many can sound like popcorn. We do have an older video about Bakers cyst but may redo it

@user-vy5qx1xq5b 12 күн бұрын

How about inflammation liquid above the knee

@jessicajackson9164 11 күн бұрын

I have planters fasciitis and I have exercises to do at home and support myself on the walls, well I was outside walking my dog and decided to stretch my calves, the next day I was in extreme left knee pain. I couldn’t go to the doctor because I had to work on the finals for my students , fast forward 4 weeks and the pain has subsided from intense to somewhat moderate pain. I cannot trust that my knee will support me…should I go to the doctors or just wait it out since so much time has passed?

@TalkingWithDocs 11 күн бұрын

Sorry to hear this. Still may be worth a visit. And a short course ofphysio. Good luck!

@jessicajackson9164 11 күн бұрын

Thank you.

@bojanabrankov7802 12 күн бұрын

I would like to know your opinion on K-tape? It gives me more stability for walking, I’m afraid if it’s false help or should I continue using it?

@Joy21090 9 күн бұрын

You can't argue with success. Is it helping to reduce your pain?

@bojanabrankov7802 9 күн бұрын

@@Joy21090 yes while wearing it, not permanently.

@niblets4284 12 күн бұрын

I'm 44 and I have severe pain in my knee..when I sleep.. can you help..

@TalkingWithDocs 11 күн бұрын

If it hurts when you sleep time to be assessed. Start with physical examination and standing X-rays

@NailahRoberts 12 күн бұрын

My knees sound like I'm crinkling a bag of chips. I've resorted to DMSO spray

@lisagraham3571 6 күн бұрын

I had a bad knee then I had a stroke on that side of my body the only part that work so I can a steroids inj help me to walk with bba d kne mighme eit what to dot work so I can walk Help

@LivingWithGout 12 күн бұрын

Swimming! And soaking in hot jacuzzi

@Great_Sandwich 12 күн бұрын

"Age and gender"..? When doctors start saying "gender" you know we're in trouble. So, they care about the "gender" do they..? How about the biological sex? Is that important, too?

@rexwave4624 12 күн бұрын

The word gender predates modern stupidity.

@alethearobinson8132 12 күн бұрын

😄. True. I do OB ultrasound. Parents constantly ask to know the gender of the baby. I know that what they really mean is that they want to know the sex of the baby.