Patellofemoral Pain Syndrome Evaluation and Treatment

Рет қаралды 286,587

4 жыл бұрын

This patient has lateral patella compression syndrome so I thought I would demonstrate Patellofemoral Pain Syndrome Evaluation and Treatment. This gentleman's history fits the picture quite well. Here you can also see how quickly this can be evaluated and how ruling out other knee issues localizes the problem.
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#KneePain#PatellofemoralPain#PFD

Пікірлер: 365

@aleksi3339 2 жыл бұрын

out of all the videos, I have to say this was a compact and 5/5 knee examination video. Thank you sir! From finland

@randomspirit 3 жыл бұрын

That was a much more thorough exam than I've been able to get!!!

@shinkurt 11 ай бұрын

You need a KZfaqr doctor to see you

@cefnonn 5 ай бұрын

Very impressive level of expertise.

@bjmurphy34 2 жыл бұрын

This is a good example of a knee examination. Thank you!

@OrthoEvalPal 2 жыл бұрын

Thank you Brandon!

@jorgemenjivar1578 2 жыл бұрын

Really enjoyed seeing that exam.

@ellenzilla 2 ай бұрын

This was so informative! I’m amazed! Thank you sharing your knowledge.

@kp74952 Жыл бұрын

This was so helpful! Thank you!

@greensky01 3 жыл бұрын

Thank you for a great work-up for knee pain!

@OrthoEvalPal 3 жыл бұрын

You are welcome!

@unastamus6122 Жыл бұрын

Wow! I had amy first (and only?) appointment at Twin Cities Orthopedics (MN) a couple days ago. In less time than it took to watch this video, I was diagnosed with patellofemoral arthritis and out the door. Too bad Maine is so far away. I'd be there for a second opinion tomorrow!

@shawnwood9875 2 жыл бұрын

Great demonstration

@OrthoEvalPal 2 жыл бұрын

Thanks Shawn!

@rawtalk7925 3 жыл бұрын

Thank you so much for this as I've been having this pain for 4 years now and I didnt know what it was. The doctors didn't even do all of this to me otherwise they would've known by now. Well executed! Ta

@OrthoEvalPal 3 жыл бұрын

You are welcome!

@user-op1ku9vc8k Жыл бұрын

Cycle every day You will get better

@user-pb5sj8rb4c 3 ай бұрын

@@user-op1ku9vc8k sir have you encountered same problem

@user-pb5sj8rb4c 3 ай бұрын

How is your pain now ?

@paulhoulden 2 жыл бұрын

I hurt my knee in a fall running an ultra 25 weeks ago, i have seen docs in the NHS, had an mri scan and they said nothing wrong with me. Ive even paid top money to see the England football physios, more mris and now desperate for a fix, ive found out more on this video than i have in the last 6 months, hopefully you have more on how to sort this out! Thank you kind sir

@laurencontreras702 2 жыл бұрын

Look into glute medius release and trigger points

@zeerekhan462 Ай бұрын

The way you demonstrated amazing and rich of knowledge 👍

@OrthoEvalPal Ай бұрын

Thanks a ton

@MartinezNCHeels 4 жыл бұрын

Patellofemoral pain since I my early teenage years! It’s a lot worse now, and it still have my osgood schlatter on my knee as well, I’m in my mid twenties now

@dubtube6691 2 жыл бұрын

I wish we would have such great therapists in Germany

@patrickharvey8747 3 жыл бұрын

nice evaluation. short and sweet

@OrthoEvalPal 3 жыл бұрын

Glad you liked it Pat!

@daniellayugan6735 3 жыл бұрын

having this problem were in at one point during basketball practice i was so tired that after a night of rest when i woke up my knees felt bloated or like it was so hard to even climb the stairs. it stopped me from ever doing my cardio since then and i couldn't play anymore and it's been driving me crazy and i've been gaining so much weight till. it's almost a year then i found this video. i just hope its not to late :'(

@TheArtistRae Жыл бұрын

It’s been 2 years bro did you get through it?

@carlpoilvet3215 3 жыл бұрын

Great video! Back in January 2020 I had an ACL reconstruction and meniscus repair. I have not been able to fully recover as everytime I squat or I do knee extension I have a pain on my knee cap...

@youreworthyourweightinavoc7189 Жыл бұрын

your VMO probably needs restrengthening after ACL - look up some videos on how to strengthen your inner quad

@QUiNTiNBANKS Жыл бұрын

Amazing work dr. I believe this is what I have. Could be all the basketball

@lazarus6983 3 жыл бұрын

I've been through two orthopedic doctors and PT's, and they haven't even come within 1/10th of the level of detail and thoroughness as Paul. The orthos looked at my knee for about a minute, mainly just ruling out meniscus and other major tears (not really trying to actually diagnose me), and the PT's just throw template exercises at me without focusing on a plan tailored for my specific PFPS diagnosis (that hasn't even been established). They just do what most PT's do, stabilization, hit the VMO, hit the hips, not providing any at home regiments... Pain isn't going away. If only Paul was near me.

@OrthoEvalPal 3 жыл бұрын

Wish I could help. Hope you find someone to take it seriously. Best of luck!

@jennifermikuluk2357 2 жыл бұрын

It’s hard to find a good pt. I just spent loads of money, post op TKA on an average pt. Got most useful information for my home therapy regimen from KZfaq!!

@davidkingsten7154 2 жыл бұрын

@@OrthoEvalPal Pt6g

@mr.kjw738 3 жыл бұрын

Very cool

@stevemitchell1837 Жыл бұрын

u should have link to all the recommended exercises,etc that you mention for the patient to do. thx much

@henryuchegbu5446 2 жыл бұрын

I also have the same issue after I pushed my car up the hill alone, I feel a sharp pain at the top and inner part of my right knee whenever I want to run or if I put too much stress on the leg, I will feel much pain the next day but if I did not put much stress on the knee during exercise, I don't feel pain the next day. The crazy part about it is, if I did not exercise for a month, the pain gets worse from the top, both sides and down of my knee when I massage it..

@sirRuel1010 3 жыл бұрын

thanks

@OrthoEvalPal 3 жыл бұрын

You're welcome!

@lilyashagirl 3 жыл бұрын

I was diagnosed years ago with PFS but my Amazing Rheum Dr. relocated to another city & her replacement is for lack of better words old & old school. My knees have gotten much worse. They crack & make grinding noises that ppl sitting near me can hear. The pains crazy & I'm now 2 the point that walking on even surfaces is painful, I trip alot & I can only do 1 step at a time up or down. I miss my Dr. and Idk what to do with this one. His exam consisted of Not 1 thing you did. I'm worried I'm gonna fall down the steps or even tear or break something. I just had xrays & was diagnosed with

@valbonaivezaj140 4 жыл бұрын

Wow I need this doctor

@The1981616 4 жыл бұрын

I have a knee cap problem to what kind of exercise is good to be doing

@jeffhermida4788 4 ай бұрын

Have the same problem due to old acl sprain when i was a kid. I didn’t know it caused a patella tracking problem so 20% of patella cartilage gone. I had no pain so the cartilage was grinding away minutely for over 30 years. Started playing tennis and suddenly pain started like this gentleman described. Seen orthopedic doctor and scans. It turns out that IT band was pulling my knee ever sos slightly causing the tracking problem. Saw PT and turns out i have weak glutes. 6 weeks of intense glute, quad and hamstring exercises made a huge difference. Combined that with foam rolling of IT band.

@OrthoEvalPal 4 ай бұрын

Glad to here you are doing better

@Fullmoon1857 4 жыл бұрын

my knees are starting to hurt so much from being over worked cause Fredmyer says I'm a "essential worker".....and were under staffed. I'm gonna cry cause for the next three or so weeks I'm only getting 3 days off total. one day after tomorrow, and then my next two days off are after 4 8hour days. I know working for 4 8 hour days isn't much but it builds after a while.

@OrangeCopperTop 3 жыл бұрын

Yup I have this, had all the tests and they say do the exercises, which I have and it still isn't sorted. Walking for too long, bending going to the loo as in going up and down the stairs just kills me.

@ayyyyyyyyy 2 жыл бұрын

Have you been tested for RA?

@OrangeCopperTop 2 жыл бұрын

@@ayyyyyyyyy Yeah, it was a negative, though I have recently been diagnosed as having Osteoarthritis but it's in my hip. I also have slipped discs in 3 places and patella Alta in left knee. I am avoiding telling people next to me on the bus about my health complaints so far, so it could be worse,

@wardshehada1170 2 жыл бұрын

@@OrangeCopperTop did u figure it out ?

@OrangeCopperTop 2 жыл бұрын

@@wardshehada1170 No not yet. I’ve got an X-ray coming up, and I’m hoping they’ll give me injections or an op. I just want it to stop, sometimes the pain is too much.

@ManOfAttitudeLP1998 2 жыл бұрын

Same my life quality suffers because of that

@llo2410 3 жыл бұрын

I think this is what I have. My knee clicks when I walk and when I try to massage it I feel like something moves and it hurts a lot. When I sit for too long it hurts I can't wear my heels for too long, I limp and I can't get on my knees the pain is bad. I also can't put my leg back to stretch 😫. The examination you did here is far more than what my physician did. 😒 All he gave me were anti inflammatory and pain killers.

@usmanarif2086 4 жыл бұрын

Great video ...can u please make a video of detailed exam of knee please

@OrthoEvalPal 4 жыл бұрын

I will try to get you my Ultimate Knee Guide usman.

@camaperture8116 2 жыл бұрын

This looks similar to the pain I'm experiencing. I'd like to see a followup video with the prescribed treatment.

@awetbrhane1805 9 ай бұрын

Plz if u find any tratment inform me 😢

@waj7766 4 ай бұрын

@@awetbrhane1805 kzfaq.info/get/bejne/iMV7ga-Hv5PalIU.htmlsi=-oIaZxcFScAVsMmZ this video may be helpful. My niece was diagnosed with this problem today. She is 24 years old and very devastated by the results of her examination🙏🏽

@weirdowolfstudio5409 4 ай бұрын

@@awetbrhane1805did you ever find the right things to do ?

@Peev14 2 жыл бұрын

What school did you go to learn this? Absolutely love it.

@mobymoby3412 3 жыл бұрын

I have the same pain but when I bend my knee in a certain way it cracks and then today I was bending my knee and then there was a lot of pain but thank you for helping me figure this out

@OrthoEvalPal 3 жыл бұрын

You are welcome!

@JarneBaugnee 2 жыл бұрын

Damn i've been having this for 2.5 months now and seeing comments from.people that have this for more than 2 years is stressing me out

@OrthoEvalPal 2 жыл бұрын

See an orthopedic specialist and try PT

@chumdiddy1983 Жыл бұрын

I feel this a lot in my 10-month post-operated patella tendon rupture. Would you say this is common after that surgery?

@Nadiasapphire 3 ай бұрын

Hey can you do similar stuff for Left knee lateral compartment and PFJ mild to moderate wear?

@dollyshah5082 Жыл бұрын

What exercise should i do with this??

@charnellemonay 4 жыл бұрын

I need your hands on my knees like that .... so much pain. I’m trying to figure out what going on with my knees it’s been years now . I think this is the problem trying to see my doc & get Therapy soon

@user-pb5sj8rb4c 4 ай бұрын

How is your pain now

@marawqpq2472 2 жыл бұрын

i have lateral patelelar side discomfort in left knee. please make video of exercise or suggest any alreadymade video. is there any other treatement other than exercise pain killer. please guide me

@eltito762 Күн бұрын

Did he recover ?

@premkumarsingh1455 2 жыл бұрын

My mom is 45 and having this patelofumoral pain since 1 month .so what's the best treatment and excises ,plz sir tell us the treatment .i am from Nepal.

@KBradAdams 2 жыл бұрын

You said no snapping at extension at the 2:59 mark of the video. What would cause a snapping crunch not a click but snap in the knee at flexion and is there a way to fix that?

@rupalm8468 3 жыл бұрын

What kind of doctor I should see for such exam? My doctor didn’t do any of this 🤨

@pedrog747 3 жыл бұрын

Hello doctor, my knees have been hurting for about two years now I can walk up and down the stairs fine, I can run fine. It hurts when I squat down and it also hurts at night when I’m about to go to bed any idea what could it be?

@jimcarter7885 4 жыл бұрын

Excellent video. Is there such a thing where the knee cap is not in proper alignment?

@OrthoEvalPal 4 жыл бұрын

Hi Jim, Yes. It is very hard to measure but malalignment secondary to tightnesses and weakness contribute to this for sure.

@jonathanmurphy7061 Жыл бұрын

Hi DOCTOR is Surgery beneficial

@KSNoorani7867 4 жыл бұрын

Firstly, thank you for this amazing and clinical eval sir, just had a few questions being a physical therapist assistant student. So there will be lateral patellar tracking most prominently with reduced medial patellar mobility?

@OrthoEvalPal 4 жыл бұрын

Yes typically but not always. The first of the quad muscles to shut down is the VMO. Therefore the quad pulls the patella more laterally and the most common area of discomfort is the supra-lateral patella where it contacts the lateral femoral condyle.

@boomboomreddy 2 жыл бұрын

Excellent Video, thanks so much for making this very comprehensive video. My knees(both) started bothering me about a week ago, and that is the first ever. I did not hurt my knees, I am not an athlete nor do I run. Equipped with this video, I self-diagnosed, and (Patella grinder clark sign? I am sure I am not saying it right) but right around the 3.15th minutes of your video and it hurts, that's it. Is there any recommended treatment, exercise for this. Is this a long term situation or something that could be treated? I am worried, I'd be grateful if you are able to help respond. Thanks much!

@OrthoEvalPal 2 жыл бұрын

There are many causes of this type of pain so giving an exercise program would not be wise. I would recommend meeting with a PT to help develop a program customized to your needs.Best of luck!

@bhavnachaudhary1489 4 жыл бұрын

My mother in law is 57 yrs. Old, she had a twist in her knee...( Osteoporosis) not too severe but mild pain when she wears weight on it.... otherwise no pain when she sit stand or sleeping...but she is actually having pain while weight bearing....on inner side of knee..

@OrthoEvalPal 4 жыл бұрын

I would be concerned with something wrong with the inside weight bearing part of the joint. May need to be seen by an orthopedist

@dddyjr1993 3 жыл бұрын

Dr. me too same problem and even my shin bone is hurting me too

@Yoonah_Yoonie 4 жыл бұрын

I finally figured out what’s going on with my dang knee. It’s been a driving me nuts!

@UnKommonTv 4 жыл бұрын

How are you feeling now ?

@redbloomings7523 3 жыл бұрын

I've been having knee pain for 9 years without knowing i had this..

@kenjones5821 3 жыл бұрын

Thanks for the video content! Forgive me for the intrusion, I would appreciate your initial thoughts. Have you heard the talk about - Riddleagan Beating Sonorousness Remedy (probably on Google)? It is a great one of a kind product for getting rid of your chronic knee pain without the headache. Ive heard some interesting things about it and my cooworker got excellent success with it.

@salmankhan-yg4qj Жыл бұрын

For warmth aren't we supposed to use dorsum of hand for better temperature sensation??

@gy3n65 3 жыл бұрын

In generally What should be the height of the wedge when prescribing?

@galaxyalexanderh5737 4 жыл бұрын

Do you have any Blounts disease videos????

@shanzazahid5 9 ай бұрын

Treatment protocols please?

@OrthoEvalPal 9 ай бұрын

Unfortunately, patellofemoral pain doesn't do well with protocols. They can be so different from patient to patient.

@stefaandeswert377 9 ай бұрын

I have the exact same thing. Lateral side of my patella just hurts almost constantly. Not even doing nything and it hurts. Been strengthening my quads and doing stretching like crazy but nothing helps. Giving up hope at this point..

@johnpaul9990 Жыл бұрын

Your thoughtfulness and thoroughness contributed to speeding up my healing process. I wonder what could have become of me if you weren’t the one who handled my case. Thank you for curing my HSV2 dr popoola

@vasileiospetropoulos2046 4 жыл бұрын

Can you make a video showing please pain referral in shoulder joint? For instance pain on the frond side and lateral and down and other patterns please.

@OrthoEvalPal 4 жыл бұрын

I will work on it Vasileios.

@vasileiospetropoulos2046 4 жыл бұрын

@@OrthoEvalPal thanks

@andrewcarrion7449 3 жыл бұрын

I think I have this but does it hurt when u like squat or kneel cause for me it does but when I walk or stand it doesn’t

@Lobags1984 Жыл бұрын

I’m still confused as my physio has diagnosed me with Patella Tendonitis but I feel I have more symptoms of this

@ChrisJohnson-tb1rw Жыл бұрын

I work with concrete. After Wednesday this week I noticed knee pain in both knees but more in my left knee. Before going to bed, I noticed swelling above my knee cap. When I tried bending my knee all the way, there was definite restistance and discomfort in the swelled area. It is now Friday, I have ice and heat pads on it now. Any idea what I am experiencing? And what treatment I should seek out? And what can I do at home.

@chicosuave2206 Жыл бұрын

I had a ACL LCL repair an my knee is not moveing like it supposed but if I pull it down an use my quard muscles it will move plus side to side I can move it right but not left what could be the problem...

@mlgcarroll 3 жыл бұрын

you are intelligent.

@awetbrhane1805 9 ай бұрын

I have the same pain but the doctors have no idea plz wht should i do ?

@nadineghoneim8677 2 жыл бұрын

can patellofemoral syndrome occur on the medial side too ?

@next9245 Ай бұрын

My knee gets very warm when lying down in straight position and it hurts all the time bellow and above the knee cap (mild pulsating pain) . But I can squat under load (185 lbs x10 for few sets) and walk up and down the stairs. One PT diagnosed me with PFPS but I'm not sure since two orthodontist had no idea what's wrong with my knee. X-ray came clean. It started to hurter after a basketball game, also that week I had like 3 games in 7 days. If anyone has any idea I would appreciate your answer.

@joanne0862 2 жыл бұрын

Very similar to whats going on withvmy knee just now same area and everything only one knee to same tenderness in the exact area to

@Amberxolly Жыл бұрын

I’ve have this same problem on my right knee when I get back to school on Monday I’ve have to wear my slip on knee brace 🙃it’s gonna help my knee to help and heal I’ve think 🥺

@mohamedorayith4626 3 жыл бұрын

2:00 did you say it is a test for posterior meniscus tear/pull or is just a test for any sort of damage to posterior meniscus?

@Insarationstation Жыл бұрын

Can you have this if youve never really played sports? I'm trying to figure if I have this or arthritis

@Stuti_Arka 3 жыл бұрын

@Ortho EVAL Pal With Paul Marquis Sir , 3 months back I got knee pain, doctor said it's PFPS . I took 8 days of ultrasound physiotherapy, recently I took MRI of knee in the report it came as small joint effusion . Still I am unable to fold my right knee completely backward , I will get pain while folding the knee. Daily I am doing knee tightening excercise 2 times. Please tell usually how long will this pain last and can I sit down like before . If it last for a year what will happen ? Please tell sir

@GoldPunch 3 жыл бұрын

Hello. my snapping hip syndrome and this syndrome started same day. Since then, every time I step, my left side of knee cap is hurts. (It is very light pain like 3/10) When ı stop walked, it goes away immediately. Also have same pain when I do squats. Snapping hip syndrome or IT band problems can cause this? What type of exercises can you suggest me? Thank you very much.

@ManOfAttitudeLP1998 2 жыл бұрын

I am in the same boat and dunno what to do

@inmad.1149 4 ай бұрын

What type of test are required to confirm this pathology a CT, perhaps?

@bhavnachaudhary1489 4 жыл бұрын

Exactly what is it...I use crepe bandage...she relax a bit with it...but again she is having pain on weight bearing..

@Tee-cd3tw Жыл бұрын

I have this, yes I was diagnosed. I have stretched and exercised many of times and nothing has helped. I also went to physical therapy and that didn’t help either. They told me this wouldn’t be a long term issue but it’s been 2 years sadly and it’s extremely painful In the winter!

@RedBar3D Жыл бұрын

I've been diagnosed with PFPS as well. It truly sucks. Such a drawn out thing. I've been seeing my physical therapist for 6 months now and we've gotten basically nowhere. We're going to start from scratch next week and focus on the things which seem to have helped somewhat. I've been x-rayed for it and they found no signs of arthritis.

@michelegiannone7403 Жыл бұрын

@@RedBar3D how are you?

@RedBar3D Жыл бұрын

@@michelegiannone7403 I'm still struggling, although I have made some progress. In particular, I can go running for longer distances than before, but I still have trouble engaging my right glute muscles while doing so. Also, I still can't squat or do any sort of heavy lifting without my right knee cracking and getting sore like hell.

@michelegiannone7403 Жыл бұрын

@@RedBar3D dont you have fear going running with bad knee? I made lots of progress but seated in office , burns a Little...and Is very psicologicol

@RedBar3D Жыл бұрын

@@michelegiannone7403 It doesn't hurt when I run, so I think it's all right. Progress is gradual, I suppose

@neerajsharma0 5 ай бұрын

Hey doc....what if this pain is in the medial side of kneecap....what can be the possble reasons?

@OrthoEvalPal 5 ай бұрын

Could be a plica. or patello femoral pain.

@katelyndavis8184 3 жыл бұрын

I just had my knee checked out and dr.mulholland says i have patellofemrol crepitis and hip felxors what do i do foe it.

@OrthoEvalPal 3 жыл бұрын

Hi Katelyn, No simple answer. You definitely need to see a PT and have a full evaluation with specific exercises for your situation. Best of luck!

@davidquinterootero8017 2 жыл бұрын

Thanks Amazing video. Is physiotherapy needed and where in Miami do you recommend a therapist for this issue. Thanks again.

@OrthoEvalPal 2 жыл бұрын

Hi Dave, Thanks! Yes, PT could help but I unfortunately don't have any connections in that area. Sorry

@lorrainefranklin4549 3 жыл бұрын

My knee hurts so bad the outside of the knee is swollen. Hurts all the time.

@mariawaleskabrito9242 2 жыл бұрын

I am a college soccer player and it’s been now almost 3 months since my left knee started hurting. My AT told me it was patellar tendinitis and we did rehab for it for a month. After we saw no improvement they scheduled and appointment for mri. The mri results showed that I have chondromalacia of the patella. They prescribed PT 2x per week for 6 weeks. Scheduling appointment with PT at home is very challenging and im worried that the days go by and soccer season is almost starting for next semester and I want to get back to playing ASAP. Do you have any suggestions for me in the mean time please? Please help me doctor, I am desperate. I come to you because I can tell that I can trust you by watching your video.

@billbosconovitch752 Жыл бұрын

Did you fix the problem?

@AniruddhaUpadhye 4 жыл бұрын

@Ortho EVAL Pal With Paul Marquis I have been diagnosed with Chondromalacia Patella Grade 2- PF pain on the medial side. I have been give a physio routine. Can people recover from such athletic injuries? OR do you have to reduce athletic activity forever or go for surgeries? Appreciate the video. Thanks!

@OrthoEvalPal 4 жыл бұрын

Hi Aniruddha, I treat a lot of people with PFC. It is a very difficult problem to treat but we do have success with many. Not all people with PFC follow the same treatment plan. Some people do need surgery but not until they fail aggressive PT and strengthening 4-6 months. Good Luck!

@imneverwrongsometimestruthlies 3 жыл бұрын

I'm starting to hav pains in the joint that meets the patella and the femur... getting up or down is starting to get painful.. anyone help??

@user-ty1pl2qg5q 2 жыл бұрын

what could be the reason,i hit to stone really hard when running fast,which turn ankle pain ,then after 2 months it gives me knee hip back neck pain ,xray show normal

@rawtalk7925 3 жыл бұрын

Hi Dr I noticed others was asking and you replied so thought I'd get mine in. I feel unstable, have pain around my knee caps but inside and legs wobble when walking, standing or using steps. Sometimes I get swelling too around the knees it also feels like my knee caps are going in towards the back when I bend. After watching your video I commented saying thanks now I know it's patello. Do you think this is the case? I'm due to see the physiotherapists on the 7th January. I've had knee pain since 2016 but it's just got worse with more symptoms.

@OrthoEvalPal 3 жыл бұрын

Very hard to tell what your issue is but the PT should definitely be able to help and sort it out. Too bad you could go earlier. Best of luck!

@saraharbin1977 3 жыл бұрын

I’ve been struggling with knee pain since I was ten, I’m 28 now and it seems to get worse and worse. I was an avid skier and cheerleader into my late teens. I got diagnosed with patellofemoral syndrome about three years ago. I thought finally my pain will go away! But the physical therapy hasn’t helped and it’s to a point where they get swollen and I have to ice them almost every night. The X-ray I had three years ago showed my patellas were both off center, leaning towards the exterior of my legs. Is there anything else I can do besides manage pain? I can no longer ski, bike, lunge, or even manage a flight of stairs without being in considerable pain

@taimooralibukhari 2 жыл бұрын

Ruta 200, Arnica 200 dose per med 4-6 drops after 4 hours each day 1 med 1 week. Good Bless you

@jakeywakey3381 2 жыл бұрын

you should try walking backwards, it sounds insignificant but it’s one of the only things that’s helped me with this condition, I hope this helps you get back to what you love

@cjzanders5430 2 жыл бұрын

Poor baby🌹

@Bkbond Жыл бұрын

How are you now, any good result

@youreworthyourweightinavoc7189 Жыл бұрын

when I had it many years ago I found this helpful: strengthen VMO (the lower part of your inner quad), stretch out hamstrings (but only when the muscle is already warmed up), also stretch out butt muscles and calves, and finally, when walking, try to remain very upright with like a 'book on your head' posture, keeping abdominal muscles and butt muscles activated while walking. I found that really helped me a lot. I haven't had that problem since

@keseanjohnson4072 4 жыл бұрын

Should I strengthen my muscles while wearing my knee braces and tape?

@OrthoEvalPal 4 жыл бұрын

Yes. Absolutely.

@guardian7keys 3 жыл бұрын

Paul if the knee slips when carrying heavy items or bags, is this a sign or symptoms? I have no issues climbing up or down stairs

@OrthoEvalPal 3 жыл бұрын

Very hard to tell without a full evaluation.

@trishajosef2335 4 жыл бұрын

What does it mean when there is enlargement of patellofemolar space?

@OrthoEvalPal 4 жыл бұрын

Hi Trisha, Could be swelling between the kneecap and femur which it sits over. Not a common term in the medical world

@loidalacson6021 Жыл бұрын

can hyaluronic acid gel injection help ?

@OrthoEvalPal Жыл бұрын

Not really.

@DiegoRivera-ez4pf 3 жыл бұрын

Does it ever fully heal after you do the stretches and strengthening?

@OrthoEvalPal 3 жыл бұрын

Hi Diego, not always. sometimes requires surgery.

@muralimadhav8038 3 жыл бұрын

I can straighten my knee with ease but cannot bend it fully back. It pains. Even cant squat an sit on foot

@AniruddhaUpadhye 4 жыл бұрын

I have been diagnosed with Chondromalacia Patella Grade 2- PF pain on the medial side. I have been give a physio routine. Can people recover from such athletic injuries? OR do you have to reduce athletic activity forever or go for surgeries? Appreciate the video. Thanks!

@kb7867 2 жыл бұрын

Hey how have u been, did your condition get better?

@dheerajgupta2237 Жыл бұрын

What is the permanent solution

@raphaelluscher6157 4 жыл бұрын

Hello doctor, what could be the reason for lateral knee pain that only occurs while running. Biking and other such activities don't hurt. I assume it has to so something with the angle of the knee bend.

@OrthoEvalPal 4 жыл бұрын

Could be Iliotibial band syndrome or runner's knee.

@smilyone9092 4 жыл бұрын

How can loss of weight and i have patellafemoral syndrome ..whats excercises that should prevent in my condition ? Thx

@greensky01 3 жыл бұрын

www.webmd.com/pain-management/knee-pain/injury-knee-pain-16/slideshow-knee-exercises Straight Leg Raises. If your knee's not at its best, start with a simple strengthening exercise for your quadriceps, the muscles in the front of the thigh. ... Hamstring Curls. These are the muscles along the back of your thigh. ... Prone Straight Leg Raises. ... Wall Squats. ... Calf Raises. ... Step-Ups. ... Side Leg Raises. ... Leg Presses.

@joebacon9111 3 жыл бұрын

Thank you made it so easy to find out what was wrong unlike many of these useless videos

@OrthoEvalPal 3 жыл бұрын

You are welcome Joe!

@raveenjohn6283 2 жыл бұрын

Thanks for the video- is surgery required as a last resort … I have been having this terrible issue since 3-4 years now… I too was a sports person previously… the pain is real shooting at times… please advice

@pubgshorts2887 2 жыл бұрын

How are you now

@marktaylor8980 4 жыл бұрын

My pain is to the inside of the knee cap not the outside. Really painful. Had shooting pain behind knee cap like a needle 22 years ago. Now this is constant and cannot bend without real pain. Thoughts?

@greensky01 3 жыл бұрын

The diagnosis is still most likely Patellofemoral Pain syndrome (PFPS). ~~~ (Still go see your primary care physician) The initial management of PFPS includes 1. activity modification (eg, reduced intensity of exercise) and 2. nonsteroidal anti-inflammatory drugs. 3. stretching and strengthening exercises with an emphasis on the quadriceps and hip abductors. Exercises (as per www.webmd.com/pain-management/knee-pain/injury-knee-pain-16/slideshow-knee-exercises) 1) Straight Leg Raises. If your knee's not at its best, start with a simple strengthening exercise for your quadriceps, the muscles in the front of the thigh. ... 2) Hamstring Curls. These are the muscles along the back of your thigh. ... 3) Prone Straight Leg Raises. ... 4) Wall Squats. ... 5) Calf Raises. ... 6) Step-Ups. ... 7) Side Leg Raises. ... 8) Leg Presses.

@Astrothenix 3 жыл бұрын

@@greensky01 thank you! i really needed that list

@imneverwrongsometimestruthlies 3 жыл бұрын

@@greensky01 u a top geezer 👍

@AdventureKody 4 жыл бұрын

Dr. Marquis, when you hyper extended his knee, that is where my pain comes from. What would you diagnose that as?

@mura0 4 жыл бұрын

he said it in the video. That would be meniscus.

@OrthoEvalPal 4 жыл бұрын

Hi Kody, If the pain is in the front, likely meniscus. If in the back, likely posterior capsule or hamstrings

@rawtalk7925 3 жыл бұрын

@karenmaeratilla5863 Жыл бұрын

i need help for my patella lateral compression syndrome(patella lateral tilting) i don't want to drink the medicine that the doctor gave me because my kidneys hurts everytime i drank it...thank you