It is important to keep your thigh and buttock muscles strong to avoid putting extra pressure through the kneecap. It may take at least 12 weeks of doing strengthening and stretching exercises several times per day before any muscle imbalance or weakness is noticeably improved but by doing this you can reduce your pain. Please click here to access these videos. Simple painkillers, such as paracetamol or ibuprofen may help to reduce the pain in the knee and allow you to perform the exercises properly.
Do not exceed the daily allowance of these medicines even if your pain is high and always consult a GP prior to taking any new medication. If you are unsure of what medication you can take, speak with your local pharmacist, practice nurse or GP for guidance.
Break the harder jobs down into smaller time frames and do something gentler in between. Sometimes a short rest when your knee starts to feel painful can be helpful over the course of a day. It is recommended to pace rather than to fully stop all forms of movement or exercise. You may find that taking simple painkillers as previously mentioned may help you to keep active. Avoid high heels.
This will alter the position of your leg and it can increase the strain into your knee and big toe. When climbing stairs you may need to consider using handrails and go up one leg at time until your muscles become stronger. It is better to go upstairs leading with the non-painful leg one step at a time. If coming down the stairs then lead with the sore leg one step at a time and use the handrail.
James Nace Dr. Robert Peroutka Dr. Robert Saltzman Dr. Noman Siddiqui Dr. Shawn Standard. Important Notes While the pain of inflammation or muscle soreness may be temporary, pain due to structural damage e. An accurate, early diagnosis is critical to avoid irreparable damage from improper activity or training. Nonoperative solutions only work if accumulative joint damage is not too great. Self-diagnosis is rarely successful if pain is severe enough to cause a limp or a change in activity or work behavior.
Knee pain associated with climbing stairs and squatting is most often due to kneecap problems. Patients who are too aggressive in starting a fitness program Young mothers or grandmothers who repeatedly squat to pick up little children Workers who must climb Runners and athletes who overtrain Younger patients should be analyzed for inflexibility acquired from rapid teenage growth or poor conditioning.
Structural Damage Structural damage to the patella or the groove in which it travels the femoral trochlear groove can occur from direct injury, such as from a car accident also called dashboard knee.
Arthroscopy: Provides a more accurate diagnosis Relieves some of the pain of inflammation by washing out the knee Quiets down the aggravation of rough joint surfaces and reduces mechanical irritations Combined with other surgical measures can realign or stabilize the kneecap Removes a painful plica For complicated cases, patellofemoral realignment and conservative resurfacing either biological or prosthetic may be necessary.
Congenital Dysplasia Some people are born with misshaped kneecaps, or the groove in which the patella must travel is too shallow. Inflammation Patella tendonitis results from excessive overload or overuse of the extensor mechanism of the knee. Prepatella Bursitis Prepatella bursitis is an inflammation of the small lubricating sac under the skin in front of the kneecap.
Synovial Plica A plica is a normal fold of tissue within the knee that can cause patellofemoral pain symptoms if aggravated by injury or overuse. Find a clinic near you. Request an appointment. Medical Services. Centers of Excellence. Patient Resources. Physician Education. Contact Us. Transportation Policy.
Nondiscrimination Notice. Facility Fee Notice. Women with flat feet are also more likely to develop anterior knee pain. Treatment of anterior knee pain does not typically require surgery. When some or all of these symptoms are present, an orthopedic surgeon will examine your glute strength, hamstring and IT band flexibility. He or she will examine your kneecap for tightness or hypermobility and see if there is grinding or popping under the knee cap when the knee bends.
In addition, the orthopedic surgeon will check for signs of pain around the IT band and knee cap at rest, as well as with flexion and extension. Quick examination often will confirm a painful joint. The exam can also be used to rule out other problems with similar symptoms such as a kneecap that is unstable in the patellofemoral joint, a synovial plica thickened, inflamed joint capsule at the patellofemoral joint that gets caught between the patella and femur when the knee is bent or abnormalities of the joint surface itself.
Treating the problem at its source i. Thus, in addition to quadriceps strengthening exercises, it is common when treating anterior knee pain to focus on areas that are away from the knee itself.
If the pain is disabling at presentation, a short course of anit0inflammatory medication is often utilized to reduce painful joint inflammation at the joint. Anti-inflammatories should almost never be used as the sole treatment for this problem though, since they do nothing to address the issues that brought the patient to the doctor in the first place. Instead, the goal of the medication is to reduce pain to the point that effective therapy can begin.
In instances where there is excessive tilt to the kneecap so that the contact pressure at the outside portion of the joint is being increased a simple neoprene knee sleeve may be helpful in the short-term to maintain the kneecap in a more normal position while strengthening exercises are started. If instability is felt to keep the kneecap from sliding out of its joint. Otherwise, braces are generally of little benefit in patients with anterior knee pain.
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