Patello-Femoral Pain syndrome (PFPS)
- Athletes in high impact sports (jumpers, sprinter….)
- Basketball and netball players
- Gym Junkies
- Desk warriors
Patello-femoral pain syndrome, or PFPS, is the most common cause of pain at the knee joint. It normally presents as pain felt around, and behind the knee cap (patella). It is common in both the young and old, active and inactive.
When & How
PFPS is most commonly caused by mistracking or poor movement of the knee cap, as opposed to direct trauma to any specific structure within the knee. Poor movement can be caused by numerous variables but is most commonly caused by;
- Muscle strength imbalances
- Excess muscle tightness
- Overactive or inhibited control of a muscle
- Poor foot posture (eg. Flat feet)
- Hip and lower back problems
- Degenerative changes due to old age
The kneecap normally runs along a groove in the thigh bone known as the femoral groove. As a result of any of the above variables, this movement along the groove is changed, and the knee cap starts to mistrack. As a result there are excessive joint pressures put through the knee joint and knee cap. Overtime this will lead to irritation, swelling and pain which in turn further changes the way the kneecap tracks along the femoral groove.
Treatment and management of PFPS requires any underlying causes to be addressed whilst treating the pain and inflammation at the knee itself. Your physiotherapist at our Move Forward Kinross Physiotherapy clinic will assess the whole lower limb, as well as the hip and low back in order to determine the exact cause of your knee pain. Following this assessment, you will be provided with a detailed outline of your own individualized treatment management plan. Your treatment may include a combination of the following;
• Ice/ Heat
• Brace/ off-load taping
• Soft tissue massage
• Dry needling
• Stretching & strengthening exercises, which can be performed within the gym located at Move Forward Hillarys Physiotherapy
• Activity and exercise modifications to improve lower limb mechanics and posture, which can be performed within our pilates studio at Move Forward Quinns Physiotherapy or Jindalee Physiotherapy
Motor Vehicle Accident Victims
Whip Lash is a term used to describe neck pain that generally occurs following motor vehicle accidents. Whip Lash usually occurs when a moving vehicle hits a stationary one. The rear collision causes forceful backward movement of the head and neck, followed by forceful forward movement. This causes damage to the cervical spine and surrounding tissues.
Whip Lash is common in victims of motor vehicle accidents, especially those who are hit from behind in a stationary or slow moving vehicle. Whip lash can happen to any one, adults or children, and often occurs when the individual is unaware of the upcoming impact.
The forceful movement of the head causes damage to the soft tissue structures (muscles and ligaments) supporting the cervical spine. Following a Whip Lash injury pain is usually present in the neck as well as the shoulders and upper back. Headaches are also commonly associated with a Whip Lash injury.
Your Move Forward Physiotherapist will assess your neck and use this information to guide your treatment. They will provide you with an individualised treatment plan guiding you through your rehabilitation and recovery.
Treatment of Whip Lash may include:
Relative rest following injury
Soft tissue therapy
Early range of motion exercises
Neck muscle strengthening
Gym exercise programmes
Osgood-Schlatter Syndrome is a knee condition affecting growing adolescents. It causes pain at the front of the knee below the patella (knee cap) at the point at which the patella tendon attaches to the tibial tuberosity (on the shin bone). The pain is usually aggravated during weight bearing or physical activity.
Osgood-Schlatter Syndrome may affect both girls and boys and is often associated with a high level of activity. Girls are generally affected by Osgood-Schlatter Syndrome between the ages of 10-11 where-as boys are generally affected between the ages of 13-14.
Osgood-Schlatter Syndrome is caused by tightness of the quadriceps (thigh) muscle and patella and quadriceps tendons. Damage at the attachment site is caused by contraction of the quadriceps muscle, tightening the tendon. This causes micro tears in the tendon resulting in pain and inflammation.
Your Move Forward Physiotherapist will assess your knee and provide you with an individualised treatment plan to assist in your recovery. With the right treatment Osgood-Schlatter Syndrome usually resolves itself in approximately 12 months.
Your treatment may include:
Gradual return to activity
High velocity sports players
The anterior cruciate ligament (ACL) is an important stabilising structure within the knee joint. Along with the posterior cruciate ligament (PCL) it prevents movement of the femur (the thigh bone) and the tibia (the lower leg bone) in relation to one another.
ACL injury most commonly occurs with sudden changes of direction (rotation of the knee with a planted foot), incorrect landing from a height or direct contact.
When the ACL is stressed in an inappropriate way a tear may occur. ACL Injury is often accompanied by injury of surrounding knee structures, such as other ligaments or cartilage. After injuring the ACL tendon you may notice immediate swelling, pain and tenderness, inability to fully bend or straighten the knee and difficulty walking.
Your Alkimos Physiotherapist will firstly assess your knee to confirm and determine the severity of your injury. You may be sent for imaging especially if a complete rupture of the ligament is suspected or multiple structures are affected. In this case, surgery to repair or reconstruct the ligament may be advised.
Whether or not surgery is required, your physiotherapist will provide you with an individualised treatment management plan to guide you rehabilitation. Your treatment may include:
Range of motion exercises