Patellofemoral Pain

(Willy et al., 2019)

Aims: Guidelines on PFP

Methods: Review of literature & experts’ consensus.

Limitations: May be bias in experts’ opinion. Broad topic. Expert consensus

In Practice:

Diagnosis: The presence of retro-patellar or peri-patellar pain, (2) reproduction of retro-patellar or peri-patellar pain with squatting, stair climbing, prolonged sitting, or other functional activities loading the PFJ in a flexed position, and (3) exclusion of all other conditions that may cause anterior knee pain.

Assessment: Clinicians should use the Anterior Knee Pain Scale (AKPS), the patellofemoral pain and osteoarthritis sub-scale of the Knee injury and Osteoarthritis Outcome Score (KOOS-PF), or the (VAS) for activity, for worst pain, for usual pain, or the numeric pain-rating scale (NPRS) to measure pain.

Treatment: Should include exercise therapy with combined hip- and knee-targeted exercises to reduce pain and improve patient-reported outcomes and functional performance in the short, medium, and long term.

Clinicians may use tailored patellar taping in combination with exercise therapy to assist in immediate pain reduction, and to enhance outcomes of exercise therapy in the short term (4 weeks).

Clinicians should prescribe prefabricated foot orthoses for patients with greater than normal pronation to reduce pain, but only in the short term (up to 6 weeks).

Willy, R. W., Hoglund, L. T., Barton, C. J., Bolgla, L. A., Scalzitti, D. A., Logerstedt, D. S., … Torburn, L. (2019). Patellofemoral Pain. Journal of Orthopaedic & Sports Physical Therapy, 49(9), CPG1–CPG95.

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