Pain in the front of your knee...
- Pain Relief Therapy
- Apr 1
- 2 min read
Anterior knee pain (AKP), commonly referred to as patellofemoral pain syndrome (PFPS), is a prevalent issue in the UK, particularly among adolescents and young adults. It accounts for approximately 25-40% of knee problems encountered in sports medicine clinics, with a slightly higher incidence in females, possibly due to anatomical and hormonal differences.
Common Causes and Diagnosis
AKP typically manifests as pain around or behind the patella (kneecap), exacerbated by activities such as squatting, stair climbing, or prolonged sitting. The pain is often described as aching or discomfort, sometimes accompanied by a sensation of grinding during knee extension. Diagnosis is primarily clinical, focusing on patient history and physical examination. Routine imaging is not usually recommended unless there's suspicion of other pathologies.
Physiotherapy Assessment and Management
Physiotherapists play a crucial role in managing AKP. Initial assessment involves identifying postural misalignments, altered movement patterns, and muscle imbalances. Addressing these issues is essential before initiating a strengthening program. Therapies may include proprioceptive training, shoe inserts, and taping, best utilized as complements to traditional exercise therapy. However, they have not been effective when implemented alone.
Trigger Points in the Rectus Femoris
An often-overlooked cause of AKP is the presence of trigger points in the rectus femoris muscle, part of the quadriceps group. These hyperirritable spots can refer deep aching pain to the front of the knee and may lead to sensations like the knee "buckling." Activities such as sudden increases in exercise intensity, overuse, or prolonged sitting can activate these trigger points.
Preventative Strategies
To prevent the recurrence of AKP, especially when related to rectus femoris trigger points, consider the following strategies:
Regular Stretching: Incorporate dynamic stretches targeting the thigh muscles to maintain flexibility.
Strength Training: Engage in balanced strength exercises focusing on the quadriceps, hip, and core muscles to support knee function.
Activity Modification: Gradually increase exercise intensity to avoid overloading the knee structures.
Postural Awareness: Maintain proper posture during activities and periods of prolonged sitting to reduce muscle strain.
Implementing these measures can help alleviate existing pain and reduce the likelihood of future episodes. It's advisable to consult with a physiotherapist to develop a personalized plan tailored to individual needs and activity levels.
Mateusz "Matt" Ciesielski
Pain Relief Therapy
07784751656
hello@painreliefliverpool.com
www.painreliefliverpool.com
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