Laura Dawahare

By

College: Health Sciences

Effective Treatments Available for Knee Cap Pain

Published: May 13, 2014

LEXINGTON, Ky. (May 13, 2014) -- Knee cap or patellofemoral pain is one of the most common conditions that sports medicine practitioners see.  The condition was once thought to predominately affect adolescents.

 

However, in recent years, it has been recognized as a significant source of pain and disability throughout the life span, curtailing one’s ability to enjoy playing sports, and to perform more basic activities such as going up and down stairs.  There is even emerging evidence that having knee cap pain earlier in life may be one risk factor for developing knee osteoarthritis later in life.  The pain may or may not be associated with a feeling of instability.  Thankfully, recent developments have led to effective treatments for individuals with knee cap pain and instability.

 

We have learned over the past decade how important the hip is in the development of knee cap pain.  It is much like the old adage the knee bone is connected to the hip bone.  The knee cap makes contact with the thigh bone.  Thus, if the muscles that control the thigh (hip muscles) are not strong enough or lack good control, they can allow the thigh bone to rotate in a way that causes the knee cap to become excessively loaded on one side. With repeated repetitions, this results in pain. 

 

The good news is that with exercises, given under the proper instruction of a licensed physical therapist, an individual’s pain can be significantly reduced if not eliminated.  These exercises target not only hip weakness but teach the individual when and how to use the muscles to best reduce stress on the knee cap.

 

Knee cap instability also has several promising treatments that have developed over the past decade. Much like knee pain, the first step is to work with a physical therapist on similar hip exercises to see if keeping the thigh bone in a better position will reduce the feelings of instability. Other treatments such as bracing and even orthotics may be used to help reduce symptoms, after the initial bout of instability. If conservative interventions are not successful, then a consultation with a board certified orthopedic surgeon with specialized training in the treatment of knee cap instability is warranted. 

 

The orthopedic surgeon would be able to assess whether the knee cap instability is due to a lax or torn ligament called the medial patellofemoral ligament, or if the instability is due to the shape of the portion of the thigh bone that the knee cap makes contact with.  This portion of the thigh bone is shaped like a U and if it is too shallow it does not give the patella a good track to follow as you bend and extend your knee.  Surgery can help reduce or eliminate the bouts of instability, allowing the individual the ability to more fully engage in activities that they enjoy.

 

Whether suffering from knee cap pain or instability, it is important to seek treatment from a physical therapist or physician who can guide you through the steps of treatment.  We have seen that a wait-and-see approach may cause the perception of pain to grow, even if you decrease the amount of activity you are engaged in.  

 

Brian Noehren, PT, Ph.D., FACSM, is director of the University of Kentucky BioMotion Lab and an assistant professor in the College of Health Sciences Division of Physical Therapy.

 

This column appeared in the May 11, 2014 edition of the Lexington Herald-Leader

noehren_brian.jpg
February
 
1
Graduate Student Congress Meeting (February)
Mon
2
Bill Adams: Blue Madness
Bill Adams: Blue Madness
Bill Adams: Blue Madness
Bill Adams: Blue Madness
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Open House: Selections from the John and Sue Wieland Collection
Open House: Selections from the John and Sue Wieland Collection
Open House: Selections from the John and Sue Wieland Collection
Open House: Selections from the John and Sue Wieland Collection
Open House: Selections from the John and Sue Wieland Collection
Open House: Selections from the John and Sue Wieland Collection
Open House: Selections from the John and Sue Wieland Collection
Tue
3
K Crew Recruitment
Last Day to Drop a Course Without Appearing on Transcript
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Wed
4
K Crew Recruitment
Bill Adams: Blue Madness
Undergraduate Research Information Session
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Thu
5
K Crew Recruitment
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Explore Blue
Off-Campus Student Services' Wildcat Apartment Hop #1
Panel Discussion: Historic Homes
Fri
6
K Crew Recruitment
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Sat
7
K Crew Recruitment
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Sun
8
K Crew Recruitment
Sex and Chocolate
Law School Prep Workshop
Mon
9
K Crew Recruitment
Healthy Relationships Workshop
How to Package Communication and Technical Skills on your Resume
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
2016 Distinguished Industry Lecture Series
Tue
10
K Crew Recruitment
Last Day to Receive 50% Refund
Pinterest Party #1
Off-Campus Student Association Information Session
Get Yourself Tested!
Showcase your Talents: Building a Strong Portfolio
An Evening with Tatyana Ali and Amir Windom: Progression Towards Success
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
How to Survive a Plague
Wed
11
K Crew Recruitment
Coffee & Canvases
Off-Campus Student Association Information Session
Study Abroad in Berlin!
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Thu
12
K Crew Recruitment
Explore Blue
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Fri
13
K Crew Recruitment
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Workshop: The Artist Statement
Sat
14
K Crew Recruitment
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Sun
15
K Crew Recruitment
See ICT
Patterson School Guest Speaker Series
Mon
16
K Crew Recruitment
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
See ICT
UK Women's Forum February Board Meeting
Tue
17
K Crew Recruitment
Food For Thought
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Wed
18
Undergraduate Research Information Session
Soup & Substance: Real Talk, Real Issues, & Real People Series
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Thu
19
PharmD Interviews
Explore Blue
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Off-Campus Student Services' Wildcat Apartment Hop #2
SAB Underground Formal
Fri
20
PharmD Interviews
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Sat
21
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Sun
22
Undergraduate Research Information Session
Mon
23
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Tue
24
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
UK Elder Care Lunch & Learn - Don't Blame It On Aging
Ravi Zacharias at Memorial Coliseum
Wed
25
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Thu
26
Explore Blue
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Dimensions of Political Ecology Conference
Eday Talk by Georgetown Toyota President Wil James
Do What You Are: Connecting Personalities w/ Profession
Off- Campus Student Services' Wildcat Apartment Hop #3
Concert in the Museum: Central Music Academy
Fri
27
Dimensions of Political Ecology Conference
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
UK E-Day
Sat
28
Bill Adams: Blue Madness
Bill Adams: Blue Madness
Bill Adams: Blue Madness
DanceBlue Rave Hour
Bill Adams: Blue Madness
Open House: Selections from the John and Sue Wieland Collection
Open House: Selections from the John and Sue Wieland Collection
Sun
29
Monday through Friday - Midterm Grading window is open. The mid-term grading window will close at midnight on March 11.
Monday through Wednesday - Students are prohibited from changing academic major
Bodies Of Evidence: Provocations: A Transnational Feminist History Project
Mon
 
 
 
 
 
Feb 07
Bill Adams: Blue Madness 02/07/2016

Mon, 02/08/2016

Repeats every day on January, February, March, April every Sunday and every Tuesday and every Wednesday and every Thursday and every Friday and every Saturday until Sun Apr 03 2016 .
Tue, 02/09/2016

Repeats every day on January, February, March, April every Sunday and every Tuesday and every Wednesday and every Thursday and every Friday and every Saturday until Mon Apr 04 2016 .
Tue, 02/09/2016

Reset Page