Knee Pain from Patella Alta & ELPS - Part 1 Exam

In this first part I perform a knee exam, differential diagnosis and home care instruction. In part 2 I’ll cover treatment and etiology.

[@May04bwu]

God I wish all doctors were like you. I have so many problems with chondromalacia and with a wrist ganglion (very painful; 4 years, surgery, came back after 5 months). Nobody ever explains anything to me, which is scary and frustrating. Thank you for this video.

[@pgadeb]

You can tell this doctor really knows his stuff! Lucky patient

[@bsbshhhahga6647]

Ok💟💜💌❣💞💝💋😙💗😍💙💛💚💖💓💔👗👡👒👠👍👍👍👍👍

[@valentingeorgescu4617]

Exceptional! Thank you!

[@ChiropractorEdmond]

Glad you liked it!

[@Bisse_Elison]

Very professional, educating and interesting. ! Hope the patients understand how skilled Dr Prince is.

[@ChiropractorEdmond]

that's kind. thank you

[@bsbshhhahga6647]

@@ChiropractorEdmond ok💟💜💌❣💝💋💗💙💛💚💖💓💔👒👠👗👡👍👍👍👍

[@vijaygambhir6092]

Thanks

[@garimabansal4718]

Very informative

[@ChiropractorEdmond]

Glad you think so! thank you

[@lisak7247]

I want to thank you for such an informative video. I wish my drs were as thorough and helpful. I'm not sure if you are still reading the comment section, but like some others I am interested in your dr recommendations. I live in Suffolk County New York. Thank you and advance and I have subscribed for more videos 🙂

[@ChiropractorEdmond]

thank you for the kind words. It looks like Dr Stacy Aslan is close to you. He struck me as a very thoughtful and thorough doctor when I met him a few years ago. you can also check out our directory at www.gonstead.com

[@lisak7247]

@@ChiropractorEdmond Thank you very much😊

[@gotyou8226]

I been diagnosed with alta/fat pad impingement

[@drsaab9162]

Great job doc, this is exactly how we learned it back in the day. You are spot on !, just got to check that right sacroiliac now

[@ChiropractorEdmond]

Thanks dr saab! I was thinking the same thing initially and or an upper lumbar but I found a left PIEX major. I concluded that the left ilium w negative Y rotation (EX) resulted in the compensatory right sided excessive lateral pressure/tracking syndrome. This was confirmed when I observed immediate improvement in these Part 1 Exam findings following the left ilium adjustment which I recorded in a Part 2 video coming soon. No knee adjustment necessary!

[@504King_]

Dan Prince Just had my 3rd patella reconstruction,my kneecaps naturally sit high from growth spurt (5inches) in the 10th grade. I suffer from Alta and bad tracking,could use your help Doc!!!

[@ChiropractorEdmond]

Where are you located? Maybe I can help make a referral.

[@504King_]

Dan Prince I'm in Monroe located in North Louisiana...the reconstruction was done with a Achilles tendon graft Doc.

[@ChiropractorEdmond]

Dr Brennon Kelly is the closest I could find that has shared training experience. Here is is website: www.riseacadiana.com/meet-the-doctor

[@wakeupandroar3488]

Still looking for part 2..

[@Beths246]

My daughter was diagnosed with ELPS years ago and now has hip pain that she feels like she never gets relief from. Is there someone you could recommend in the KC area?

[@ChiropractorEdmond]

hi Beth! My friends recommend Dr Ens enschiropractic.com/who-we-are/

[@Beths246]

Dan Prince I don’t see the Part 2 for this video where you talk about treatment?

[@neuropsychopharmacologisti4340]

I was diagnosed with patella alta on both knees. I'm 25 I have pretty bad knee pain I cant squat or do lunges so I'm not sure what to do. The doctor said I was probably born with it and that I have had this my whole life. But what I dont understand is when I was in my early 20s I used to do body building with no issues what so ever. It seems that I started having issues when I dislocated my right knee when I was 23. I don't even know how to work my legs anymore. I was do physical therapy but it actually made the pain worse so I stopped.

[@jamesdavies3563]

i have literally the same story except I'm 24

[@mutlaqalsubaie7409]

In my case , I have both knees diagnosed with patella alta and chandromalica. Since i was 20 till now 26. All the doctors and the physiotherapist those i have seen didn't resolve the issue . If anyone could share with us any possible solution ( being optimistic).

[@sergioviccinialonzo501]

I have the exact same story, even the age of my knee dislocation... Bodybuilding is nothing but a memory now, it's so depressing

[@sergioviccinialonzo501]

@@mutlaqalsubaie7409 hi mutlaq, well, I have a similar case as the original poster... I've been trying prolotherapy on my quads protenon and knee ligaments to help wihh the pain and tracking... I can't say it fixed my issue, but so far I've had 4 shots of growth hormones rich plasma (from my own blood) and 1 of prolotherapy, and the pain has decreased, however, the tracking on my dislocated still feels like shit, less like shit though, but still shit

[@mutlaqalsubaie7409]

@@sergioviccinialonzo501 thanks for the reply 👍, If u don't mind can I have ur snapchat to keep each other updated If there is any progress

[@hamidman6974]

Do you do online check ups /recommendations?

[@ChiropractorEdmond]

text my office and we can set-up a zoom consultation. My number is on our website. www.princechiropractic.com

[@angelm2755]

I was diagnosed with patella Alta last year. I was having right knee pain, now I’m having left knee pain and ankle pain. Doctors recommended physical therapy and said surgery is best left as a last option since it could potentially make the issue worse. They also said I may developed OA....do you have any advice ? Seems like my body is falling apart, because the left knee and ankle pain is new. I’ve been doing physical therapy yet my body is still falling apart . Do I just wait to develop OA or have surgery ?

[@dakorataylor3819]

I was diagnosed with patella alta about five years ago and I just had my first surgery last December. In the beginning, I tried everything they suggested like knee braces to keep the kneecap stable and physical therapy to build the muscles around my knee to keep the patella stable. My kneecaps would dislocate everyday, multiple times a day. So I finally got the surgery at age 17. It's costly, as most surgeries are, but the knee I had worked on has caused me no problems! My recovery was quick and it was overall very successful. For the time being, im doing way better than I was before. I highly recommend getting the surgery available. I don't know the full name of my surgery... but it was a left fulkerson osteotomy!

[@aitanatorrent8856]

Honestly, I think as helpful as physycal therapy is I think you shouls go with surgery. I have patella alta and i've been doing physical therapy for 2 years and I just end up having joint pains.

[@OmkaR-lg2nt]

@@aitanatorrent8856 how old r u buddy?

[@aitanatorrent8856]

@@OmkaR-lg2nt Why do you want to know?

[@OmkaR-lg2nt]

@@aitanatorrent8856 coz I had my first dislocation in March 2022. Doc said I have alta and ruptured my MPFL. I just wanted to know should I go for surgery. Right now am in knee brace and PT. Am 25

[@datukarief8914]

i have question, is flat foot contribute a knee pain ? i have patient have knee pain and have flat foot

[@ChiropractorEdmond]

Yes!

[@angelm2755]

I was diagnosed with patella Alta last year , I was having right knee pain that was minor. Now I’m having left knee pain and left ankle pain. I’m only 29 and it gets depressing at times because doctors tell me do physical therapy which I’ve been doing, and it seems like my body is still falling apart. Surgery for fixing patella Alta has a low success rate from what I’ve read. Luckily I haven’t had any dislocations but who’s to say I won’t once I age some more. Any advice ?

[@aitanatorrent8856]

Bro I wish I had it when I was 29. I got diagnosed with it at the age of 8.

[@gotyou8226]

This the same as me too they keep saying physiotherapy and do more, my muscle has wasted in my knee it has no stability..its gunna take years to build back up that muscle 😫

[@hajarenna8957]

i was diagnosed with pattela alta a year and half ago at the age of 21 , i had my first episod of my left knee dislocation when i was 16 , my doctor recommended physiotherapy saying that the surgery is left as a last option procedure. now having both knees pain and feeling exhausted, any advices or recommendations about decreasing the pain?

[@ChiropractorEdmond]

Hi, I'm sorry to hear that. I would find a Gonstead and or CCEP trained chiropractor who can adjust your spine and extremities. www.gonstead.com www.councilonextremityadjusting.com www.princechiropractic.com

[@hajarenna8957]

@@ChiropractorEdmond thank you a lot for your response , i just would like to informe you that after 7 months of my question the pain is still here no matter what i'm doing , i hope i would discover a new method to decrease the pain throught your recommendations

[@Amber-it1yw]

I just recently got an mri due to ongoing pain and clicking and popping noises in my knee. I told that I have patella alta and hoffa pad impingement and im only 18 :(( will this stay with me my whole life? are there any problems that can arise in the future because of a high riding patella??

[@aitanatorrent8856]

I was diagnosed when I was 8. I'm sry u have to go through this. :(

[@kierstentyner7353]

Is there part 2 yet?

[@ChiropractorEdmond]

Kiersten Beatty yes! Let me look for it

[@kierstentyner7353]

@@ChiropractorEdmond oh great! I just had an arthoscopy done last Monday and they thought I had a torn meniscus from dislocating my knee twice, but I didn't. My dr told me my knee cap is sitting on my femur bone and I have ligament damage. So I'm just trying to do some research before I go see another dr.

[@tdt_dimzy1863]

Kiersten Beatty I had the exact same thing happen to me

[@faithford6468]

Can I also get the link to part 2?

[@UltimateKeyboardist6]

Faith Ford same here

[@ashikmohammad1232]

My left leg does not move. It has to be kept straight all the time. In this situation my normal life is disturbed. I can't bending my left knee. Probably the patella in my left leg is just above the knee joint which I think is the patella alta. I need treatment. In such a situation which doctor can I consult.?? please reply...

[@ChiropractorEdmond]

See a gonstead trained chiropractor. They should take X-rays and evaluate your spine too.

[@roohianjum7595]

I'm suffering from patella alta i have no dissolution but i overused my knee .my insall salavati ratio is 1.61 can i able to cure without surgery. Please help pe and recommend what should i do?

[@ChiropractorEdmond]

Hi, I'm sorry that you're hurting. I didn't understand your ratio question but generally speaking, strengthening the hamstrings to improve the quadricep/hamstring strength ratio can be helpful for some knee pain sufferers. I recommend caution when attempting self-care strategies from KZbin videos. These are educational videos and are not intended to diagnose or self-treat. You must find a doctor who can evaluate you and develop an individualized treatment plan. You may find a doctor near you at this address: www.gonstead.com/location/

[@gruivis]

Dr Prince can you refer me to someone in the Atlanta/Alpharetta GA area? My doc suspected a torn meniscus but the MRI shows a high patela and a fat pad impingement. He gave me a cortisone shot but it didn't work. My knee has been inflamed for over 6 months. Thanks.

[@ChiropractorEdmond]

gruivis trusted friends recommend Dr Josh Kolonick.

[@ridef0rlife]

What did you have done? I have the same diagnosis

[@billpropes628]

You can now post your video in a chiropractic directory at no charge. Would you be interested? Can we also send you the link by email?

[@ChiropractorEdmond]

Hi Bill, sure please send me the link here

[@smssnap]

In India, who do we consult for Patella Alta?

[@ChiropractorEdmond]

friends recommend Dr Rob Lamport in Mysore/Mysuru.