Patellofemoral Pain Syndrome Evaluation and Treatment

[@aleksi3339]

out of all the videos, I have to say this was a compact and 5/5 knee examination video. Thank you sir! From finland

[@randomspirit]

That was a much more thorough exam than I've been able to get!!!

[@shinkurt]

You need a KZbinr doctor to see you

[@cefnonn]

Very impressive level of expertise.

[@annkilian467]

Same for me. My exam was not Not nearly as thorough.

[@paulhoulden]

I hurt my knee in a fall running an ultra 25 weeks ago, i have seen docs in the NHS, had an mri scan and they said nothing wrong with me. Ive even paid top money to see the England football physios, more mris and now desperate for a fix, ive found out more on this video than i have in the last 6 months, hopefully you have more on how to sort this out! Thank you kind sir

[@laurencontreras702]

Look into glute medius release and trigger points

[@ryanlie6250]

As a new pt grad I find KZbin and internet more helpful than from university, and all nhs physios graduated from uni so no surprise here

[@luisarce6234]

As a PTA i greatly appreciate these demo's as they help give me a better picture of the POC and help me to improve exercise prescriptions.

[@bjmurphy34]

This is a good example of a knee examination. Thank you!

[@OrthoEvalPal]

Thank you Brandon!

[@rawtalk7925]

Thank you so much for this as I've been having this pain for 4 years now and I didnt know what it was. The doctors didn't even do all of this to me otherwise they would've known by now. Well executed! Ta

[@OrthoEvalPal]

You are welcome!

[@user-op1ku9vc8k]

Cycle every day You will get better

[@ParitoshSingh-r1y]

@@user-op1ku9vc8k sir have you encountered same problem

[@ParitoshSingh-r1y]

How is your pain now ?

[@stevemitchell1837]

u should have link to all the recommended exercises,etc that you mention for the patient to do. thx much

[@jorgemenjivar1578]

Really enjoyed seeing that exam.

[@amirhossein_kn]

Simply great, thanks 🙏🏼 😊

[@OrthoEvalPal]

You’re welcome 😊

[@ellenzilla]

This was so informative! I’m amazed! Thank you sharing your knowledge.

[@greensky01]

Thank you for a great work-up for knee pain!

[@OrthoEvalPal]

You are welcome!

[@peterpeterpumkineater5182]

thank you for this video. this is the spot where i have my problems. i notice it most if i lay on the floor on my stomach with my legs out straight. my knees touching the floor. then if i tighten my quad my knee will give a sharp pain as soon as i lift the knee off the floor it eases. Same pain if I'm standing up and put my hand round the top of my knee cap and tighten my quad again pain. i already know its because i have a major strength imbalance in my abs hips. i also pronation of the feet leaning inwards.

[@QUiNTiNBANKS]

Amazing work dr. I believe this is what I have. Could be all the basketball

[@shawnwood9875]

Great demonstration

[@OrthoEvalPal]

Thanks Shawn!

[@daniellayugan6735]

having this problem were in at one point during basketball practice i was so tired that after a night of rest when i woke up my knees felt bloated or like it was so hard to even climb the stairs. it stopped me from ever doing my cardio since then and i couldn't play anymore and it's been driving me crazy and i've been gaining so much weight till. it's almost a year then i found this video. i just hope its not to late :'(

[@TheArtistRae]

It’s been 2 years bro did you get through it?

[@zeerekhan462]

The way you demonstrated amazing and rich of knowledge 👍

[@OrthoEvalPal]

Thanks a ton

[@lazarus6983]

I've been through two orthopedic doctors and PT's, and they haven't even come within 1/10th of the level of detail and thoroughness as Paul. The orthos looked at my knee for about a minute, mainly just ruling out meniscus and other major tears (not really trying to actually diagnose me), and the PT's just throw template exercises at me without focusing on a plan tailored for my specific PFPS diagnosis (that hasn't even been established). They just do what most PT's do, stabilization, hit the VMO, hit the hips, not providing any at home regiments... Pain isn't going away. If only Paul was near me.

[@OrthoEvalPal]

Wish I could help. Hope you find someone to take it seriously. Best of luck!

[@jennifermikuluk2357]

It’s hard to find a good pt. I just spent loads of money, post op TKA on an average pt. Got most useful information for my home therapy regimen from KZbin!!

[@davidkingsten7154]

@@OrthoEvalPal Pt6g

[@patrickharvey8747]

nice evaluation. short and sweet

[@OrthoEvalPal]

Glad you liked it Pat!

[@dubtube6691]

I wish we would have such great therapists in Germany

[@MartinezNCHeels]

Patellofemoral pain since I my early teenage years! It’s a lot worse now, and it still have my osgood schlatter on my knee as well, I’m in my mid twenties now

[@anishaagarwal8681]

Has anything hepled?

[@carlpoilvet3215]

Great video! Back in January 2020 I had an ACL reconstruction and meniscus repair. I have not been able to fully recover as everytime I squat or I do knee extension I have a pain on my knee cap...

[@youreworthyourweightinavoc7189]

your VMO probably needs restrengthening after ACL - look up some videos on how to strengthen your inner quad

[@camaperture8116]

This looks similar to the pain I'm experiencing. I'd like to see a followup video with the prescribed treatment.

[@awetbrhane1805]

Plz if u find any tratment inform me 😢

[@waj7766]

@@awetbrhane1805 kzbin.info/www/bejne/iJCuf3-Mj5KpmrMsi=-oIaZxcFScAVsMmZ this video may be helpful. My niece was diagnosed with this problem today. She is 24 years old and very devastated by the results of her examination🙏🏽

[@weirdowolfstudio5409]

@@awetbrhane1805did you ever find the right things to do ?

[@blairmacdonald3657]

great video. Would love to see some of the stretching and exercise program for this condition.

[@KBradAdams]

You said no snapping at extension at the 2:59 mark of the video. What would cause a snapping crunch not a click but snap in the knee at flexion and is there a way to fix that?

[@unastamus6122]

Wow! I had amy first (and only?) appointment at Twin Cities Orthopedics (MN) a couple days ago. In less time than it took to watch this video, I was diagnosed with patellofemoral arthritis and out the door. Too bad Maine is so far away. I'd be there for a second opinion tomorrow!

[@usmanarif2086]

Great video ...can u please make a video of detailed exam of knee please

[@OrthoEvalPal]

I will try to get you my Ultimate Knee Guide usman.

[@OrangeCopperTop]

Yup I have this, had all the tests and they say do the exercises, which I have and it still isn't sorted. Walking for too long, bending going to the loo as in going up and down the stairs just kills me.

[@ayyyyyyyyy]

Have you been tested for RA?

[@OrangeCopperTop]

@@ayyyyyyyyy Yeah, it was a negative, though I have recently been diagnosed as having Osteoarthritis but it's in my hip. I also have slipped discs in 3 places and patella Alta in left knee. I am avoiding telling people next to me on the bus about my health complaints so far, so it could be worse,

[@wardshehada1170]

@@OrangeCopperTop did u figure it out ?

[@OrangeCopperTop]

@@wardshehada1170 No not yet. I’ve got an X-ray coming up, and I’m hoping they’ll give me injections or an op. I just want it to stop, sometimes the pain is too much.

[@ManOfAttitudeLP1998]

Same my life quality suffers because of that

[@kp74952]

This was so helpful! Thank you!

[@valbonaivezaj140]

Wow I need this doctor

[@The1981616]

I have a knee cap problem to what kind of exercise is good to be doing

[@Nadiasapphire]

Hey can you do similar stuff for Left knee lateral compartment and PFJ mild to moderate wear?

[@saraharbin1977]

I’ve been struggling with knee pain since I was ten, I’m 28 now and it seems to get worse and worse. I was an avid skier and cheerleader into my late teens. I got diagnosed with patellofemoral syndrome about three years ago. I thought finally my pain will go away! But the physical therapy hasn’t helped and it’s to a point where they get swollen and I have to ice them almost every night. The X-ray I had three years ago showed my patellas were both off center, leaning towards the exterior of my legs. Is there anything else I can do besides manage pain? I can no longer ski, bike, lunge, or even manage a flight of stairs without being in considerable pain

[@taimooralibukhari]

Ruta 200, Arnica 200 dose per med 4-6 drops after 4 hours each day 1 med 1 week. Good Bless you

[@jakeywakey3381]

you should try walking backwards, it sounds insignificant but it’s one of the only things that’s helped me with this condition, I hope this helps you get back to what you love

[@cjzanders5430]

Poor baby🌹

[@Bkbond]

How are you now, any good result

[@youreworthyourweightinavoc7189]

when I had it many years ago I found this helpful: strengthen VMO (the lower part of your inner quad), stretch out hamstrings (but only when the muscle is already warmed up), also stretch out butt muscles and calves, and finally, when walking, try to remain very upright with like a 'book on your head' posture, keeping abdominal muscles and butt muscles activated while walking. I found that really helped me a lot. I haven't had that problem since

[@sirRuel1010]

thanks

[@OrthoEvalPal]

You're welcome!

[@marktaylor8980]

My pain is to the inside of the knee cap not the outside. Really painful. Had shooting pain behind knee cap like a needle 22 years ago. Now this is constant and cannot bend without real pain. Thoughts?

[@greensky01]

The diagnosis is still most likely Patellofemoral Pain syndrome (PFPS). ~~~ (Still go see your primary care physician) The initial management of PFPS includes 1. activity modification (eg, reduced intensity of exercise) and 2. nonsteroidal anti-inflammatory drugs. 3. stretching and strengthening exercises with an emphasis on the quadriceps and hip abductors. Exercises (as per www.webmd.com/pain-management/knee-pain/injury-knee-pain-16/slideshow-knee-exercises) 1) Straight Leg Raises. If your knee's not at its best, start with a simple strengthening exercise for your quadriceps, the muscles in the front of the thigh. ... 2) Hamstring Curls. These are the muscles along the back of your thigh. ... 3) Prone Straight Leg Raises. ... 4) Wall Squats. ... 5) Calf Raises. ... 6) Step-Ups. ... 7) Side Leg Raises. ... 8) Leg Presses.

[@Astrothenix]

@@greensky01 thank you! i really needed that list

[@imneverwrongsometimestruthlies]

@@greensky01 u a top geezer 👍

[@raveenjohn6283]

Thanks for the video- is surgery required as a last resort … I have been having this terrible issue since 3-4 years now… I too was a sports person previously… the pain is real shooting at times… please advice

[@pubgshorts2887]

How are you now

[@Tee-cd3tw]

I have this, yes I was diagnosed. I have stretched and exercised many of times and nothing has helped. I also went to physical therapy and that didn’t help either. They told me this wouldn’t be a long term issue but it’s been 2 years sadly and it’s extremely painful In the winter!

[@RedBar3D]

I've been diagnosed with PFPS as well. It truly sucks. Such a drawn out thing. I've been seeing my physical therapist for 6 months now and we've gotten basically nowhere. We're going to start from scratch next week and focus on the things which seem to have helped somewhat. I've been x-rayed for it and they found no signs of arthritis.

[@michelegiannone7403]

​@@RedBar3D how are you?

[@RedBar3D]

@@michelegiannone7403 I'm still struggling, although I have made some progress. In particular, I can go running for longer distances than before, but I still have trouble engaging my right glute muscles while doing so. Also, I still can't squat or do any sort of heavy lifting without my right knee cracking and getting sore like hell.

[@michelegiannone7403]

@@RedBar3D dont you have fear going running with bad knee? I made lots of progress but seated in office , burns a Little...and Is very psicologicol

[@RedBar3D]

@@michelegiannone7403 It doesn't hurt when I run, so I think it's all right. Progress is gradual, I suppose

[@galaxyalexanderh5737]

Do you have any Blounts disease videos????

[@llo2410]

I think this is what I have. My knee clicks when I walk and when I try to massage it I feel like something moves and it hurts a lot. When I sit for too long it hurts I can't wear my heels for too long, I limp and I can't get on my knees the pain is bad. I also can't put my leg back to stretch 😫. The examination you did here is far more than what my physician did. 😒 All he gave me were anti inflammatory and pain killers.

[@henryuchegbu5446]

I also have the same issue after I pushed my car up the hill alone, I feel a sharp pain at the top and inner part of my right knee whenever I want to run or if I put too much stress on the leg, I will feel much pain the next day but if I did not put much stress on the knee during exercise, I don't feel pain the next day. The crazy part about it is, if I did not exercise for a month, the pain gets worse from the top, both sides and down of my knee when I massage it..

[@Peev14]

What school did you go to learn this? Absolutely love it.

[@chumdiddy1983]

I feel this a lot in my 10-month post-operated patella tendon rupture. Would you say this is common after that surgery?

[@Fullmoon1857]

my knees are starting to hurt so much from being over worked cause Fredmyer says I'm a "essential worker".....and were under staffed. I'm gonna cry cause for the next three or so weeks I'm only getting 3 days off total. one day after tomorrow, and then my next two days off are after 4 8hour days. I know working for 4 8 hour days isn't much but it builds after a while.

[@JarneBaugnee]

Damn i've been having this for 2.5 months now and seeing comments from.people that have this for more than 2 years is stressing me out

[@OrthoEvalPal]

See an orthopedic specialist and try PT

[@JohnnyZenith]

Same for me. I'm really stressed.

[@mohamedorayith4626]

5:24 He has a what plane on his foot?? Is it pes planus or pronated foot?

[@Grace-qd1id]

pes planus/flat foot and he has very pronated foot when actively squatting

[@OrthoEvalPal]

Both are the same

[@marawqpq2472]

i have lateral patelelar side discomfort in left knee. please make video of exercise or suggest any alreadymade video. is there any other treatement other than exercise pain killer. please guide me

[@cihandemir7234]

Get well soon, did you find a solution?

[@josiahjones9521]

Former basketball player here and I've had knee pain for 4 years now. Can walk just fine with no pain but stairs are brutal going up and down. I really need to get checked out. I'm sick of living with it

[@ron4413]

Sound like me to a T. Also getting up from sitting my knees hurt. It's been a year and a half now for me. I recently started wearing a knee brace all day and it seems to be helping. You might want to try that. Are your knees getting any better?

[@josiahjones9521]

@@ron4413they're getting better. I've been doing quad and hamstring exercises to strengthen my legs. I do feel better but I can still feel it while going up/down stairs. Doing these exercises made me realize how weak my legs were. I'm getting there.

[@ron4413]

@@josiahjones9521 Good to hear! I have been doing more exercises and stretching also. This issue is very frustrating and I am at the point where I will do about anything to fix it.

[@michelegiannone7403]

Strong muscle and Weight loss...to reduce pain avoid bending situation under Weight...like stairs

[@boomboomreddy]

Excellent Video, thanks so much for making this very comprehensive video. My knees(both) started bothering me about a week ago, and that is the first ever. I did not hurt my knees, I am not an athlete nor do I run. Equipped with this video, I self-diagnosed, and (Patella grinder clark sign? I am sure I am not saying it right) but right around the 3.15th minutes of your video and it hurts, that's it. Is there any recommended treatment, exercise for this. Is this a long term situation or something that could be treated? I am worried, I'd be grateful if you are able to help respond. Thanks much!

[@OrthoEvalPal]

There are many causes of this type of pain so giving an exercise program would not be wise. I would recommend meeting with a PT to help develop a program customized to your needs.Best of luck!

[@dollyshah5082]

What exercise should i do with this??

[@I_Am_Kayyy]

I finally figured out what’s going on with my dang knee. It’s been a driving me nuts!

[@UnKommonTv]

How are you feeling now ?

[@redbloomings7523]

I've been having knee pain for 9 years without knowing i had this..

[@kenjones5821]

Thanks for the video content! Forgive me for the intrusion, I would appreciate your initial thoughts. Have you heard the talk about - Riddleagan Beating Sonorousness Remedy (probably on Google)? It is a great one of a kind product for getting rid of your chronic knee pain without the headache. Ive heard some interesting things about it and my cooworker got excellent success with it.

[@DD-sx9tq]

Hello. What worked for you? How did you get rid of this problem? Thank you

[@premkumarsingh1455]

My mom is 45 and having this patelofumoral pain since 1 month .so what's the best treatment and excises ,plz sir tell us the treatment .i am from Nepal.

[@mohamedorayith4626]

2:00 did you say it is a test for posterior meniscus tear/pull or is just a test for any sort of damage to posterior meniscus?

[@davidquinterootero8017]

Thanks Amazing video. Is physiotherapy needed and where in Miami do you recommend a therapist for this issue. Thanks again.

[@OrthoEvalPal]

Hi Dave, Thanks! Yes, PT could help but I unfortunately don't have any connections in that area. Sorry

[@vasileiospetropoulos2046]

Can you make a video showing please pain referral in shoulder joint? For instance pain on the frond side and lateral and down and other patterns please.

[@OrthoEvalPal]

I will work on it Vasileios.

[@vasileiospetropoulos2046]

@@OrthoEvalPal thanks

[@inmad.1149]

What type of test are required to confirm this pathology a CT, perhaps?

[@mr.kjw738]

Very cool

[@jonathanmurphy7061]

Hi DOCTOR is Surgery beneficial

[@KSNoorani7867]

Firstly, thank you for this amazing and clinical eval sir, just had a few questions being a physical therapist assistant student. So there will be lateral patellar tracking most prominently with reduced medial patellar mobility?

[@OrthoEvalPal]

Yes typically but not always. The first of the quad muscles to shut down is the VMO. Therefore the quad pulls the patella more laterally and the most common area of discomfort is the supra-lateral patella where it contacts the lateral femoral condyle.

[@salmankhan-yg4qj]

For warmth aren't we supposed to use dorsum of hand for better temperature sensation??

[@cami9295]

I consistently work out my quad muscles with no relief, I just started foam rolling the IT and vastus lateralis. My ortho told me to work on VMO strength so I’ve also been trying to activate that with my warmups. I still have pain and really want to get back into running- how long until my symptoms start to go away(,:

[@maathlove]

Same question here ! One month with no improvement so far !

[@JamSweatshirt]

I’ve been dealing with this for a long time. Be prepared to give up high impact (running, jumping) for at least 6 weeks. I’m at the point where I can’t even do quad exercises at all because the pain is that bad. The key lies in most likely your hips, ankles can play a part too. There are 4 things I do daily that are helping immensely: 1: slow backwards walking on an incline treadmill (10 mins) 2: lying leg abductions for glute medius 3: banded clamshells for glute medius/tfl 4: whatever quad loading you can handle, for me it’s straight leg isometric holds and straight leg raises

[@Fucev]

Yeah man I got the same thing from running as well it’s really depressing not being able to run without it flaring up

[@Bucky1792]

How are you feeling now

[@cpprasad]

Hi doctor kindly reply, diagnosed with pfs in left knee for past three years, xray shows patella is little above to the knee, doctors have given nsaid and vitamin d3 tablets, nothing works so much. Whenever the sleep is less the pain in knees is more and the pain is more while bending. Exercises doesn't help much. Now another doc has advised me to take glucosamine tablet. Can you recommend on how to proceed further....... Thanks.

[@OrthoEvalPal]

There are so many causes of pain in that area that it wouldn't be fair to give advice on something I haven't evaluated. Have you been to an orthopedic surgeon to look at it?

[@cpprasad]

@@OrthoEvalPal The above medical treatment has been given by ortho doctors

[@shanzazahid5]

Treatment protocols please?

[@OrthoEvalPal]

Unfortunately, patellofemoral pain doesn't do well with protocols. They can be so different from patient to patient.

[@runstokesrun]

What was that bit you touched something Bursa? That’s where mine is killing me right now!

[@lauraegerton5339]

I wonder if you could advise - I have been having some knee joint pain and I think it might be Patellofemoral pain syndrome - squatting doesnt hurt - nor does bending the knee and most of the excerises you did dont hurt. The only time I get a sharp pain in my knee is when you did the hyper extension when my leg is dead straight I get pain in the front of my kneecap. I have poked the cap, moved it etc and bent it and no pain in other ways - it does also happen a bit on the excerise you did with him standing on one leg and putting pressure on it :( cant go to the doctors at the moment due to lockdown lol!!!

[@biellaspointofview2054]

Did you ever found out what's wrong? I have that same issue on one kneee

[@Living4YHWH]

I was diagnosed with this in my right knee in the military 19 years ago... Now, I'm presently in a wheelchair because my legs can't bear weight, are both giving out on me and are spasming in pain. Does PFPS actually worsen over years and become more than pain, like this, or is my diagnosis more likely just another product of a broken VA system?

[@user-cx3vm6wv6y]

Hi doctor I have exactly like this pain only when i touch it and press it with my hand .. i did excision of plica surgery on September but i can jump and lift weights the dr told my i need prp so i did 2 remaining 1 i hope everything will be fine can you give some more advice please thank you 🙏🏻

[@barakatullah1035]

I had IT-Band Syndrome, for which I did hip abduction and lateral rotations to strengthen my glut medius. The IT-Band pain mostly went away but I started having pain behind my patella. I think it is this thing. I wanted to know what to do for this?

[@DiegoRivera-ez4pf]

Does it ever fully heal after you do the stretches and strengthening?

[@OrthoEvalPal]

Hi Diego, not always. sometimes requires surgery.

[@beckybarnett950]

What type of orthotic do use use? Custom? Or do you have a favorite off the shelf orthotic?

[@OrthoEvalPal]

Hi Becky, If there is significant abnormality I make a custom but lately have been using the Tread Labs insoles with very good success. I like the 4 arch heights to chose from. Here is the link bit.ly/2ZnASIL

[@beckybarnett950]

@@OrthoEvalPal Thanks!

[@Ballwez]

Hello Dr, I fall down on my knee 2 months ago badly, I know I have lots of pain exactly under my kneecap, when I’m taking rest on it I’m okey which I’m sitting home since then.but when walk out I will get pain under it and it moves which kneecap. What should I do and what you recommending for that please? Appreciate any recommendations for injury, or any medication should I take ?

[@mrcheddar3684]

Hi did you already found any information yet i think i have the sams thing but i want to know what tips helps

[@Ballwez]

@@mrcheddar3684 I’m still waiting for doctors reply! However I’m feeling much better now but still when I run or doing gym I will get pain for a few days. I have ordered MRI which is the best way to find out what is wrong exactly. Hope you feel good too! What happened to you my friend? Haw long have you been like that?

[@mrcheddar3684]

@@Ballwez thanks for the reply, i fell on my knee pretty bad while i was playing badminton probably almost 2 years ago and for the first couple of days it hurted but then everything felt normal again about 2 weeks after the accident and about a year ago i started getting pain when i move my knee and today i straightened my knee and it hurt so im hoping to get more information about treating this or how to be full recovered again

[@Ballwez]

@@mrcheddar3684 have you done any surgery?

[@mrcheddar3684]

@@Ballwez no but im looking to recover

[@AdventureKody]

Dr. Marquis, when you hyper extended his knee, that is where my pain comes from. What would you diagnose that as?

[@mura0]

he said it in the video. That would be meniscus.

[@OrthoEvalPal]

Hi Kody, If the pain is in the front, likely meniscus. If in the back, likely posterior capsule or hamstrings

[@rawtalk7925]

Hi Dr I noticed others was asking and you replied so thought I'd get mine in. I feel unstable, have pain around my knee caps but inside and legs wobble when walking, standing or using steps. Sometimes I get swelling too around the knees it also feels like my knee caps are going in towards the back when I bend. After watching your video I commented saying thanks now I know it's patello. Do you think this is the case? I'm due to see the physiotherapists on the 7th January. I've had knee pain since 2016 but it's just got worse with more symptoms.

[@silence8137]

I sense pain in the inner side (medial side) of the leg of my left leg patella. It's only when my muscles are tightened (generally while walking). Its only while the angle made by the leg is tipically 10-20 degrees... Can I get some info of such case.. please?

[@OrthoEvalPal]

Hi Shrutik, That is very hard to answer without seeing you. There are many reasons why you can have pain there. I actually do a 1 hr lecture about medial knee pain when I give my courses. You definitely should be seen by someone with some orthopedic experience. Best of luck! Paul

[@silence8137]

@@OrthoEvalPal oh.. of course, thank you for reading and suggesting.. I'm actually going to visit one this week 👍

[@AniruddhaUpadhye]

@Ortho EVAL Pal With Paul Marquis I have been diagnosed with Chondromalacia Patella Grade 2- PF pain on the medial side. I have been give a physio routine. Can people recover from such athletic injuries? OR do you have to reduce athletic activity forever or go for surgeries? Appreciate the video. Thanks!

[@OrthoEvalPal]

Hi Aniruddha, I treat a lot of people with PFC. It is a very difficult problem to treat but we do have success with many. Not all people with PFC follow the same treatment plan. Some people do need surgery but not until they fail aggressive PT and strengthening 4-6 months. Good Luck!

[@jimcarter7885]

Excellent video. Is there such a thing where the knee cap is not in proper alignment?

[@OrthoEvalPal]

Hi Jim, Yes. It is very hard to measure but malalignment secondary to tightnesses and weakness contribute to this for sure.

[@Insarationstation]

Can you have this if youve never really played sports? I'm trying to figure if I have this or arthritis

[@amybeam6032]

Can you have pain on the medical aspect od the knee as well with this type of injury? I have been diagnosed with this but my pain is on the medial part of my knees

[@OrthoEvalPal]

Yes it is possible but a little less likely. There are many problems that can cause medial knee pain

[@AniruddhaUpadhye]

@@OrthoEvalPal I have been diagnosed with Chondromalacia Patella Grade 2- PF pain on the medial side. I have been give a physio routine. Can people recover from such athletic injuries? OR do you have to reduce athletic activity forever or go for surgeries? Appreciate the video. Thanks!

[@mohamedorayith4626]

@@AniruddhaUpadhye NOPE, you reduce activity for the time of exacerbated symptoms but you work around it with specific functional strengthening exercises and some mobility for the ankles- and you should be set to go back to 100%

[@Fijian_Brit24]

I got diagnosed with patella fomeral syndrome reason for this cause overtraining at 17 it’s been going for three weeks now Honestly hope it dosent mess up my chances joining the army 😞

[@jessicaoakes4836]

i was born with it and tried everything. for most people it probably isn’t too extreme but i might need surgery on both knees :/

[@nurd6890]

Dylan Clark i also have the loud pop and grinding sound in my knee. they gave me voltaren which is a gel for the pain. the pain is going away quick but i still have the pop sound. did u ever fix the pop sound?

[@jessicaoakes4836]

@@nurd6890 so. i went to a new doctor (who is phenomenal) and we’re gonna start a personalized PT for me. also my boyfriend bought me voltaren and i didn’t think it would work and IT DID! so i’ve been doing great with that and am excited to start my journey with this new doctor. make sure you find a good doc that doesn’t just wanna dig into your knees like my old one tried to. i didn’t even need surgery. will keep u updated

[@nurd6890]

Jessica Oakes i hope u feel better !! but yeah pls let me know how it goes. my problem isn’t as serious so the only thing i’m concerned about is the popping/grinding sound when i bend my knees and rise up. it makes me cringe every time i hear it and it’s really uncomfortable. the doc told me to do knee strengthening exercises for now. i’m only on day 3

[@jessicaoakes4836]

@@nurd6890 you should really try voltaren gel. it’s arthritis cream but it really helped with it being uncomfortable/painful. but i’ll keep u updated!

[@anpe6524]

NO ONE ME: Examining my own knee doing everything on the video.

[@AniruddhaUpadhye]

I have been diagnosed with Chondromalacia Patella Grade 2- PF pain on the medial side. I have been give a physio routine. Can people recover from such athletic injuries? OR do you have to reduce athletic activity forever or go for surgeries? Appreciate the video. Thanks!

[@kb7867]

Hey how have u been, did your condition get better?

[@DD-sx9tq]

Hello. What worked for you? How did you get rid of this problem? Thank you

[@charlierobbins1797]

I’ve been dealing with this pain for about 8 weeks. I play high school basketball and I train a lot. I’ve taken about 3 weeks off and now I’ve started training again. I still feel pain on the left knee when I go up for a dunk. I don’t know what to do. I can still move fine but I mostly feel pain when doing isometric movement and jumps off of my left leg. Plzz help. I’m pretty sure it is this because it’s on my upper left knee

[@OrthoEvalPal]

Hi Charlie, There are so many things that could be going on here. You really should have it checked by someone who works with orthopedics and sports. Best of luck! Paul

[@rebeccamendoza667]

Ortho EVAL Pal With Paul Marquis I have a question about 8 months ago I had a subluxation in my knee and then I went to PT for it and left with it being ok. But a month or two after I heard cracking in my knee when ever I bend it and there is sharp pain when I keep it bent for too long. Also if I’m sitting down for a while and I stand up I here a large crack from it and hurts a little when that happens I’m curious as to what it is.

[@charnellemonay]

I need your hands on my knees like that .... so much pain. I’m trying to figure out what going on with my knees it’s been years now . I think this is the problem trying to see my doc & get Therapy soon

[@ParitoshSingh-r1y]

How is your pain now

[@dhavalsoneji5207]

I just saw this video.. I have a question that u asked the shane to tighthen the muscle by holding patella at around 3.30 mins and he didn't had pain., but in my case, i had v severe pain due to that test.. Whats that called?..

[@OrthoEvalPal]

It is called the Clark sign

[@dhavalsoneji5207]

How to overcome it? Whats the exercises or treatment?

[@dhavalsoneji5207]

Thank you so much for your prompt reply

[@gy3n65]

In generally What should be the height of the wedge when prescribing?

[@neerajsharma0]

Hey doc....what if this pain is in the medial side of kneecap....what can be the possble reasons?

[@OrthoEvalPal]

Could be a plica. or patello femoral pain.

[@lilyashagirl]

I was diagnosed years ago with PFS but my Amazing Rheum Dr. relocated to another city & her replacement is for lack of better words old & old school. My knees have gotten much worse. They crack & make grinding noises that ppl sitting near me can hear. The pains crazy & I'm now 2 the point that walking on even surfaces is painful, I trip alot & I can only do 1 step at a time up or down. I miss my Dr. and Idk what to do with this one. His exam consisted of Not 1 thing you did. I'm worried I'm gonna fall down the steps or even tear or break something. I just had xrays & was diagnosed with

[@rupalm8468]

What kind of doctor I should see for such exam? My doctor didn’t do any of this 🤨

[@lotusgrl444]

I am 37 and this yr learned I have this. Im a very athletic person and it was a bit of a blow especially bc I like to weight train. Is it still possible to do weighted lunges, squats bulgarian split squats?

[@arthurdayne5146]

How is it going, dude? Are u still lifting? Hope someday i will be able to squat again

[@lotusgrl444]

@@arthurdayne5146 I actually decided to go the Eastern Medicine route and tried Accupuncture..whether it was mind over matter, but it helped tremendously and I noticed immediate relief..something that multiple sessions of physical therapy didn't do. I'm much better now and use knee sleeves which seems to help. I still get the feeling on occasion but I went from a 6,7 discomfort to barely a 2 nowadays...so I only hope now, it stays that way.

[@chloemcnally4488]

I've got pain in my knees when going up and downstairs but my right knee hurts the most

[@umno806]

Chloe McNally same but my left knee hurts more

[@keyk540]

@@umno806 same

[@biellaspointofview2054]

Same. Stretching has helped with this pain for me but I wouldn't attempt to jump or run cause I know it'll hurt. I bought myself a foam roller and a travel size hand roller. Use these and they'll be helpful.

[@mobymoby3412]

I have the same pain but when I bend my knee in a certain way it cracks and then today I was bending my knee and then there was a lot of pain but thank you for helping me figure this out

[@OrthoEvalPal]

You are welcome!

[@keseanjohnson4072]

Should I strengthen my muscles while wearing my knee braces and tape?

[@OrthoEvalPal]

Yes. Absolutely.

[@ChrisJohnson-tb1rw]

I work with concrete. After Wednesday this week I noticed knee pain in both knees but more in my left knee. Before going to bed, I noticed swelling above my knee cap. When I tried bending my knee all the way, there was definite restistance and discomfort in the swelled area. It is now Friday, I have ice and heat pads on it now. Any idea what I am experiencing? And what treatment I should seek out? And what can I do at home.

[@keeganalbright3152]

Do you find that focusing on quad strengthening achieves quicker improvements than gluteus medius strengthening?

[@OrthoEvalPal]

Hi Keegan, Absolutely! Reflex inhibition plays a major role here. The VMO shuts down first along with lateral retinacular tightness leading to too much lateral movement. Check out this video. Classic. kzbin.info/www/bejne/fHeXf2h7jrOnrMU Best, Paul

[@dddyjr1993]

Dr. me too same problem and even my shin bone is hurting me too

[@GoldPunch]

Hello. my snapping hip syndrome and this syndrome started same day. Since then, every time I step, my left side of knee cap is hurts. (It is very light pain like 3/10) When ı stop walked, it goes away immediately. Also have same pain when I do squats. Snapping hip syndrome or IT band problems can cause this? What type of exercises can you suggest me? Thank you very much.

[@ManOfAttitudeLP1998]

I am in the same boat and dunno what to do

[@DD-sx9tq]

Hello. What worked for you? How did you get rid of this problem? Thank you

[@DD-sx9tq]

Hello. What worked for you? How did you get rid of this problem? Thank you

[@GoldPunch]

​@@DD-sx9tq My snapping hip is still there but is like 50% better without any treatment or exercises. It doesn't bother me anymore, I don't even notice it during the day. Also my pain is much less now.

[@raphaelluscher6157]

Hello doctor, what could be the reason for lateral knee pain that only occurs while running. Biking and other such activities don't hurt. I assume it has to so something with the angle of the knee bend.

[@OrthoEvalPal]

Could be Iliotibial band syndrome or runner's knee.

[@pedrog747]

Hello doctor, my knees have been hurting for about two years now I can walk up and down the stairs fine, I can run fine. It hurts when I squat down and it also hurts at night when I’m about to go to bed any idea what could it be?

[@eltito762]

Did he recover ?

[@JohnnyZenith]

I want to know.

[@nadineghoneim8677]

can patellofemoral syndrome occur on the medial side too ?

[@smilyone9092]

How can loss of weight and i have patellafemoral syndrome ..whats excercises that should prevent in my condition ? Thx

[@greensky01]

www.webmd.com/pain-management/knee-pain/injury-knee-pain-16/slideshow-knee-exercises Straight Leg Raises. If your knee's not at its best, start with a simple strengthening exercise for your quadriceps, the muscles in the front of the thigh. ... Hamstring Curls. These are the muscles along the back of your thigh. ... Prone Straight Leg Raises. ... Wall Squats. ... Calf Raises. ... Step-Ups. ... Side Leg Raises. ... Leg Presses.

[@johnpaul9990]

Your thoughtfulness and thoroughness contributed to speeding up my healing process. I wonder what could have become of me if you weren’t the one who handled my case. Thank you for curing my HSV2 dr popoola

[@chicosuave2206]

I had a ACL LCL repair an my knee is not moveing like it supposed but if I pull it down an use my quard muscles it will move plus side to side I can move it right but not left what could be the problem...

[@beccalynn5593]

So...do I stop running if this is where my pain is?

[@mertcnar6818]

pretty much I had been running by the lake for 3 months it came up, now i stopped running, Dont even walk tbh