RinaldiPT - Anterior Knee Pain

Copley Professional Centre
7000 South Ave. Suite #7
Boardman, Ohio 44512
Ph: (330) 629-8834

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Physical Therapy in Boardman, Poland, Youngstown in Mahoning County, Ohio.

Anterior Knee Pain/Patello-femoral Pain
Michael Rinaldi, PT

Anterior knee pain (AKP) and its close cousin, patello-femoral pain (PFP), can be simply thought of as knee pain in the front of or around the knee cap and is one of the most common complaints of knee pain in our clinic. I developed a case of it years ago when training for a marathon, and know it can hurt bad enough to make you believe that you're in big trouble.

"I was given exercises to do 2X a day and it worked . Within a few days I felt the results. Pain was going away. Now I have no symptoms of pain in the knee."

---Barb L.

Most of the contemporary research suggests that imbalances of strength, flexibility and mobility about the knee and hip are usually the prime factors behind the problem. Mobility or structural issues with the foot have also been associated with AKP as well. Recently, however, there is some evidence which suggests that in a percentage of cases, there is a role that the lower back and pelvis play in knee pain as well. This is something with which I have seen for a few years as well.

I’ve been treating this problem over the last decade, but upon focusing closely on it over the last year I came to realize that AKP/PFP problems can resolve quickly with very little therapy in roughly 75% of the cases. The key is to figure out who are the ones that will fit that profile. This is something that newer research is helping to understand.

Also, age does not seem to be a big factor as I’ve had patients from 8 to 58 respond astonishingly well. I found an easy-to-do sequence of exercises which can be done at home to start feeling better fast. In some cases though, a bit of hands-on treatment is necessary to correct issues of stiffness or tightness that a patient can’t handle themselves.

Think of how exciting it would be to walk into the clinic with debilitating knee pain, then walk out a little later and down two flights of stairs without a trace of it.

"My knee could not perform routine functions--just using steps was difficult! Following the treatment recommended my right knee is almost back to normal, like before. It is now at least 95% cured."

---Ray B.

The process does work with knees that have been operated on, but has its limits. Some people with advanced degenerative arthritis will only get so much better, but by far, the vast majority of people do very, very well within a few sessions. Sometimes, it shocks even me.

If you or someone you know has been suffering from pain in the front of the knee, you owe it to call and schedule and evaluation.

Relief can be dramatic and fast.

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