Don't Delay if You Have Knee Pain...Research
Says.
As an update to our knee
pain article from earlier in the year, a new research
article was published which supports PT for anterior knee
pain.
Supervised physical therapy is better than regular
"wait-and-see" care for patients with a certain type of severe
knee pain, according to research that suggests it reduces pain
and improves function more effectively.
The findings, which are published in the Oct. 21 online
edition of BMJ, examine patellofemoral pain syndrome, a
common condition that causes pain in the front of the knee
during and after exercise.
Women are more likely to develop the condition than men, and
people usually start having symptoms when they're teenagers,
the study authors noted.
Doctors often advise patients to rest when they experience
pain and avoid doing things that trigger pain. This is referred
to as a wait-and-see approach.
Realistically, this is because doctors really don't
have any better solutions many times. If they only
knew...
In the new study, Dutch researchers sought to confirm
previous findings that suggested conflicting results about the
link between physical therapy and improvement in function, and
only limited evidence that therapy would reduce pain.
The researchers looked at 131 patients aged 14 to 40, all of
whom had been diagnosed with patellofemoral pain syndrome.
Of the subjects, 65 were assigned to a supervised physical
therapy program and 66 took the wait-and-see approach. Both
groups were given instructions about exercises to do at home,
and both groups were told to avoid doing things that are
painful, the study authors noted.
The researchers found that more patients who underwent
physical therapy felt that they had recovered after three and
12 months, but the difference between the two groups wasn't
statistically significant.
However, the physical therapy group did do significantly
better when it came to pain, both at rest and during activity,
the authors reported. And that group also did better after
three months, but not after 12.
What that means is that even after therapy you need to
continue the principles that got you to feel better.
This condition is something we see often and easily 90% of
our patients with this disorder do much better.
If you or someone you know has anterior knee pain (pain
around the knee cap) be a friend and refer them to us.
You can even send them the
link to our info page here.
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