A syndrome characterized by retropatellar or peripatellar PAIN resulting from physical and biochemical changes in the patellofemoral joint. The pain is most prominent when ascending or descending stairs, squatting, or sitting with flexed knees. There is a lack of consensus on the etiology and treatment. The syndrome is often confused with (or accompanied by) CHONDROMALACIA PATELLAE, the latter describing a pathological condition of the CARTILAGE and not a syndrome.
The articulation between the articular surface of the PATELLA and the patellar surface of the FEMUR.
The flat, triangular bone situated at the anterior part of the KNEE.
A flat, flexible strip of material used to cover or fasten together damaged tissue.
Conditions characterized by pain involving an extremity or other body region, HYPERESTHESIA, and localized autonomic dysfunction following injury to soft tissue or nerve. The pain is usually associated with ERYTHEMA; SKIN TEMPERATURE changes, abnormal sudomotor activity (i.e., changes in sweating due to altered sympathetic innervation) or edema. The degree of pain and other manifestations is out of proportion to that expected from the inciting event. Two subtypes of this condition have been described: type I; (REFLEX SYMPATHETIC DYSTROPHY) and type II; (CAUSALGIA). (From Pain 1995 Oct;63(1):127-33)
Apparatus used to support, align, prevent, or correct deformities or to improve the function of movable parts of the body.
A synovial hinge connection formed between the bones of the FEMUR; TIBIA; and PATELLA.
Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.
The properties, processes, and behavior of biological systems under the action of mechanical forces.
A characteristic symptom complex.
The rotational force about an axis that is equal to the product of a force times the distance from the axis where the force is applied.
The distance and direction to which a bone joint can be extended. Range of motion is a function of the condition of the joints, muscles, and connective tissues involved. Joint flexibility can be improved through appropriate MUSCLE STRETCHING EXERCISES.
The amount of force generated by MUSCLE CONTRACTION. Muscle strength can be measured during isometric, isotonic, or isokinetic contraction, either manually or using a device such as a MUSCLE STRENGTH DYNAMOMETER.
The distal extremity of the leg in vertebrates, consisting of the tarsus (ANKLE); METATARSUS; phalanges; and the soft tissues surrounding these bones.
A regimen or plan of physical activities designed and prescribed for specific therapeutic goals. Its purpose is to restore normal musculoskeletal function or to reduce pain caused by diseases or injuries.
Displacement of the PATELLA from the femoral groove.
An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.
Pain in the joint.
Muscular pain in numerous body regions that can be reproduced by pressure on TRIGGER POINTS, localized hardenings in skeletal muscle tissue. Pain is referred to a location distant from the trigger points. A prime example is the TEMPOROMANDIBULAR JOINT DYSFUNCTION SYNDROME.
The longest and largest bone of the skeleton, it is situated between the hip and the knee.
Therapeutic modalities frequently used in PHYSICAL THERAPY SPECIALTY by PHYSICAL THERAPISTS or physiotherapists to promote, maintain, or restore the physical and physiological well-being of an individual.
Adhesive tape with the mechanical strength to resist stretching. It is applied to the skin to support, stabilize, and restrict movement to aid healing and/or prevent injuries of MUSCULOSKELETAL SYSTEM.
A syndrome characterized by severe burning pain in an extremity accompanied by sudomotor, vasomotor, and trophic changes in bone without an associated specific nerve injury. This condition is most often precipitated by trauma to soft tissue or nerve complexes. The skin over the affected region is usually erythematous and demonstrates hypersensitivity to tactile stimuli and erythema. (Adams et al., Principles of Neurology, 6th ed, p1360; Pain 1995 Oct;63(1):127-33)
The central part of the body to which the neck and limbs are attached.
A band of fibrous tissue that attaches the apex of the PATELLA to the lower part of the tubercle of the TIBIA. The ligament is actually the caudal continuation of the common tendon of the QUADRICEPS FEMORIS. The patella is embedded in that tendon. As such, the patellar ligament can be thought of as connecting the quadriceps femoris tendon to the tibia, and therefore it is sometimes called the patellar tendon.
Pain in the pelvic region of genital and non-genital origin and of organic or psychogenic etiology. Frequent causes of pain are distension or contraction of hollow viscera, rapid stretching of the capsule of a solid organ, chemical irritation, tissue ischemia, and neuritis secondary to inflammatory, neoplastic, or fibrotic processes in adjacent organs. (Kase, Weingold & Gershenson: Principles and Practice of Clinical Gynecology, 2d ed, pp479-508)
The projecting part on each side of the body, formed by the side of the pelvis and the top portion of the femur.
Infiltration of inflammatory cells into the parenchyma of PROSTATE. The subtypes are classified by their varied laboratory analysis, clinical presentation and response to treatment.
The quadriceps femoris. A collective name of the four-headed skeletal muscle of the thigh, comprised of the rectus femoris, vastus intermedius, vastus lateralis, and vastus medialis.
An activity in which the body is propelled by moving the legs rapidly. Running is performed at a moderate to rapid pace and should be differentiated from JOGGING, which is performed at a much slower pace.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.

Quadriceps atrophy: to what extent does it exist in patellofemoral pain syndrome? (1/80)

BACKGROUND: Quadriceps atrophy is a commonly cited accompaniment to patellofemoral pain syndrome (PFPS), yet there is little valid, objective evidence for its existence. OBJECTIVE: To investigate atrophy and weakness of the quadriceps femoris muscle group in patients with PFPS using measures of cross-sectional area and peak extension torque. METHODS: A total of 57 patients with insidious onset of PFPS and 10 healthy control subjects had ultrasound scanning of the quadriceps femoris. The scans were analysed using computerised planimetry to estimate the cross-sectional area of the quadriceps femoris. Lower limb peak torque was also measured using a Biodex dynamometer. RESULTS: The mean of % differences revealed a 3.38% (95% confidence interval (CI) 1.3 to 5.45) difference in cross-sectional area (CSA) between the affected and unaffected limb in PFPS patients and a 1.31% (95% CI 0.06 to 2.55) difference in the dominant and non-dominant limb of the control group; the between-groups difference was not significant (p = 0.409). There was a 18.4% (95% CI 13 to 23.8) difference between the affected and unaffected limb in peak torque in PFPS patients and a 7.6% (95% CI 3.2 to 12) difference between the dominant and non-dominant limb in the control group; the between-groups difference was significant (p = 0.002). CONCLUSIONS: The mean of % differences of 3.38% quadriceps atrophy between limbs was considerably less than the only other study using ultrasound scanning on the quadriceps in PFPS and was not significant between the groups. There were greater and more significant between-group differences in lower limb peak torque indicating that muscle strength may not be related to muscle size. These results help to re-appraise of the amount of quadriceps atrophy in PFPS.  (+info)

Relation between running injury and static lower limb alignment in recreational runners. (2/80)

OBJECTIVES: To determine if measurements of static lower limb alignment are related to lower limb injury in recreational runners. METHODS: Static lower limb alignment was prospectively measured in 87 recreational runners. They were observed for the following six months for any running related musculoskeletal injuries of the lower limb. Injuries were defined according to six types: R1, R2, and R3 injuries caused a reduction in running mileage for one day, two to seven days, or more than seven days respectively; S1, S2, and S3 injuries caused stoppage of running for one day, two to seven days, or more than seven days respectively. RESULTS: At least one lower limb injury was suffered by 79% of the runners during the observation period. When the data for all runners were pooled, 95% confidence intervals calculated for the differences in the measurements of lower limb alignment between the injured and non-injured runners suggested that there were no differences. However, when only runners diagnosed with patellofemoral pain syndrome (n = 6) were compared with non-injured runners, differences were found in right ankle dorsiflexion (0.3 to 6.1), right knee genu varum (-0.9 to -0.3), and left forefoot varus (-0.5 to -0.4). CONCLUSIONS: In recreational runners, there is no evidence that static biomechanical alignment measurements of the lower limbs are related to lower limb injury except patellofemoral pain syndrome. However, the effect of static lower limb alignment may be injury specific.  (+info)

Diffusely increased bone scintigraphic uptake in patellofemoral pain syndrome. (3/80)

OBJECTIVES: Painful disorders of the patellofemoral joint are one of the most frequent complaints in orthopaedic and sports medicine. The aims of this study were to determine whether bone scintigrams of patients suffering from patellofemoral pain syndrome (PFPS) show diffuse uptake and in what bony compartment of the knee uptake, if any, was localised. METHODS: Fifty eight patients with chronic PFPS were examined. All patients underwent a detailed clinical history and a thorough physical examination of the knee. Anterior and lateral static images of both knees were made using a gamma camera 3 h after injection of 550 MBq of (99m)Tc-HMDP. Two experienced radiologists visually evaluated the scans blindly and separately. As 51 patients had bilateral pain, 109 painful knees are included in the results. RESULTS: Diffuse uptake on bone scintigrams was found in 48 knees in 30 of the patients. In 33 knees the uptake was localised to only one bone compartment, in 10 knees diffuse uptake was found in two of the bones forming the knee joint, and in six knees all three bone compartments (the distal femur, the patella, and the proximal tibia) exhibited diffuse uptake. CONCLUSIONS: Scintigrams of approximately half of the patients with PFPS will show diffuse uptake in one or more of the bony compartments of the knee joint and radioactive tracer accumulation will occur as often in the proximal tibia as in the patella.  (+info)

Patellofemoral pain and asymmetrical hip rotation. (4/80)

BACKGROUND AND PURPOSE: Patellofemoral joint problems are the most common overuse injury of the lower extremity, and altered femoral or hip rotation may play a role in patellofemoral pain. The purpose of this case report is to describe the evaluation of and intervention for a patient with asymmetrical hip rotation and patellofemoral pain. CASE DESCRIPTION: The patient was a 15-year-old girl with an 8-month history of anterior right knee pain, without known trauma or injury. Prior to intervention, her score on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was 24%. Right hip medial (internal) rotation was less than left hip medial rotation, and manual muscle testing showed weakness of the right hip internal rotator and abductor muscles. The intervention was aimed at increasing right hip medial rotation, improving right hip muscle strength (eg, the muscle force exerted by a muscle or a group of muscles to overcome a resistance), and eliminating anterior right knee pain. OUTCOMES: After 6 visits (14 days), passive left and right hip medial rotations were symmetrical, and her right hip internal rotator and abductor muscle grades were Good plus. Her WOMAC score was 0%. DISCUSSION: The patient had right patellofemoral pain and an uncommon pattern of asymmetrical hip rotation, with diminished hip medial rotation and excessive hip lateral (external) rotation on the right side. The patient's outcomes suggest that femoral or hip joint asymmetry may be related to patellofemoral joint pain.  (+info)

How evidence based is the management of two common sports injuries in a sports injury clinic? (5/80)

OBJECTIVES: To examine the diagnosis and management of adults attending a sports injury clinic, to establish to what extent the management of the two most common injuries treated at this clinic is evidence based, and to explore factors that affect management. METHODS: A retrospective examination of 100 random case notes extracted age, sex, sport, type and site of injury, treatment, and outcome. Systematic literature reviews examined the extent and quality of scientific evidence for the management of the two most commonly presenting injuries. A clinical attachment period and practitioner interviews allowed recognition of factors impinging on management decisions. RESULTS: Patellofemoral pain syndrome (PFPS; 10% of all injuries) and Achilles tendinopathy (6% of all injuries) were the most commonly presenting injuries. The mean (SD) number of treatments used for PFPS was 2.8 (0.9). The mean number of treatments used for Achilles tendinopathy was 3.7 (1.0). Clinicians reported that personal experience formed the basis of management plans in 44% of PFPS cases and 59% of Achilles tendinopathy cases, and that primary research evidence only accounted for 24% of management plans in PFPS and 14% in Achilles tendinopathy. Practitioners were unaware of literature supporting over 50% of the treatment modalities they used. However, clinicians were often using evidence based treatments, unaware of the supporting research data. CONCLUSIONS: This study highlights a lack of evidence base, a lack of knowledge of the research evidence, and a lack of management based on the current evidence that is available for these conditions. Practitioners practised evidence based medicine in under 50% of cases.  (+info)

Patellar taping does not change the amplitude of electromyographic activity of the vasti in a stair stepping task. (6/80)

OBJECTIVES: To investigate the effect of patellar taping on the amplitude of electromyographic activity (EMG) of vasti activation in subjects with and without patellofemoral pain (PFP). METHODS: Ten participants with PFP and 12 asymptomatic controls were recruited to the study. The study was designed as a randomised crossover trial. Participants completed a stair stepping task. Three experimental conditions were assessed: no tape, therapeutic medially directed tape, and placebo vertically directed tape. The main outcome measure was the EMG amplitude of the vastus medialis obliquus and vastus lateralis during the concentric phase of stair stepping. RESULTS: The application of medially directed therapeutic tape significantly decreased pain in subjects with PFP. However, application of tape over the patella (therapeutic or placebo) did not alter the amplitude of vasti EMG when either the PFP or control participants completed the concentric stair stepping task. CONCLUSION: The results of this study indicate that the positive clinical effects of medially directed therapeutic tape are not due to changes in EMG amplitude of the vasti muscle. Thus other effects such as changes in timing of contraction of the vasti are more likely candidates for the mechanism of efficacy.  (+info)

Reliability of measures of impairments associated with patellofemoral pain syndrome. (7/80)

BACKGROUND: The reliability and measurement error of several impairment measures used during the clinical examination of patients with patellofemoral pain syndrome (PFPS) has not been established. The purpose was to determine the inter-tester reliability and measurement error of measures of impairments associated with PFPS in patients with PFPS. METHODS: A single group repeated measures design was used. Two pairs of physical therapists participated in data collection. Examiners were blinded to each others' measurements. RESULTS: Thirty patients (age 29 +/- 8; 17 female) with PFPS participated in this study. Inter-tester reliability coefficients were substantial for measures of hamstrings, quadriceps, plantarflexors, and ITB/TFL complex length, hip abductors strength, and foot pronation (ICCs from .85 to .97); moderate for measures of Q-angle, tibial torsion, hip external rotation strength, lateral retinacular tightness, and quality of movement during a step down task (ICCs from .67 to .79); and poor for femoral anteversion (ICC of .45). Standard error of measurement (SEM) for measures of muscle length ranged from 1.6 degrees to 4.3 degrees. SEM for Q-angle, tibial torsion, and femoral anteversion were 2.4 degrees, 2.9 degrees, and 4.5 degrees respectively. SEM for foot pronation was 1 mm. SEM for measures of muscle strength was 1.8 Kg for abduction and 2.4 Kg for external rotation. CONCLUSION: Several of the impairments associated with PFPS had sufficient reliability and low measurement error. Further investigation is needed to test if these impairment measurements are related to physical function and whether or not they are useful for decision-making.  (+info)

The knee skyline radiograph: its usefulness in the diagnosis of patello-femoral osteoarthritis. (8/80)

The aim of this study was to determine the usefulness of the skyline radiograph in the diagnosis of patellofemoral osteoarthritis. Additionally, we wanted to assess the usefulness of patello-femoral crepitus as a clinical sign of this condition. Seventy-seven patients scheduled to undergo knee surgery had standard antero-posterior, lateral and skyline X-rays of their affected knee. The presence of clinical patello-femoral crepitus was also documented preoperatively. At the operation, their patellofemoral joints were graded into two groups according to the presence or absence of osteoarthritis. The lateral and skyline view X-rays as well as patello-femoral crepitus were compared individually against the operative findings. The skyline view had a sensitivity of 79% and a specificity of 80%. The lateral view had a sensitivity of 82% and specificity of 65%. Patello-femoral crepitus as a sign had a sensitivity of 89% and a specificity of 82%. There was no statistically significant difference between the two radiological views in terms of sensitivity and specificity in the diagnosis of patellofemoral osteoarthritis. Hence, we cannot recommend the skyline view as a routine radiological investigation in all cases of suspected patellofemoral osteoarthritis.  (+info)

Patellofemoral Pain Syndrome (PFPS) is a broad term used to describe pain arising from the front of the knee, specifically where the patella (kneecap) meets the femur (thigh bone). It is often described as a diffuse, aching pain in the anterior knee, typically worsening with activities that load the patellofemoral joint such as climbing stairs, running, jumping or prolonged sitting.

PFPS can be caused by various factors including overuse, muscle imbalances, poor biomechanics, or abnormal tracking of the patella. Treatment usually involves a combination of physical therapy to improve strength and flexibility, activity modification, and sometimes bracing or orthotics for better alignment.

The patellofemoral joint is the articulation between the patella (kneecap) and the femur (thigh bone). It is a synovial joint, which means it is surrounded by a joint capsule containing synovial fluid to lubricate the joint. This joint is responsible for providing stability to the knee extensor mechanism and allows for smooth movement of the patella during activities like walking, running, and jumping. Pain or dysfunction in this joint can result in various conditions such as patellofemoral pain syndrome, chondromalacia patella, or patellar dislocation.

The patella, also known as the kneecap, is a sesamoid bone located at the front of the knee joint. It is embedded in the tendon of the quadriceps muscle and serves to protect the knee joint and increase the leverage of the extensor mechanism, allowing for greater extension force of the lower leg. The patella moves within a groove on the femur called the trochlea during flexion and extension of the knee.

Surgical tape, also known as surgical adhesive tape or hypoallergenic tape, is a type of adhesive tape that is specifically designed for use in surgical settings. It is typically made from a thin, porous material such as rayon, cotton, or polyester, which allows air to circulate and moisture to escape. The adhesive used in surgical tape is designed to be gentle on the skin and to minimize the risk of allergic reactions or irritation.

Surgical tape is used to hold dressings or bandages in place, to close wounds or incisions, or to secure IV lines or other medical devices to the skin. It is available in a variety of sizes, shapes, and colors, and can be cut or shaped to fit the specific needs of the patient.

When applied properly, surgical tape can provide a secure and comfortable hold, while also minimizing the risk of damage to the skin or infection. It is important to follow proper technique when applying and removing surgical tape, as improper use can lead to discomfort, irritation, or other complications.

Complex Regional Pain Syndromes (CRPS) are a group of chronic pain conditions that typically affect a limb after an injury or trauma. They are characterized by prolonged, severe and often debilitating pain that is out of proportion to the severity of the initial injury. CRPS is divided into two types:

1. CRPS-1 (also known as Reflex Sympathetic Dystrophy): This type occurs without a clearly defined nerve injury. It usually develops after an illness or injury that didn't directly damage the nerves.
2. CRPS-2 (also known as Causalgia): This type is associated with a confirmed nerve injury.

The symptoms of CRPS include:

* Continuous, burning or throbbing pain in the affected limb
* Changes in skin temperature, color and texture
* Swelling and stiffness in the joints
* Decreased range of motion and weakness in the affected limb
* Sensitivity to touch or cold
* Abnormal sweating pattern in the affected area
* Changes in nail and hair growth patterns

The exact cause of CRPS is not fully understood, but it is thought to be related to a dysfunction in the nervous system's response to injury. Treatment for CRPS typically involves a combination of medications, physical therapy, and psychological support. In some cases, more invasive treatments such as nerve blocks or spinal cord stimulation may be recommended.

Orthotic devices are custom-made or prefabricated appliances designed to align, support, prevent deformity, or improve the function of movable body parts. They are frequently used in the treatment of various musculoskeletal disorders, such as foot and ankle conditions, knee problems, spinal alignment issues, and hand or wrist ailments. These devices can be adjustable or non-adjustable and are typically made from materials like plastic, metal, leather, or fabric. They work by redistributing forces across joints, correcting alignment, preventing unwanted movements, or accommodating existing deformities. Examples of orthotic devices include ankle-foot orthoses, knee braces, back braces, wrist splints, and custom-made foot insoles.

The knee joint, also known as the tibiofemoral joint, is the largest and one of the most complex joints in the human body. It is a synovial joint that connects the thighbone (femur) to the shinbone (tibia). The patella (kneecap), which is a sesamoid bone, is located in front of the knee joint and helps in the extension of the leg.

The knee joint is made up of three articulations: the femorotibial joint between the femur and tibia, the femoropatellar joint between the femur and patella, and the tibiofibular joint between the tibia and fibula. These articulations are surrounded by a fibrous capsule that encloses the synovial membrane, which secretes synovial fluid to lubricate the joint.

The knee joint is stabilized by several ligaments, including the medial and lateral collateral ligaments, which provide stability to the sides of the joint, and the anterior and posterior cruciate ligaments, which prevent excessive forward and backward movement of the tibia relative to the femur. The menisci, which are C-shaped fibrocartilaginous structures located between the femoral condyles and tibial plateaus, also help to stabilize the joint by absorbing shock and distributing weight evenly across the articular surfaces.

The knee joint allows for flexion, extension, and a small amount of rotation, making it essential for activities such as walking, running, jumping, and sitting.

Pain measurement, in a medical context, refers to the quantification or evaluation of the intensity and/or unpleasantness of a patient's subjective pain experience. This is typically accomplished through the use of standardized self-report measures such as numerical rating scales (NRS), visual analog scales (VAS), or categorical scales (mild, moderate, severe). In some cases, physiological measures like heart rate, blood pressure, and facial expressions may also be used to supplement self-reported pain ratings. The goal of pain measurement is to help healthcare providers better understand the nature and severity of a patient's pain in order to develop an effective treatment plan.

Biomechanics is the application of mechanical laws to living structures and systems, particularly in the field of medicine and healthcare. A biomechanical phenomenon refers to a observable event or occurrence that involves the interaction of biological tissues or systems with mechanical forces. These phenomena can be studied at various levels, from the molecular and cellular level to the tissue, organ, and whole-body level.

Examples of biomechanical phenomena include:

1. The way that bones and muscles work together to produce movement (known as joint kinematics).
2. The mechanical behavior of biological tissues such as bone, cartilage, tendons, and ligaments under various loads and stresses.
3. The response of cells and tissues to mechanical stimuli, such as the way that bone tissue adapts to changes in loading conditions (known as Wolff's law).
4. The biomechanics of injury and disease processes, such as the mechanisms of joint injury or the development of osteoarthritis.
5. The use of mechanical devices and interventions to treat medical conditions, such as orthopedic implants or assistive devices for mobility impairments.

Understanding biomechanical phenomena is essential for developing effective treatments and prevention strategies for a wide range of medical conditions, from musculoskeletal injuries to neurological disorders.

A syndrome, in medical terms, is a set of symptoms that collectively indicate or characterize a disease, disorder, or underlying pathological process. It's essentially a collection of signs and/or symptoms that frequently occur together and can suggest a particular cause or condition, even though the exact physiological mechanisms might not be fully understood.

For example, Down syndrome is characterized by specific physical features, cognitive delays, and other developmental issues resulting from an extra copy of chromosome 21. Similarly, metabolic syndromes like diabetes mellitus type 2 involve a group of risk factors such as obesity, high blood pressure, high blood sugar, and abnormal cholesterol or triglyceride levels that collectively increase the risk of heart disease, stroke, and diabetes.

It's important to note that a syndrome is not a specific diagnosis; rather, it's a pattern of symptoms that can help guide further diagnostic evaluation and management.

"Torque" is not a term that has a specific medical definition. It is a physical concept used in the fields of physics and engineering, referring to a twisting force that causes rotation around an axis. However, in certain medical contexts, such as in discussions of spinal or joint biomechanics, the term "torque" may be used to describe a rotational force applied to a body part. But generally speaking, "torque" is not a term commonly used in medical terminology.

Articular Range of Motion (AROM) is a term used in physiotherapy and orthopedics to describe the amount of movement available in a joint, measured in degrees of a circle. It refers to the range through which synovial joints can actively move without causing pain or injury. AROM is assessed by measuring the degree of motion achieved by active muscle contraction, as opposed to passive range of motion (PROM), where the movement is generated by an external force.

Assessment of AROM is important in evaluating a patient's functional ability and progress, planning treatment interventions, and determining return to normal activities or sports participation. It is also used to identify any restrictions in joint mobility that may be due to injury, disease, or surgery, and to monitor the effectiveness of rehabilitation programs.

Muscle strength, in a medical context, refers to the amount of force a muscle or group of muscles can produce during contraction. It is the maximum amount of force that a muscle can generate through its full range of motion and is often measured in units of force such as pounds or newtons. Muscle strength is an important component of physical function and mobility, and it can be assessed through various tests, including manual muscle testing, dynamometry, and isokinetic testing. Factors that can affect muscle strength include age, sex, body composition, injury, disease, and physical activity level.

In medical terms, the foot is the part of the lower limb that is distal to the leg and below the ankle, extending from the tarsus to the toes. It is primarily responsible for supporting body weight and facilitating movement through push-off during walking or running. The foot is a complex structure made up of 26 bones, 33 joints, and numerous muscles, tendons, ligaments, and nerves that work together to provide stability, balance, and flexibility. It can be divided into three main parts: the hindfoot, which contains the talus and calcaneus (heel) bones; the midfoot, which includes the navicular, cuboid, and cuneiform bones; and the forefoot, which consists of the metatarsals and phalanges that form the toes.

Exercise therapy is a type of medical treatment that uses physical movement and exercise to improve a patient's physical functioning, mobility, and overall health. It is often used as a component of rehabilitation programs for individuals who have experienced injuries, illnesses, or surgeries that have impaired their ability to move and function normally.

Exercise therapy may involve a range of activities, including stretching, strengthening, balance training, aerobic exercise, and functional training. The specific exercises used will depend on the individual's needs, goals, and medical condition.

The benefits of exercise therapy include:

* Improved strength and flexibility
* Increased endurance and stamina
* Enhanced balance and coordination
* Reduced pain and inflammation
* Improved cardiovascular health
* Increased range of motion and joint mobility
* Better overall physical functioning and quality of life.

Exercise therapy is typically prescribed and supervised by a healthcare professional, such as a physical therapist or exercise physiologist, who has experience working with individuals with similar medical conditions. The healthcare professional will create an individualized exercise program based on the patient's needs and goals, and will provide guidance and support to ensure that the exercises are performed safely and effectively.

Patellar dislocation is a medical condition characterized by the displacement of the patella (kneecap) from its normal position in the femoral groove, which is a part of the femur (thighbone). This displacement usually occurs laterally, meaning that the patella moves toward the outer side of the knee.

Patellar dislocation can happen as a result of direct trauma or due to various factors that increase the laxity of the medial patellofemoral ligament and tightness of the lateral structures, leading to abnormal tracking of the patella. These factors include anatomical variations, muscle imbalances, genetic predisposition, or degenerative changes in the knee joint.

Dislocation of the patella can cause pain, swelling, and difficulty in moving the knee. In some cases, it might be associated with other injuries such as fractures or damage to the articular cartilage and surrounding soft tissues. Immediate medical attention is required for proper diagnosis and treatment, which may involve reduction, immobilization, physical therapy, bracing, or even surgery in severe cases.

Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. It is a complex phenomenon that can result from various stimuli, such as thermal, mechanical, or chemical irritation, and it can be acute or chronic. The perception of pain involves the activation of specialized nerve cells called nociceptors, which transmit signals to the brain via the spinal cord. These signals are then processed in different regions of the brain, leading to the conscious experience of pain. It's important to note that pain is a highly individual and subjective experience, and its perception can vary widely among individuals.

Arthralgia is a medical term that refers to pain in the joints. It does not involve inflammation, which would be referred to as arthritis. The pain can range from mild to severe and may occur in one or multiple joints. Arthralgia can have various causes, including injuries, infections, degenerative conditions, or systemic diseases. In some cases, the underlying cause of arthralgia remains unknown. Treatment typically focuses on managing the pain and addressing the underlying condition if it can be identified.

Myofascial pain syndromes (MPS) are a group of chronic pain disorders characterized by the presence of trigger points in the musculoskeletal system. A trigger point is a hyperirritable spot within a taut band of skeletal muscle, which is often tender to palpation and can cause referred pain, meaning that the pain is felt in a different location than where the trigger point is located.

MPS can affect any muscle in the body, but they are most commonly found in the muscles of the neck, back, shoulders, and hips. The symptoms of MPS may include local or referred pain, stiffness, weakness, and reduced range of motion. The pain is often described as a deep, aching, or throbbing sensation that can be aggravated by physical activity, stress, or anxiety.

The exact cause of MPS is not fully understood, but it is believed to be related to muscle overuse, injury, or chronic tension. Other factors that may contribute to the development of MPS include poor posture, vitamin deficiencies, hormonal imbalances, and emotional stress.

Treatment for MPS typically involves a combination of physical therapy, trigger point release techniques, pain management strategies, and self-care practices such as stretching, relaxation, and stress reduction. In some cases, medication may be prescribed to help manage the pain and reduce muscle spasms.

The femur is the medical term for the thigh bone, which is the longest and strongest bone in the human body. It connects the hip bone to the knee joint and plays a crucial role in supporting the weight of the body and allowing movement during activities such as walking, running, and jumping. The femur is composed of a rounded head, a long shaft, and two condyles at the lower end that articulate with the tibia and patella to form the knee joint.

Physical therapy modalities refer to the various forms of treatment that physical therapists use to help reduce pain, promote healing, and restore function to the body. These modalities can include:

1. Heat therapy: This includes the use of hot packs, paraffin baths, and infrared heat to increase blood flow, relax muscles, and relieve pain.
2. Cold therapy: Also known as cryotherapy, this involves the use of ice packs, cold compresses, or cooling gels to reduce inflammation, numb the area, and relieve pain.
3. Electrical stimulation: This uses electrical currents to stimulate nerves and muscles, which can help to reduce pain, promote healing, and improve muscle strength and function.
4. Ultrasound: This uses high-frequency sound waves to penetrate deep into tissues, increasing blood flow, reducing inflammation, and promoting healing.
5. Manual therapy: This includes techniques such as massage, joint mobilization, and stretching, which are used to improve range of motion, reduce pain, and promote relaxation.
6. Traction: This is a technique that uses gentle pulling on the spine or other joints to help relieve pressure and improve alignment.
7. Light therapy: Also known as phototherapy, this involves the use of low-level lasers or light-emitting diodes (LEDs) to promote healing and reduce pain and inflammation.
8. Therapeutic exercise: This includes a range of exercises that are designed to improve strength, flexibility, balance, and coordination, and help patients recover from injury or illness.

Physical therapy modalities are often used in combination with other treatments, such as manual therapy and therapeutic exercise, to provide a comprehensive approach to rehabilitation and pain management.

Athletic tape, also known as sports tape or physiotherapy tape, is a type of adhesive tape that is commonly used in the field of sports medicine and physical therapy to provide support and stability to joints, muscles, and tendons during athletic activities. It is typically made from a cotton or synthetic fabric material with a strong adhesive backing.

The main purpose of athletic tape is to limit excessive movement or provide compression to an injured area, which can help to reduce pain, swelling, and the risk of further injury. Athletic tape can be used to support a wide variety of body parts, including the ankles, knees, wrists, elbows, and fingers.

There are several different types of athletic tape available, including rigid and flexible options. Rigid tapes, such as zinc oxide tape, are designed to provide maximum support and stability to joints and muscles, while flexible tapes, such as cohesive bandage or kinesiology tape, allow for a greater range of motion and can be used to provide more gentle support or to help facilitate muscle activation and movement.

It is important to note that athletic tape should only be applied by trained professionals, as improper application can lead to further injury or skin irritation. Additionally, athletes should always consult with their healthcare provider before using athletic tape to treat an injury, as it may not be appropriate for all types of injuries or medical conditions.

Reflex Sympathetic Dystrophy (RSD), also known as Complex Regional Pain Syndrome (CRPS), is a chronic pain condition that most often affects a limb after an injury or trauma. It is characterized by prolonged or excessive pain and sensitivity, along with changes in skin color, temperature, and swelling.

The symptoms of RSD/CRPS are thought to be caused by an overactive sympathetic nervous system, which controls involuntary bodily functions such as heart rate, blood pressure, and sweating. In RSD/CRPS, the sympathetic nerves are believed to send incorrect signals to the brain, causing it to perceive intense pain even in the absence of any actual tissue damage.

RSD/CRPS can be classified into two types: Type 1, which occurs after an injury or trauma that did not directly damage the nerves, and Type 2, which occurs after a distinct nerve injury. The symptoms of both types are similar, but Type 2 is typically more severe and may involve more widespread nerve damage.

Treatment for RSD/CRPS usually involves a combination of medications, physical therapy, and other therapies such as spinal cord stimulation or sympathetic nerve blocks. Early diagnosis and treatment can help improve outcomes and reduce the risk of long-term complications.

The torso refers to the central part of the human body, which is composed of the spine, ribcage, and the abdomen. It does not include the head, neck, arms, or legs. In anatomical terms, it is often used to describe the area between the neck and the pelvis.

The patellar ligament, also known as the patellar tendon, is a strong band of tissue that connects the bottom part of the kneecap (patella) to the top part of the shinbone (tibia). This ligament plays a crucial role in enabling the extension and straightening of the leg during activities such as walking, running, and jumping. Injuries to the patellar ligament, such as tendonitis or tears, can cause pain and difficulty with mobility.

Pelvic pain is defined as discomfort or unpleasant sensation in the lower abdominal region, below the belly button, and between the hips. It can be acute (sudden and lasting for a short time) or chronic (persisting for months or even years), and it may be steady or intermittent, mild or severe. The pain can have various causes, including musculoskeletal issues, nerve irritation, infection, inflammation, or organic diseases in the reproductive, urinary, or gastrointestinal systems. Accurate diagnosis often requires a thorough medical evaluation to determine the underlying cause and develop an appropriate treatment plan.

In medical terms, the hip is a ball-and-socket joint where the rounded head of the femur (thigh bone) fits into the cup-shaped socket, also known as the acetabulum, of the pelvis. This joint allows for a wide range of movement in the lower extremities and supports the weight of the upper body during activities such as walking, running, and jumping. The hip joint is surrounded by strong ligaments, muscles, and tendons that provide stability and enable proper functioning.

Prostatitis is a medical condition that refers to inflammation of the prostate gland, which can be caused by bacterial or non-bacterial factors. It can present with various symptoms such as pain in the lower abdomen, pelvis, or genital area, difficulty and/or painful urination, ejaculation pain, and flu-like symptoms. Prostatitis can be acute or chronic, and it is important to seek medical attention for proper diagnosis and treatment.

The Quadriceps muscle, also known as the Quadriceps Femoris, is a large muscle group located in the front of the thigh. It consists of four individual muscles - the Rectus Femoris, Vastus Lateralis, Vastus Intermedius, and Vastus Medialis. These muscles work together to extend the leg at the knee joint and flex the thigh at the hip joint. The Quadriceps muscle is crucial for activities such as walking, running, jumping, and kicking.

I couldn't find a specific medical definition for "running" as an exercise or physical activity. However, in a medical or clinical context, running usually refers to the act of moving at a steady speed by lifting and setting down each foot in turn, allowing for a faster motion than walking. It is often used as a form of exercise, recreation, or transportation.

Running can be described medically in terms of its biomechanics, physiological effects, and potential health benefits or risks. For instance, running involves the repetitive movement of the lower extremities, which can lead to increased heart rate, respiratory rate, and metabolic demand, ultimately improving cardiovascular fitness and burning calories. However, it is also associated with potential injuries such as runner's knee, shin splints, or plantar fasciitis, especially if proper precautions are not taken.

It is important to note that before starting any new exercise regimen, including running, individuals should consult their healthcare provider, particularly those with pre-existing medical conditions or concerns about their ability to engage in physical activity safely.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

... (PFPS; not to be confused with jumper's knee) is knee pain as a result of problems between the ... Patellofemoral pain syndrome is the most common cause of knee pain, affecting more than 20% of young adults. It occurs about ... Patellofemoral pain syndrome is the most common cause of anterior knee pain in the outpatient. Specific populations at high ... The diagnosis of patellofemoral pain syndrome is made by ruling out patellar tendinitis, prepatellar bursitis, plica syndrome, ...
Knee Knee pain Patellofemoral pain syndrome Knee osteoarthritis Plica syndrome Iliotibial band syndrome "Chondromalicia patella ... Dixit, S; DiFiori, JP; Burton, M; Mines, B (Jan 15, 2007). "Management of patellofemoral pain syndrome". American Family ... However, there is general consensus that patellofemoral pain syndrome applies only to individuals without cartilage damage. ... Chondromalacia patellae is sometimes used synonymously with patellofemoral pain syndrome. ...
... deformity Patellofemoral pain syndrome Plica syndrome Iliotibial band syndrome Hoffa's syndrome Joint hypermobility syndrome ... "2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part ... Rixe JA, Glick JE, Brady J, Olympia RP (September 2013). "A review of the management of patellofemoral pain syndrome". The ... Pappas E, Wong-Tom WM (March 2012). "Prospective Predictors of Patellofemoral Pain Syndrome: A Systematic Review With Meta- ...
Rixe, JA; Glick, JE; Brady, J; Olympia, RP (Sep 2013). "A review of the management of patellofemoral pain syndrome". The ... Pappas, E; Wong-Tom, WM (Mar 2012). "Prospective Predictors of Patellofemoral Pain Syndrome: A Systematic Review With Meta- ... "Management of patellofemoral pain syndrome". American Family Physician. 75 (2): 194-202. PMID 17263214. Atanda A, Jr; Ruiz, D; ... Pellegrini-Stieda syndrome can also be seen on AP radiographs. This finding is due to calcification of the sMCL (heterotopic ...
Callaghan MJ, Selfe J (2012). "Patellar taping for patellofemoral pain syndrome in adults" (PDF). Cochrane Database Syst Rev. ... Such pain is commonly caused by running and jumping sports and activities that place large forces on the patellofemoral joint. ... Mascal CL, Landel R, Powers C (2003). "Management of patellofemoral pain targeting hip, pelvis, and trunk muscle function: 2 ... Patellar subluxation syndrome, is an injury that is concerned with the kneecap. Patellar subluxation is more common than ...
Chondromalacia patellae Patellofemoral pain syndrome Plica syndrome Ellis, R; Hing, W; Reid, D (August 2007). "Iliotibial band ... Pain is most commonly felt when the foot strikes the ground, and pain might persist after activity. Pain may also be present ... While ITBS pain can be acute, the iliotibial band can be rested, iced, compressed and elevated (RICE) to reduce pain and ... Flynn, Sharon H.; Khaund, Razib (2005-04-15). "Iliotibial Band Syndrome: A Common Source of Knee Pain". American Family ...
Nijs, J.; Van Geel, C.; Van der Auwera, C. (2006). "Diagnostic value of five clinical tests in patellofemoral pain syndrome". ... is a component of knee examination which may be used to test for patellofemoral pain syndrome, chondromalacia patellae, ... While it can produce some discomfort even in normal people, the reproduction of the symptoms suggest pain of patellofemoral ... patellofemoral arthritis, or anterior knee pain. It is not a standard part of the knee examination but is used to diagnose ...
Knee pain Patellofemoral pain syndrome Iliotibial band syndrome Casadei, Kyle; Kiel, John (2020). "Plica Syndrome". StatPearls ... Plica syndrome is a condition that occurs when a plica (a vestigial extension of the protective synovial capsule of usually the ... Plica syndrome treatment focuses on decreasing inflammation of the synovial capsule. A nonsteroidal anti-inflammatory drug ( ... The plica are usually harmless and unobtrusive; plica syndrome only occurs when the synovial capsule becomes irritated, which ...
It has been studied in the analysis of patellofemoral pain syndrome. Saladin, Kenneth S. Anatomy & Physiology: The Unity of ... lateral quadriceps tendon in patellofemoral pain syndrome". J. Appl. Physiol. 107 (2): 422-8. doi:10.1152/japplphysiol. ...
"Anatomical variations of the plantaris muscle and a potential role in patellofemoral pain syndrome". Clinical Anatomy. 21 (2): ... pain in the back of the lower leg, and persistent soreness. Ankle flexion may also be painful. Compartmental syndrome Animation ... Although pain in the calf can be attributed to a rupture of the plantaris muscle, recent ultrasound research has shown that ...
Patello-femoral Pain Syndrome {This article has a good image} (Articles with TA98 identifiers, Tissues (biology)). ...
Patellofemoral pain syndrome is associated with pain in the knee and around the patella (kneecap). It is sometimes referred to ... Patellofemoral pain syndrome is often mistaken for Chondromalacia patellae which is another condition commonly referred to as ' ... A shin splint, also known as Medial Tibial Stress Syndrome (MTSS), is pain along the inside edge of the shinbone (tibia) due to ... Recurrence is a common issue with iliotibial band syndrome, as pain goes away with a period of rest, but symptoms can easily ...
... and lateral patellar taping in individuals with patellofemoral pain syndrome". The Journal of Orthopaedic and Sports Physical ... Kowall, MG; Kolk, G; Nuber, GW; Cassisi, JE; Stern, SH (1996). "Patellar taping in the treatment of patellofemoral pain. A ... is a procedure performed by physiotherapists or physicians to alleviate the symptoms of patellofemoral pain. Though knee taping ... The mechanism of action by which it alleviates pain is unknown, though it has been suggested by physicians that it could ...
... patellofemoral pain syndrome). However, this syndrome is complex and definitive evidence of causality has not yet been ... Implications for patellofemoral pain syndrome". Clinical Biomechanics. 27 (6): 525-31. doi:10.1016/j.clinbiomech.2011.12.012. ... often resulting in injuries such as patellofemoral pain syndrome, anterior cruciate ligament rupture, chondromalacia, and ... "Differences in sonographic characteristics of the vastus medialis obliquus between patients with patellofemoral pain syndrome ...
Change in running volume may lead to development of patellofemoral pain syndrome, iliotibial band syndrome, patellar ... Once pain or swelling is noticeable it is important to put ice on it immediately and it is recommended to rest the knee for ... Iliotibial band syndrome is also known as "runner's knee" or "jogger's knee" because it can be caused by jogging or running. ... Shin Splints have sharp, splinter-like pain, that is typically X-rayed by doctors but is not necessary for shin splints to be ...
"Patellofemoral joint" Patellofemoral pain syndrome Medial collateral ligament - the "Medial patellofemoral ligament" This ... Patellofemoral (sometimes femoropatellar) refers to relations between the patella and the femur, such as: Knee, including the " ... disambiguation page lists articles associated with the title Patellofemoral. If an internal link led you here, you may wish to ...
"A prospective investigation of biomechanical risk factors for patellofemoral pain pain syndrome: the Joint Undertaking to ... hip and knee kinematics during a jump-landing task in individuals with patellofemoral pain." International journal of sports ... hip and knee kinematics during a jump-landing task in individuals with patellofemoral pain." International journal of sports ... and patellofemoral injury. LESS scoring is split into the following categories: excellent (0-3); good (4-5); moderate (6-7); ...
Patellofemoral pain syndrome Chondromalacia patellae Iliotibial band syndrome Plica syndrome This article includes a list of ... Runner's knee may refer to a number of overuse injuries involving pain around the kneecap (patella), such as: ...
... which may result in an increase in pain and, eventually, patellofemoral joint osteoarthritis and Patellofemoral pain syndrome. ... Wearing high heels is also associated with musculoskeletal pain, specifically pain in the Paraspinal muscles (muscles running ... of women complained of lower back pain when wearing heels, and 55% of women said they felt the worst overall back pain when ... Dancers can add cushioning to the soles of their dancing shoes or inserts to ease the pain during dancing. Desert boots Fashion ...
... syndrome Patellofemoral pain syndrome Patterson syndrome Pearson syndrome PANDAS Peeling skin syndrome PEHO syndrome Pellegrini ... Comstock syndrome Li-Fraumeni syndrome Locked-in syndrome Locomotive syndrome Loeys-Dietz syndrome Loin pain hematuria syndrome ... syndrome Wende-Bauckus syndrome Werner syndrome Wernicke-Korsakoff syndrome West syndrome Westerhof syndrome Wet lung syndrome ... pain syndrome Churg-Strauss syndrome Chédiak-Higashi syndrome Claude's syndrome Clinically isolated syndrome CLOVES syndrome ...
Moreover, women with patellofemoral pain may show increased Q-angle compared with women without patellofemoral pain.[citation ... needed] Another cause of patellar symptoms is lateral patellar compression syndrome, which can be caused from lack of balance ... People often describe pain as severe and being "inside the knee cap". The leg tends to flex even when relaxed. In some cases, ... Surgical repair of the patellar stabilizing structures - the medial patellofemoral ligament and vastus medialis muscle - may be ...
... patellofemoral pain syndrome or chondromalacia patellae should be suspected. Pain with active range of motion but no pain ... Pain at the lateral femoral condyle is suggestive of iliotibial band syndrome. Swelling at the popliteal fossa may reveal a ... Clarke's test may be used to examine for patello-femoral pain The Wilson test is a test used to detect the presence of ... Any pain, abnormal movement, or crepitus of the patella should be noted. If there is pain or crepitus during active extension ...
Other conditions that can appear similar include infrapatellar bursitis, chondromalacia patella and patellofemoral syndrome. ... Symptoms include pain in the front of the knee. Typically the pain and tenderness is at the lower part of the kneecap, though ... Generally there is no pain when the person is at rest. Complications may include patellar tendon rupture. Risk factors include ... People report anterior knee pain, often with an aching quality. The symptom onset is insidious. Rarely is a discrete injury ...
Smith, Benjamin (11 January 2018). "Incidence and prevalence of patellofemoral pain: A systematic review and meta-analysis". ... The syndrome may develop without trauma or other apparent cause; however, some studies report up to 50% of patients relate a ... The pain is worse with acute knee impact. The pain can be reproduced by extending the knee against resistance, stressing the ... Pain is initially mild and intermittent. In the acute phase, the pain is severe and continuous in nature. Impact of the ...
Runner's knee (Patellofemoral pain): knee joint pain affecting the patellofemoral joint. Pain is a direct consequence of the ... Subacromial impingement syndrome is a shoulder joint injury. Baseball players are prone to get affected with subacromial ... Pain in the affected area after activity Chronic pain in the affected area, even after resting Predictive Indicators of Overuse ... The typical pain is also associated with muscle strength and joint flexibility. Repetitive physical activity such as running ...
It is also known as small patella syndrome, with earlier synonyms being Scott-Taor syndrome, Coxo-podo-patellar syndrome, ... Complications include infancy-onset recurrence of luxations, pain of the knee, impaired ability of running and riding bicycles ... and the presence of an elongated medial patellofemoral ligament. Less common findings include micrognathia, cleft palate, ... The "small patella" syndrome. J Bone Joint Surg Br. 1979;61:172-175. Kozlowski K, Nelson J. Small patella syndrome. Am J Med ...
Amputation with Osseointegration for Patients with Intractable Complex Regional Pain Syndrome: A Report of Three Cases. 2021. ... Minimally invasive medial patellofemoral ligament reconstruction for patellar instability using an artificial ligament: A two- ... "Amputation With Osseointegration for Patients With Intractable Complex Regional Pain Syndrome: A Report of 3 Cases". JBJS Case ... Percutaneous epidural lysis of adhesions in chronic lumbar radicular pain: a randomized, double-blind, placebo-controlled trial ...
Back pain - is pain felt in the back. It is divided into neck pain (cervical), middle back pain (thoracic), lower back pain ( ... Wernicke-Korsakoff syndrome - (WKS) is the combined presence of Wernicke encephalopathy (WE) and alcoholic Korsakoff syndrome. ... patellofemoral joint). It is the largest joint in the human body. The knee is a modified hinge joint, which permits flexion and ... Episodes of back pain may be acute, sub-acute, or chronic depending on the duration. The pain may be characterized as a dull ...

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