Patello-Femoral Pain Syndrome due to Patellar Lateral Glide

Patellar Lateral Glide Syndrome

Description:

Knee pain is most often medially to the patella, but in some circumstances it can be right under the patella or lateral to the patella as well.  The tissues on the lateral side of the patella are tight and pull the patella too far laterally (out to the side).  This pain usually occurs during weightbearing activities such ash walking up or down stairs, walking on flat ground, running and squatting.  Additionally, prolonged sitting is usually painful as well.

Risk Factors

The Sports Physiotherapist talks about an article indicating risk factors for developing patellofemoral pain syndrome and I believe this diagnosis would be one of the diagnoses that falls under patellofemoral pain syndrome.  The risk factors are:

  • Decreased knee extension strength (this is the most important risk factor related to this specific diagnosis)
  • Decreased quadriceps and gastrocnemius flexibility
  • Increased navicular drop (your foot becomes a flat foot in standing, but isn’t when sitting)
  • Increased knee valgus during landing
  • Decreased vertical jump performance

http://www.thesportsphysiotherapist.com/patellofemoral-pain-syndrome-can-we-predict-who-will-get-it/

Pappas E, Wong-Tom WM. Prospective predictors of patellofemoral pain syndrome: A systematic review with meta-analysis. Sports Health: A Multidisciplinary Approach 2012 4: 115

Treatment:

  • Taping to medial glide the patella.
  • Strength / mobilize the IT Band and tensor fascia lata.
  • Quadriceps strengthening.
  • Stand up every 30 minutes.

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