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Patellofemoral Pain Syndrome (PFPS)

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Pain in or around the patella that increases after prolonged sitting, squatting, kneeling, or ascending/descending stairs (1)

  • Synonyms: anterior knee or retropatellar pain syndrome, r...

DIAGNOSIS

HISTORY

  • An accurate history to differentiate between pain and instability (pain quality, location, swelling, giving way, locking, grinding, inciting events, overuse, and history of trauma)

  • Mos...

TREATMENT

GENERAL MEASURES

  • Conservative therapy is the gold standard (2,3).

  • Initial goal of therapy is to increase strength, flexibility, and ROM to enable practice of correct motion (2).

  • Supervised ther...

ONGOING CARE

PATIENT EDUCATION

  • Educate patient on importance of participation and compliance in a specialized exercise program with a physical therapist.

  • Provide a list of physical therapy locations for...

REFERENCES

1
Lankhorst NE, Bierma-Zeinstra SM, van Middelkoop M. Risk factors for patellofemoral pain syndrome: a systematic review. J Orthop Sports Phys Ther.  2012;42(2):81–94. [View Abstract o...

ADDITIONAL READING

  • Callaghan MJ, Selfe J. Patellar taping for patellofemoral pain syndrome in adults. Cochrane Database Syst Rev.  2012;(4):CD006717. [View Abstract on OvidMedline]

  • Collado H, Fre...

SEE ALSO

  • Algorithm: Knee Pain

CODES

ICD10

  • M25.569 Pain in unspecified knee

  • M25.561 Pain in right knee

  • M25.562 Pain in left knee

  • M25.869 Other specified joint disorders, unspecified knee

  • M25.862 Other specified joint disorders, left kne...

CLINICAL PEARLS

  • Patellofemoral pain syndrome is the most common cause of anterior knee pain in active adults.

  • The clinical diagnosis is made by an accurate history and physical exam.

  • Well-designed exerc...

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