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Patellofemoral Pain Syndrome (PFPS)

Reviewed 06/2020
 


BASICS

DESCRIPTION

  • Pain in or around the patella that increases with increased patellar loading (prolonged sitting, squatting, kneeling, or ascending/descending stairs); not attributable to other cause...

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 (4)[A].

  • Initial goal of therapy is to increase strength, flexibility, and ROM to enable practice of correct motion (5)[A].

  • Supervised ...

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
Collins NJ, Barton CJ, van Middelkoop M, et al. 2018 Consensus statement on exercise therapy and physical interventions (orthoses, taping and manual therapy) to treat patellofemoral pain: ...

ADDITIONAL READING

  • Bolgla LA, Boling MC, Mace KL, et al. National Athletic Trainers’ Association position statement: management of individuals with patellofemoral pain. J Athl Train.  2018;53(9):...

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

  • PFPS 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 exercises geared at core, hip...

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