Treatment Pages: Patella Femoral Syndrome (PFS)

Complaint: Generalized knee pain that is primarily localized around the knee cap (patella).  The pain typically increases with running (or with other high impact activities), walking downstairs or with prolonged sitting. Cause: Muscle imbalance between medial and lateral quadriceps (weak VMO- medial quadriceps). Poor patella alignment (hypermobile, lateral glide). Decreased hamstring, ITB, hip flexor and calf flexibility. Over-pronation (wrong shoe wear). Over training.

Treatment:

A comprehensive evaluation from a doctor or physical therapist at the onset of pain or dysfunction

Quad Strengthening Exercises:

Straight leg raises:
D0 3 sets x 15 reps DAILY

Squats:
Do 2 sets x 15 reps (3x/week)

Lunges: (Static or Step Back Lunges are preferred)
Do 2 sets x 15 reps (3x/week)

Forward Step Ups: (Lateral Step Ups can also be performed)
Do 2 sets x 15 reps (3x/week)

Bike squats:
Do 2  sets x 15 reps (3x/week) 

First Aid:

• Ice:
  Post exercise: 15 minutes 2-3x/day for as long as pain persists with daily activity (walking, stairs, etc..)
  Rest: 
  Modification or cessation of current training program. Discuss with your coaches whether continued training or cross training is most optimal for your current injury.
  NOTE:  Seeking an evaluation from a doctor or physical therapist as soon as possible is always advised.