Patella Femoral Syndrome Surgery?!
Question: Patella Femoral Syndrome Surgery?
Answers:
Best Answer - Chosen by Voters
Kylie, this is a difficult question to answer without seeing you. The degree of genu valgus, knock kneed, is certainly going to have an effect on this. The therapy you have been getting may or may not be appropriate. You have not spelled out what they are doing for you so it would be impossible to state if I think it is correct. The condition that you are describing is usually associated with having wider hips and pronated feet. The pronated feet can be helped with custom made orthotics from a podiatrist. In therapy I would have you working on getting control of one specific must group, the vastus medialis oblique, as this muscle controls the tracking of the patella. This can be done a few ways and hopefully they are being tried. One thing that might help you is to find out which knee is actually stronger. Once you know which knee is stronger then you can start to work on the knee from that point. The way to determine that is by lifting. One leg is going to be able to lift more than the other. Once this is known then you would always start lifting with that leg. You would do 3 sets of 15 reps with a 1 minute break between sets. Each set would lift a little more than the preceding one. Also you are only going to do the final 30 degrees of extension of the knee. Keep a finger on the muscle that is to the inside and above the patella. As the muscle works you should be able to feel it contract. Once you have done all 3 sets on the stronger leg then do the weaker knee. Here again it will be 3 sets of 15 but you are going to start at a lower level of weight and only progress as the knee is capable. Again you would use the finger on the muscle to help give some biofeedback to the muscle and brain. This should help significantly. If you have been doing this then there are still other ways. If you have exhausted all approaches and want to think about the surgery talk to some orthopedists. There is only so much that can be done to relocate the patella. Good luck!
physical therapist