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While classically related with long-distance running, any action that places principal stresses on the front of the knee joint ("patellofemoral") can consequent "runner's knee". This includes repetitive jumping sports like basketball or volleyball, as well as skiing, cycling, and soccer. The repetitive pressure and stress between the femur and patella in these sports can consequent in softening of the cartilage and abnormal loading of the underlying bone.
How does Runner's Knee present?
Runner's knee presents as activity-related pain in the front of the knee and nearby the kneecap. While the pain develops while athletic activity, it can often be most pronounced afterwards while a period of rest. Pain is also felt after sitting for a long period of time with the knees bent - the bent position positively increases the pressure between the kneecap and femur. For the same reason, marathon runners will often paradoxically complain of greater mystery running downhill rather than uphill. Kneeling, squatting, or direct pressure on the front of the knees may be uncomfortable as well.
What things might predispose me to Runner's Knee?
The kneecap and its cartilage is branch to very high forces with daily activities, and any injury to the cartilage or factors which consequent in increased pressure between it and the thigh bone ("femur") can growth the risk of "Runner's Knee". These include:
o Malalignment of the kneecap and/or leg
o Subluxation or dislocation of the kneecap
o Direct trauma to the kneecap
o Overuse with running and jumping activities
o Wide hips and/or "knock knees" (valgus) resulting in maltracking of the kneecap
o A weak quadriceps/vastus medialis muscle
o Flat feet ("pronated" feet)
o Direct trauma to the kneecap
o Overuse with running and jumping activities
o Wide hips and/or "knock knees" (valgus) resulting in maltracking of the kneecap
o A weak quadriceps/vastus medialis muscle
o Flat feet ("pronated" feet)
In certain cases, runner's knee results from irritation or injury to the soft tissue nearby the kneecap. For this reason, inadequate muscle power and/or stretching of the thigh and calf muscles can predispose to "Runner's Knee" as well.
What can I do to forestall Runner's Knee?
While certain predisposing factors such as kneecap and leg alignment are not in the operate of an athlete, other deterrent measures can be taken to minimize the risk of "runner's knee". These include:
o Quadriceps and vastus medialis strengthening - a strong quadriceps and, specifically, the vastus medialis muscle will heighten the tracking of the kneecap and help to minimize experience pressures between the kneecap and thigh bone.
o Keep your weight down - the patellofemoral joint experiences forces that are 8 to 10 times our body weight, such that even small reductions in weight can significantly reduce the forces on the kneecap. Ten pounds of weight loss can be as much as 80 to 100 pounds less force of the kneecap when climbing or descending stairs.
o Stretch before running or jumping activities - Strains of the patellar tendon, quadriceps tendon, or other soft tissues that stabilize the patella can cause principal anterior knee pain. Warming up and stretching both before and after exercise can help to forestall strain injuries to these structures.
o Wear allowable shoes and orthotics - Flat feet ("pronated" feet) can predispose to maltracking problems and knee pain. Orthotics to reconstitute the arch of the foot can help to alleviate these symptoms. High heels can also worsen anterior knee pain and should be avoided if you have "runner's knee" symptoms.
o Plan for a good running face - Running on a flat face without steep, downhill slopes can help to forestall principal stress on the knee cap. Even, padded surfaces and good running shoes can help as well.
How is Runner's Knee diagnosed in athletes?
Usually, the diagnosis of "runner's knee" can be made in athletes based on the history and physical examination of the knee by your sports rehabilitation specialist. The exam will rate the stability of the kneecap as well as alignment of the leg. Signs of tenderness under the kneecap and/or instability will be assessed. power and tone of the quadriceps and hamstrings will also be determined. Flexibility of the feet and loss of the arch should also be noted as this will predispose to kneecap problems. X-rays, Mri, and Ct scans can all be useful adjuncts depending on the examination findings and symptoms. Extra views can show the position and alignment of the patella in its groove on the thigh bone ("trochlea"). Tilting of the patella that leads to abnormal experience pressures can be appreciated. If instability of the kneecap is suspected, Ct scan can help to decide abnormalities in alignment and position. Mri is useful to rate for softening or injury to the cartilage on the kneecap and femur.
What is the rehabilitation for Runner's Knee?
The first line of rehabilitation for "runner's knee" is typically nonoperative. Recommendations include:
o Stop running, jumping, or any of the activities that cause pain in the knee. Even though it is difficult, the athlete must refrain from competition until he/she is pain-free. Fortunately, low-impact activities such as swimming or cycling can allow the athlete to pronounce their aerobic fitness while protecting the patellofemoral joint.
o Avoid running down hills or down steep slopes or stairs that growth pressure on the kneecap.
o Ice and anti-inflammatory medications can positively help to comfort the pain in the front of the knee.
o In certain cases, taping of the kneecap ("McConnell taping") or use of stabilizing braces for the kneecap can help. These are particularly useful in the setting of instability of the kneecap.
o If the athlete has flat feet ("pronation"), orthotic inserts to reconstitute the arch can be extremely useful to alleviate symptoms.
o When the knee is pain-free, a policy of rehabilitation for range-of-motion of the knee and strengthening of the quadriceps and vastus medialis muscle may be useful.
However, exercises that are performed with the knee bent should be avoided, as the pressure beneath the kneecap is increased in this position. Schooling on deterrent stretching exercises for the quadriceps, hamstring, and calf muscles is very important as well. In rare circumstances, the knee will continue to be painful and refractory to all of the nonoperative measures described above. When the pain of "Runner's Knee" prevents the athlete from returning to play, surgery may be considered.
The exact rehabilitation will depend on the underlying cause for the pain. Arthroscopic ("minimally invasive" camera-based) surgery can be pursued to conduct softening or damage of the articular cartilage of the kneecap and thigh bone. If there is together with instability of the knee cap, soft tissue reconstructive procedures or re-alignment of the leg ("osteotomy") may be performed to heighten the tracking of the patella. These may also be performed to comfort abnormally high pressures between the kneecap and femur.
What is Runner's Knee? No URLRecommend : We have selected quality products for you here Silver Hoop Clip Earrings Cheap Cool Engagement Rings Steve Madden Mantel
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