Leah has been working at the Markland Clinic on a 10 Week Placement
Working with a range of patients…
During my 10 week placement at The Markland Clinic, I have seen a range of patients with different pathologies.
I created a case study presentation based on a patient who had a pathology which I found particularly interesting. This was also presented by many different patients over the 10-week period.
Patellofemoral pain syndrome…
The pathology I focused on was Patellofemoral pain syndrome.
Patellofemoral pain syndrome is a term used to describe pain in the front of the knee and around the patella, or kneecap.
I was particularly focussing on a 16-year-old active male.
I found Patellofemoral pain syndrome so interesting as there is not a particular diagnosis that has been concluded to cause the pain. With each patient the cause can be different.
Common factors which Physiotherapists take into account as to the cause of the pain can be weakness or tightness in muscles. Biomechanical differences such as alignment and gait patterns, or overuse of the joint when performing repetitive actions that provoke the pain.
A large part of a physiotherapist’s intervention is strengthening and advice on how to manage the symptoms.
There is not much conclusive research on whether the pain eventually subsides by itself or how. But using the limited research available, we know that muscles around the joint can be strengthened and therefore can better support the joint.
A large part of rehab for the 16-year-old male with Patellofemoral pain syndrome was strengthening exercises for quadriceps and hamstrings.
As the pain reduced, the exercises progressed to fatigue muscles and strengthen them further.
Back to Football pain-free…
The patient’s goal was to return to Football pain-free. So We designed exercises to achieve this. Exercises such as perturbation exercises were incorporated into the exercise plan. This was to reduce the chance of symptoms so he could return to football.
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Thank you very much for reading!
Student Physiotherapist at the Markland Clinic