Treatment of Patellofemoral Issues

by / Friday, 19 April 2019 / Published in Blog

Treatment of patellofemoral issues begins with reducing the inflammation in the knee. This is achieved with rest and anti-inflammatory medicines like ibuprofen. Physical therapy, bracing or taping, ice, massage, and/or ultrasound may be advised to relieve pain and swelling.

If these measures fail to relieve the symptoms, surgery may be recommended.

Arthroscopy is useful in treating patellofemoral problems. Arthroscopy is the most accurate technique to determine the extent of wear and tear on the articular cartilage surfaces. If, during arthroscopy, the surgeon finds rough areas on articular cartilage, s/he may shave the patella or use special tools to smooth the surface.

In advanced cases, surgery may be needed to repair or restore the damage articular cartilage.

The type of surgery needed to treat patellofemoral issues depends upon on the size, type, and location of the damage.

A lateral release can treat patellar problems caused due to misalignment. During the surgery, tight ligaments on the lateral side of the kneecap are cut. This allows the patella to slide more toward the center of the femoral groove. As the ligaments heal, scar tissue fills the gap created by the surgery. This helps to balance the quadriceps and equalize the pressure on the articular cartilage behind the kneecap.

In severe cases, treatment of patellofemoral problems may require a bony realignment. The surgeon will remove a section of bone where the patellar tendon attaches on the tibia and reattach the tendon with screws on the tibia closer to the other knee.

Following surgery, stretching and strengthening exercises and physical therapy will be prescribed to correct muscle imbalances.