Clarkes Test(of course actually Clarke's test)
Your chiropractor will place his hand over your patella, press gently downwards and towards your foot. Now, VERY GENTLY, (may I repeat this!!! VERY GENTLY) contract your Quadriceps muscle. When this test is positive it may be extremely painful. The kneecap is forced up and over the groove in the femur. If there is degenerative change on either side - the femur or the patella - then you will feel a grinding sensation, and sometimes extreme pain.
Even when thin whisps of calcium can be seen on x-ray - we call it calco-chondrinosis - PFPS responds very nicely to gentle mobilisation of the patella.
TreatmentTreatment of PFPS is really quite simple. The knee cap is mobilised (may be painful as the arthritic crystals are gently abrased), you will apply ice at home, and some gentle exercises involving the Quadriceps muscles must be done.Your chiropractor will also check further to see if the underlying cause may be in your ankle/foot or sacro-iliac joint. To go from Clarkes Test to Patello Femoral Pain Syndrome treatment.
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