PATELLO FEMORAL PAIN SYNDROME (PFPS)Knee Cap pain.(Keywords: PATELLO FEMORAL PAIN SYNDROME, walking speed, arthroscopy, hyaline cartilage, chiropractic help)Patello Femoral Pain Syndrome is pain around the knee cap due to bruising or degeneration of the cartilage under the kneecap. More specifically, in the joint between the patella and the femur, hence the name. The Quadriceps is a group of four extremely powerful upper thigh muscles. Their function is to flex the hip (raise the femur), and extend the knee - straighten the lower leg. (There are far more muscles in the thigh, but four feed into the Patella).
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For example, when raising yourself up from a sitting to a standing position, the Quadriceps is the primary muscle in the leg that is used. Obviously in walking, running and jumping the Quad, as we call it, is a prime mover. The forces transmitted to the lower leg via an ingenious system of tendons are enormous so, to protect the Quad tendon from fraying as it passes over the Femur bone, a very special small bone called the Patella (knee cap) is provided to transmit the forces smoothly to the lower leg. Here lies the cause of PATELLO FEMORAL PAIN SYNDROME. In the following pic, can you see the two tendons (Quadriceps and Patella tendons) and the Patella?
Chicken bonesThere's very interesting research coming out on nutritional support for hyaline cartilage. The gelatine in chicken bones and Omega-3 fatty acids, for example. (How much fish oil, Linseed oil and Growing your own Butternut come to mind)
Then take a delic Eisbein home, bake it so the fat is lovely and crackly crisp, and enjoy it with mashed potatoes, peas and, if you have the privilege of knowing someone who can brew (yes, it's brewed like beer) some sauerkraut. Make sure you take it with a decent
Greek salad ... OLIVE GARDEN SALAD RECIPE ...
Sorry vegetarians, in poor taste, I guess. Seriously though, this cartilage is really prone to wear and tear. Beware you obese ladies, it's the hyaline cartilage under your knee cap, and in the knee itself, that's going to get you. The knee was overdesigned for stress, but not for 90 kg+. Nature never figured that humans could get that heavy. Serious pain from PATELLO FEMORAL PAIN SYNDROME is being scribbled on your menu! Think about our free weight loss recipes and vegan weight loss has some fantastic ideas too, even if you don't go wholeheartedly into veganism. Sexism? Nope, because of the so called Q-angle in the hip, women are far more prone to hip and knee problems. And there are very few exceptions if you are exceptionally heavy. There are other reasons too. Sometimes because of malformation, the patella rides high (or low), and even subluxates and dislocates. A good crack on the patella with a hockeystick, a hard fall, full on the kneecap, or simply having to negotiate the Thirty-nine Steps ten times every day.
WALKING SPEEDPainful conditions of the foot, knee and hip are prime for slowing people down. Research shows clearly that if you walk more slowly (for any reason) then you will also live a significantly shorter life. So your walking speed is crucial to your longevity ... WALKING SPEED ...Diagnosis: Clarkes TestIt doesn't take rocket science to diagnose PATELLO FEMORAL PAIN SYNDROME. The presentation is usually fairly clear. Pain whilst kneeling on the kneecap, pain getting up from kneeling or squatting or getting out of a deep chair, pain on the stairs. Usually walking on level ground is less of a problem.The diagnosis is confirmed by a standard orthopaedic test: Clarkes test ... Read more …
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Knee pain in the child? PERTHES DISEASE of the hip?
The hip has a penchant for referring pain to the knee. In every case of knee pain, the hip should also be examined, but never is this more true than in the limping child complaining of vague pain in knee - thigh - groin. This may not be PATELLO FEMORAL PAIN SYNDROME, but another very serious hip condition.
Never will I forget the lecture given by a leading orthopaedic surgeon who told a group of chiropractors how often he had to cover for colleagues who had operated on a knee, having missed the fact that the knee pain was simply being referred from the hip.
An aside. Do chiropractors miss things? Yes! I do, so I presume my colleagues do too. Is your excellent chiropractor just getting too busy? You have the feeling you are on a treadmill. In and out? Short on listening to you? Little or no examination? Does he make case notes? It's a problem we all have, and I have to speak to myself very firmly occasionally! To find a good chiropractor is never easy, but perhaps it's time to consider a move to a younger graduate who will indeed be short on experience, but have more time to diagnose and treat your Patello Femoral Pain Syndrome.
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