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-   -   Patella femoral syndrome (https://board.crossfit.com/showthread.php?t=84872)

John F. Klessinger 10-28-2013 03:53 PM

Patella femoral syndrome
 
I am pretty sure I have patella femoral syndrome. It began years ago while sitting for long periods of time. Over the past few months it has intensified to the point that I have pain almost all the time while exercising, walking, driving, etc. I am 39 years old. I wrestled in high school and college and have coached ever since. I ran long distances for about 5 years and since been doing CrossFit for the past 6 years.

If anyone has advice, suggestions or input I would greatly appreciate.

Thanks,

John

Greg Spaight 10-28-2013 04:47 PM

Re: Patella femoral syndrome
 
John, what have you tried so far?

John F. Klessinger 10-28-2013 05:06 PM

Re: Patella femoral syndrome
 
Honestly Greg, not much. It is now to the point it is really effecting things while before more of an annoyance. I just got voodoo bands and started some KStarr mobility work. Other than that, ibuprofen once in awhile and I wear knee sleeves most workouts for the past 7 months.

Any help would be great.


Thanks!

Brian Strump 10-28-2013 06:29 PM

Re: Patella femoral syndrome
 
What makes you think it's a mobility problem? Has any of that vodoo floss, or mobility work given any improvement that has been more than temporary?

Palpate around the back of your knee, between the 2 large tendons; more towards the lateral portion. Any really tender spots?

Megan Zetter 10-29-2013 05:31 AM

Re: Patella femoral syndrome
 
PFPS is rarely a knee problem, but rather where you experience symptoms due to issues either up and or down stream. Meaning hips and ankles.

John F. Klessinger 10-29-2013 11:15 AM

Re: Patella femoral syndrome
 
First to answer Brian- I do not know if it is a mobility issue. I am only trying different things to remediate the pain and stiffness.

Ok Megan, thanks for your input. What do you suggest?

How can I begin to address the knee pain/throbbing/ and general issues? Where should i start per say?

I am getting x-rays in the next couple of days before I see a physician.

Ben Joven 10-29-2013 12:43 PM

Re: Patella femoral syndrome
 
[QUOTE=John F. Klessinger;1203801]I am pretty sure I have patella femoral syndrome. It began years ago while sitting for long periods of time. Over the past few months it has intensified to the point that I have pain almost all the time while exercising, walking, driving, etc. I am 39 years old. I wrestled in high school and college and have coached ever since. I ran long distances for about 5 years and since been doing CrossFit for the past 6 years.

If anyone has advice, suggestions or input I would greatly appreciate.

Thanks,

John[/QUOTE]

I have similar pains...what worked best for me was building up my "posterior chain" region, i.e, my *** through squats, power cleans, and dead lifts.

If you strengthen everything surronding your knees, just as long as you're not doing any crazy Derrick Rose, stop/go types of movement, if you strengthen the entire posterior chain you should be good to go and will be able to go though out life with less pain.

Brian Strump 10-29-2013 01:09 PM

Re: Patella femoral syndrome
 
[QUOTE=John F. Klessinger;1203924]First to answer Brian- I do not know if it is a mobility issue. I am only trying different things to remediate the pain and stiffness.

Ok Megan, thanks for your input. What do you suggest?

How can I begin to address the knee pain/throbbing/ and general issues? Where should i start per say?

I am getting x-rays in the next couple of days before I see a physician.[/QUOTE]

X-rays aren't going to show anything, maybe some arthritic changes; nothing that will give you a true answer. I'd save your time. I'd also skip your physician who likely will not have much experience with knee pain in the active population.

Find a chiro, or PT, that works with athletes, and proficient with rehab and soft tissue techniques.

If you need help finding one, PM your zip code, and city.

John F. Klessinger 10-29-2013 02:11 PM

Re: Patella femoral syndrome
 
Funny, you said arthritic. That was the main reason to get x-rays..........to rule that out, hopefully. After research of the symptoms of PFS it sounds exactly like what is going on with both of my knees. To be more to the point, I first noticed this throbbing pain while sitting at a movie 15 years ago. It hasn't been till the last year where the throbbing extended beyond sitting. Squatting at times is painful at least until thoroughly warmed up. Lately though, a good warm-up doesn't solve the problem and my knees are painful during the whole workout. I squat, clean, snatch, etc. all the time.

I only think arthritis as a possibility because the are so stiff at times.

Brian Strump 10-29-2013 05:05 PM

Re: Patella femoral syndrome
 
[QUOTE=John F. Klessinger;1203970]Funny, you said arthritic. That was the main reason to get x-rays..........to rule that out, hopefully. After research of the symptoms of PFS it sounds exactly like what is going on with both of my knees. To be more to the point, I first noticed this throbbing pain while sitting at a movie 15 years ago. It hasn't been till the last year where the throbbing extended beyond sitting. Squatting at times is painful at least until thoroughly warmed up. Lately though, a good warm-up doesn't solve the problem and my knees are painful during the whole workout. I squat, clean, snatch, etc. all the time.

I only think arthritis as a possibility because the are so stiff at times.[/QUOTE]

Arthritis is just a symptom, not the cause. Also, since it's in BOTH knees, even more of a reason to look elsewhere; more likely core and/or hip dysfunction.


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