1. BioMed Central | Full Text | Anterior Knee Pain: Symptom or Syndrome? to help assist in the management of patients with anterior knee pain or patellofemoral pain syndrome. anterior knee pain syndrome. anterior knee pain syndrome is really a diagnosis http://www.biomedcentral.com/1534-5874/3/81

home journals A-Z journals by subject advanced search ... Issue 1 Viewing options Abstract Full text PDF Other links: E-mail to a friend Download references Search PubMed For Lichota DK Report Derek K Lichota MD Division of Orthopedic Surgery, 2401 South 31st Street, Scott and White Memorial Hospital and Clinic, Temple, TX, 76508, USA Current Women's Health Reports Abstract A chief complaint for many patients is anterior knee pain. This is more common in females; the incidence is two to three times than that in males. The challenge for the physician is to determine the etiology, the diagnosis, and the best treatment. The goal of this article is to provide key elements of the history, physical examination, and treatment options to help assist in the management of patients with anterior knee pain or patellofemoral pain syndrome. Outline Introduction Abstract Introduction History Physical Examination ... References Anterior knee pain (AKP) (or patellofemoral pain syndrome[ ]) is a common complaint for many patients. Often, the cause is difficult to ascertain [ Anterior knee pain is a spectrum of disease processes. AKP is a symptom, but recently has been categorized as a distinct syndrome. AKP is a continuum from insidious onset, without a distinct causative event, or overuse injury, to direct knee trauma [

2. Patellofemoral Pain Syndrome: A Review And Guidelines For Treatment - November 1 Patients with patellofemoral pain syndrome have anterior knee pain that typically occurs with activity between quadriceps angle and anterior knee pain syndrome. J Orthop Sports Phys http://www.aafp.org/afp/991101ap/2012.html

Advanced Search Patellofemoral Pain Syndrome: A Review and Guidelines for Treatment MARK S. JUHN, D.O., University of Washington School of Medicine, Seattle, Washington A patient information handout on patellofemoral pain syndrome, written by the author of this article, is provided on page 2019. Managing patellofemoral pain syndrome is a challenge, in part because of lack of consensus regarding its cause and treatment. Contributing factors include overuse and overload of the patellofemoral joint, biomechanical problems and muscular dysfunction. The initial treatment plan should include quadriceps strengthening and temporary activity modification. Additional exercises may be incorporated as dictated by the findings of the physical examination. Footwear should be closely evaluated for quality and fit, and the use of arch supports should be considered. (Am Fam Physician 1999;60:2012-22.) P atellofemoral pain syndrome can be defined as retropatellar or peripatellar pain resulting from physical and biochemical changes in the patellofemoral joint. It should be distinguished from chondromalacia, which is actual fraying and damage to the underlying patellar cartilage. Patients with patellofemoral pain syndrome have anterior knee pain that typically occurs with activity and often worsens when they are descending steps or hills. It can also be triggered by prolonged sitting. One or both knees can be affected. Consensus is lacking regarding the cause and treatment of the syndrome.

3. Knee1--Complete Source For Knee Information You are in the anterior knee pain syndrome patient stories. Choose a story from the list below. You may also anterior knee pain syndrome, owensbar@aol.com. http://www.knee1.com/community/PatStory20.cfm/2

June 02, 2004 Search Knee1 Search Network Search Medline Corporate Underwriter Main Page Knee News Feature Story ... Knee1 Wireless COMMUNITY: Patient Stories You are in the Anterior knee pain syndrome patient stories. Choose a story from the list below. You may also: Tell us your story Choose a new category. UPDATED STORY POSTED BY Nov. 09 RPPS and ITBS Carrie Jun. 04 Chronic swelling and pain Anonymous May. 12 knee pain Anonymous May. 10 Discomfort and pain after 1year ... Jane Robertson Apr. 25 aching knees Anonymous Dec. 26 Arthritis or Soft Tissue Tear? ... Anonymous Dec. 16 Knee Pains jpmalone1@cs.com Dec. 12 Knee Swelling dhutchi633@aol.com Nov. 05 Pain in Back of Knee carrie Sep. 19 Knee Replacement david norris Sep. 05 Cracking, Popping lstinnett@utk.edu Sep. 05 Looking for a Rehab Program ddr169@aol.com Aug. 03 Sore Knees Mary.Alegado@ps.net Anterior Knee pain Syndrome owensbar@aol.com is there any contraindication in ... vivianap26@hotmail.com Knees pain JimmyToledo@impsat.net.co Patella femoral syndrome that ... Anonymous Problem Christine Porter Home Register About Us Press ... Terms of Service and our

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5. Knee1--Complete Source For Knee Information anterior knee pain syndrome. Q I have been diagnosed with anterior knee pain syndrome. Q I was diagnosed with anterior knee pain syndrome. http://www.knee1.com/reference/faq10.cfm/3

June 02, 2004 Search Knee1 Search Network Search Medline Corporate Underwriter Main Page Knee News Feature Story ... Knee1 Wireless REFERENCE: Frequently Asked Questions Anterior knee pain syndrome Q: I have been diagnosed with Anterior Knee Pain Syndrome. What can I do to alleviate the constant pain that I feel? Answered by David Golden M.D. on January 01, 1900 A: Rest, ice and non-steroidal anti-inflammatories are the mainstay of treatment. When you couple that with activity modification, you should experience a significant improvement. If there is no improvement, there may be internal derangement of the patello-femoral joint, which often causes anterior knee pain. There are cartilage changes that may be degenerative or traumatically caused. Either way, pain in the front of the knee, especially with bending and stairclimbing, can be debilitating. If there is no pain relief, after such management, check with your doctor about obtaining an MRI to evaluate the condition of the kneecap and the cartilage surface. Q: I was diagnosed with Anterior Knee Pain Syndrome. My doctor has suggested that I strengthen my thigh muscles and avoid bending my knee. What type of exercises should I do?

6. Knee Dictionary - Anterior Knee Pain Syndrome anterior knee pain syndrome. anterior knee pain syndrome means the group of symptoms which are frequently associated with pain in the front of the knee . http://www.kneeguru.co.uk/html/dictionary/anterior_knee_pain.html

Search WWW Search www.kneeguru.co.uk home general info live chat knee surgeons ... clinical casebook Contact About us KNEEbabel DICTIONARY A B C D ... ABBREVIATIONS ANTERIOR KNEE PAIN SYNDROME 'Anterior knee pain syndrome' means 'the group of symptoms which are frequently associated with pain in the front of the knee'. It is not a specific disease, but rather a group of conditions with similar symptoms. It is important that the clinician (usually the physiotherapist in the first instance) understands the various separate problems that can cause pain in the front of the knee, so that the right questions are asked and the rights tests done to determine the exact cause of this particular patient's pain. See the main 'steps to enlightenment' section on kneecaps ( patellae EXTERNAL LINKS Please note: For your convenience, all external links are opened in a separate browser window. If you click on a link and nothing happens, check the other window - your new page will be loading there! When you have finished, just close the window.

7. Patello-femoral Pain Syndrome (PFS) anterior knee pain syndrome Too many knee problems are dismissed as anterior knee pain syndrome - but this collection of symptoms has a number of causes http://www.kneeguru.co.uk/html/steps/step_05_patella/pain.html

Search WWW Search www.kneeguru.co.uk home general info live chat knee surgeons ... clinical casebook Contact About us GENERAL INFO - 5 - PATELLA (KNEECAP) PATELLOFEMORAL PAIN back to general info Pain arising from the joint surface between the patella and the femur ('patello-femoral pain') is the most common knee problem bringing patients to the doctor. Such pain is usually insidious in onset, without a remembered injury, often in both knees and felt in the front of the knee. There are a number of causes of pain in this area - Patellar mal-tracking The pain seem to be related to problems with the way the patella tracks in the trochlea (its groove - see section on mechanics). X-ray being taken of the patello-femoral groove A normal amount of well-distributed force is essential to 'pump' the joint cartilage with each step you take, and this seems to help nourish the joint cartilage, which depends on the joint fluid for its nutrition. If the kneecap is out of alignment, there may be excessive forces at edge of the patella on the one side at a certain point in the extension cycle and too little on the other, and both of these may lead to problems with the joint cartilage.

8. The Role Of The Knee Brace In The Prevention Of Anterior Knee Pain HighBeam Research, Free Preview 'The role of the knee brace in the prevention of anterior knee pain syndrome.' Full Membership required for unlimited access. Comprehensive archive of is characterized by anterior knee pain associated with activities involving repeated knee http://rdre1.inktomi.com/click?u=http://www.highbeam.com/library/doc0.asp?docid=

9. AAOS Online Service Fact Sheet Runners Knee (patellofemoral Pain) stress on their knees. " Runner's knee" is a term some people of the knee (patellofemoral pain). These conditions include anterior knee pain syndrome, patellofemoral malalignment and http://www.orthoinfo.org/fact/thr_report.cfm?Thread_ID=417&topcategory=Knee

10. DISEASE: Anterior Knee Pain Syndrome Fast shipping. Overnight available. Do You Suffer from Knee Pain? www.ultracet.com The more you understand your pain, the better you can manage it. http://disease.bigtome.com/big/page/Anterior_Knee_Pain_Syndrome

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11. AKPSanterior Knee Pain SyndromeSynonyme Translate this page AKPS anterior knee pain syndrome Synonyme. 17.03.2003. Zum Starten hier klicken. Zurück. http://www.sportkrankenhaus.de/Ergebnisse/Akps/

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12. Chondromalacia - Information / Diagnosis / Treatment / Prevention Chondromalacia anterior knee pain syndrome One of the most common causes of knee pain is chondromalacia or patellofemoral syndrome, caused by an http://www.healthcyclopedia.com/musculoskeletal-disorders/chondromalacia.html

Home Health cyclopedia All Topics by Category The Good Health Search Engine Health Conditions A-Z Gurus ... musculoskeletal disorders > chondromalacia Chondromalacia Information / Diagnosis / Treatment / Prevention External links (marked with an arrow ) open in a new window. This site is a web directory and does not offer medical advice. We cannot take responsibility for information found on listed sites. This Page Medical Definition Health News Web Directory: Medical Definition: University of Newcastle-upon-Tyne Medical Dictionary: "chondromalacia" Health News: Search millions of published articles for news on Chondromalacia Modern Medicine Aging The Ardell Wellness Report HealthFacts Medical Post Medical Update Men's Health and the National Women's Health Report Note: Subscription required to access the full text of articles. Web Directory: Chondromalacia Patella Darla sports a Grade 4 osteochondral lesion on her patella and suffers from CP. Visit this site for some decent, practical CP information. Chondromalacia Patellae Orthoseek article, with recommended exercises and information on prevention, treatment and the development of the disorder. HealtHub A brief definition of chondromalacia, followed by links to overviews, full text articles, diagnosis and treatment.

13. Bauerfeind USA OnLine The Role of the Knee Brace in the Prevention of anterior knee pain syndrome Shlomo BenGal, MPH, Joseph Lowe, MD, Gideon Mann, MD, Alexander Finsterbush, MD http://www.bauerfeindusa.com/genutrain.html

Choose A Product Zeuba Products Star Products Foot ViscoSpot ViscoHeel N ViscoHeel K ipos Shock Absorber ipos SoftBase Green 3/4 Length Insoles ViscoPed ViscoPed S Ankle MalleoTrain Comprifix Ankle AchilloTrain MalleoLoc Zeuba Ankle Leg UltraSilk Sheers SoftBasics ExerSox Knee SofTec GenuTrain Comprifix Knee GenuTrain P3 Compro and Compro Plus Zeuba Knee Back SofTec Lumbo LumboTrain Comprifix Back Zeuba Back Shoulder/Wrist OmoTrain ManuTrain Zeuba Wrist Elbow EpiTrain EpiPoint Comprifix Elbow Zeuba Elbow The Role of the Knee Brace in the Prevention of Anterior Knee Pain Syndrome Shlomo BenGal, MPH, Joseph Lowe, MD, Gideon Mann, MD, Alexander Finsterbush, MD, and Yoav Matan, MD Published in The American Journal of Sports Medicine, January/February 1997 A prospective study of 60 young athletes (army personnel), 27 in the brace group and 33 in the non-brace control group, underwent a vigorous physical training regimen to determine the efficacy of a knee brace with a silicone patellar support ring (Bauerfeind GenuTrain). Due to dropouts, the results were considered significant only among male brace users. Data was collected in the 1 st and 8 th week of the study by investigators who did not know the identity of the candidates. Data included the following: personal estimation of pain levels, orthopedic examination, and documentation of physical fitness levels.

14. Disease Directory : Chondromalacia: Anterior Knee Pain Syndrome Diseases Musculoskeletal Disorders Chondromalacia Chondromalacia anterior knee pain syndrome. Directory Listing. Title Chondromalacia http://www.diseasedirectory.net/detailed/13052.aspx

Wednesday, June 02, 2004 Musculoskeletal Disorders Amputee Arthritis Back and Spine ... Chondromalacia : Chondromalacia: Anterior Knee Pain Syndrome Directory Listing Title: Chondromalacia: Anterior Knee Pain Syndrome Description: One of the most common causes of knee pain is chondromalacia or patellofemoral syndrome, caused by an irritation of the undersurface of the kneecap. Article includes information on symptoms, treatment and recommendations for exercise. Date Added: 2/4/2004 1:29:27 PM URL: http://www.bayviewortho.com/patients/education/Knee/chondrom.htm

15. Anterior Knee Pain Common Musculoskeletal Injuries in Women, The Physician and Sports Medicine, July 1996; anterior knee pain syndrome, Johns Hopkins Bayview Medical Center http://www.iahsaa.org/wu02-8.html

WELLNESS UPDATE 2002, #8 ANTERIOR KNEE PAIN Anterior knee pain (pain in front of the knee) is the most common knee injury in athletes. Anterior knee pain usually develops gradually due to the repetitive motion of the patella (knee cap) sliding up and down, rather than due to a single, sudden injury. This occurs most often in sports requiring a great deal of running and jumping. Here is a typical progression of the symptoms of anterior knee pain: Sitting for an extended period of time causes an ache or stiffness, often behind the kneecap. This pain goes away when the joint is "warmed up" and during exercise. A few hours after exercise the stiffness returns. 2) If nothing is done to treat the ache and stiffness, the pain usually begins to be present throughout the exercise period Pain is felt when squatting, kneeling and walking down stairs. Movement of the knee cap and climbing stairs causes a "crunching" sound. 5) The athlete may feel that the knee is "giving out" when running or jumping The pain is often most noticeable when the athlete gets out of bed in the morning or after they have been sitting with their legs in one position for a long period. The pain usually lessens as the knee is used, or "warmed up," during normal, everyday activity.

16. Gale Encyclopedia Of Alternative Medicine: Patellofemoral pain. Also known as anterior knee pain syndrome, this condition is characterized by pain around the knee cap. The http://www.findarticles.com/cf_0/g2603/0004/2603000475/p1/article.jhtml

Knee pain @import url(/css/us/style.css); @import url(/css/us/searchResult1.css); @import url(/css/us/articles.css); Advanced Search Home Help IN all publications this publication Health Automotive Business Computing Entertainment Health News Reference Sports YOU ARE HERE Articles Gale Encyclopedia of Alternative Medicine Content provided in partnership with Print friendly Tell a friend Find subscription deals Knee pain Gale Encyclopedia of Alternative Medicine by Belinda Rowland Definition Knee pain refers to any aching or burning pain of the knee joint. Knee pain can be a symptom of numerous conditions and diseases including knee stress osteoarthritis , injury, gout , infection, and bursitis Description Knee pain is very common. Each year, millions of Americans visit the doctor for knee pain. It is the most frequent reason for visits to an orthopedist (bone and joint surgeon). To understand the various causes of knee pain, it is important to know how the knee functions. The knee refers to the joint where the femur (thigh bone) meets the tibia (largest lower leg bone). In front of this joint lies the patella (knee cap). The joint is lined by a membrane called a synovial sac. The synovial sac produces synovial fluid which acts as a lubricant much in the way that oil lubricates the moving parts of machinery. Other tissues that make up the knee joint include cartilages, muscles, tendons, and ligaments. The upper end of the tibia has cartilaginous shock absorbers called "menisci" (meniscus). Other protective structures are the bursae, which cushion areas of friction in the joint. Most of the muscles involved with joint mobility originate in the thigh, cross the knee joint, and attach to the tibia.

17. AAOS Online Service Fact Sheet Runner’s Knee (patellofemoral Pain) pain). These conditions include anterior knee pain syndrome, patellofemoral malalignment and chondromalacia patella. Symptoms. Dull http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=417&topcategory=Knee

18. Orthoseek | Orthopedic Topics | Chondromalacia Patellae of the cartilage. A more appropriate diagnosis would be anterior knee pain syndrome or Patellofemoral stress syndrome . In fact http://www.orthoseek.com/articles/chondromp.html

Chondromalacia Patellae What is Chondromalacia patellae? Chondromalacia literally means "softening of the cartilage", and Patellae means "the knee-cap". So Chondromalacia patellae means "softening of the articular cartilage of the knee-cap." The articular cartilage is the cartilage lining under the knee-cap that articulates with the knee joint. Under normal circumstances, it is smooth and shiny, so that it glides smoothly along the articular groove of the femur as the knee bends. When it "softens", it may break down, causing irregularities along the undersurface of the patella. What causes Chondromalacia patellae? Chondromalacia patellae occurs in two distinct age-groups: It can happen in the older age-group (in the 40’s and beyond) when the articular cartilage breaks down as part of the wear-and-tear process that occurs with the rest of the body. The patella cartilage is one of the earliest places where cartilage breakdown occurs, and is slowly progressive, leading to degenerative arthritis (osteoarthritis) in the knee joint. It can occur frequently in teenagers (especially girls) when the articular cartilage "softens" in response to excessive and uneven pressure on the cartilage, due to structural changes in the legs with rapid growth, and muscle imbalance around the knee. During periods of rapid growth, especially in girls, any knee valgus (knock-knees) is accentuated, thereby increasing the

19. Library Patella Chondromalacia The Center for Orthopaedics and Sports Medicine; Marietta, Ga 3. anterior knee pain syndrome Johns Hopkins Bayview Medical Center 4. A http://www.coa-aco.org/library/Two_Views_Future.asp

Two Views of the Future Myles Clough, M.D., FRCSC Kamloops, BC The teenage patient with knee pain is a familiar, if somewhat daunting visitor, to the office of many Canadian orthopaedic surgeons with a general scope of practice. Let's presuppose such a patient is visiting your office not many years from now. Let's also up the ante in this scenario by imagining that her mother is a schoolteacher. This patient has seen her family doctor because of anterior knee pain and has been told she may have chondromalacia (how do you spell that doc?) and should do some quadriceps strengthening exercises. Under some pressure, a referral to an orthopaedic surgeon has been made and they are coming to see you some three months later. The prediction of this article is that they will have spent some of the intervening time looking for information about this problem on the Internet and as a consequence, your interview will resemble one of these two views of the future. Scenario 1 In this first scenario, you have asked your referral base of family doctors to make sure that all the patients they refer to you are given the Internet address of your practice web site. This site contains the usual information about how to find the office, confirm the appointment etc; it has some details of your training, affiliations and scope of practice; more to the point it has two big patient information sections, one for people waiting to see you and one for patients you have already treated. Your patient and her mother have looked up the section on anterior knee pain and have found the following information.

20. Chondromalacia Chondromalacia anterior knee pain syndrome One of the most common causes of knee pain is chondromalacia or patellofemoral syndrome, caused by an irritation http://www.thenewhealthfind.com/Health/ConditionsandDiseases/MusculoskeletalDiso

Directory Home Health Conditions and Diseases Musculoskeletal Disorders : Chondromalacia (8) What is Chondromalacia? - Article on the causes and treatment of the knee disorder chondromalacia patellae. Chondromalacia: Anterior Knee Pain Syndrome - One of the most common causes of knee pain is chondromalacia or patellofemoral syndrome, caused by an irritation of the undersurface of the kneecap. Article includes information on symptoms, treatment and recommendations for exercise. Chondromalacia Patellae - Orthoseek article, with recommended exercises and information on prevention, treatment and the development of the disorder. HealtHub - A brief definition of chondromalacia, followed by links to overviews, full text articles, diagnosis and treatment. The Patella and Chondromalacia - Discussion of the anatomical abnormalities associated with chondromalacia. Includes diagrams and X-ray images. Knee Supports and Braces - Knee braces designed to stabilize the patella for chondromalacia and patellofemoral disorders. Patellofemoral Syndrome - Information about this disorder, written by a patient.

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