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	<title>Naples Orthopedic Surgeon - Dr. Robert J. Zehr &#187; PFPS</title>
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	<description>The Zehr Center</description>
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		<title>Doing many quad sets and hamstring stretches helps, but I still have knee pain. Is there anything new I can try?</title>
		<link>http://www.naplesorthopedicsurgeon.com/doing-many-quad-sets-and-hamstring-stretches-helps-but-i-still-have-knee-pain-is-there-anything-new-i-can-try/</link>
		<comments>http://www.naplesorthopedicsurgeon.com/doing-many-quad-sets-and-hamstring-stretches-helps-but-i-still-have-knee-pain-is-there-anything-new-i-can-try/#comments</comments>
		<pubDate>Thu, 02 Feb 2012 11:00:50 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Knees]]></category>
		<category><![CDATA[alignment]]></category>
		<category><![CDATA[decreased pain]]></category>
		<category><![CDATA[femoral rotation]]></category>
		<category><![CDATA[flexibility]]></category>
		<category><![CDATA[hip flexor]]></category>
		<category><![CDATA[hip strength]]></category>
		<category><![CDATA[improved function]]></category>
		<category><![CDATA[inward rotation]]></category>
		<category><![CDATA[knee pain]]></category>
		<category><![CDATA[motor control]]></category>
		<category><![CDATA[neuromuscular training]]></category>
		<category><![CDATA[patellofemoral pain syndrome]]></category>
		<category><![CDATA[PFPS]]></category>
		<category><![CDATA[physical therapists]]></category>
		<category><![CDATA[quadriceps angle]]></category>
		<category><![CDATA[strength training]]></category>

		<guid isPermaLink="false">http://www.naplesorthopedicsurgeon.com/?p=1837</guid>
		<description><![CDATA[I&#8217;ve had knee pain since I was 13 (I&#8217;m now 18). The doctor calls it patellofemoral pain syndrome. I&#8217;ve done a million quad sets and hamstring stretches. It helps but I still have pain when I try to increase my training schedule for track and field events. Is there anything new I can try? Treatment [...]]]></description>
			<content:encoded><![CDATA[<p><strong>I&#8217;ve had knee pain since I was 13 (I&#8217;m now 18). The doctor calls it <em>patellofemoral pain syndrome</em>.  I&#8217;ve done a million quad sets and hamstring stretches. It helps but I  still have pain when I try to increase my training schedule for track  and field events. Is there anything new I can try?</strong></p>
<p>Treatment  for patellofemoral pain syndrome (PFPS) has traditionally relied on  quadriceps strength training. Some patients also benefit from  neuromuscular training, which focuses more on motor control than  improving strength.</p>
<p>So far no one has found a &#8220;one size fits all&#8221;  kind of program. Some people seem to get better with one type of  exercise while others have less pain and more function with other types  of training.</p>
<p>Some time ago researchers saw that hip strength may  be an important key to PFPS. One by one studies have been done to  confirm this suspicion. Most recently physical therapists at the  Nicholas Institute of Sports and Medicine and Athletic Trauma in New  York City studied hip strength and flexibility as it relates to PFPS.</p>
<p>They  found that 60 percent of patients with PFPS got better after a six-week  training program. Exercises to improve hip flexor strength and  flexibility resulted in decreased pain and improved function.</p>
<p>The  goal was to prevent inward rotation of the thighbone (femoral  rotation). Maintaining good alignment of the patella as it moves up and  down over the knee reduces the tension on the soft tissues around the  knee. This new treatment approach may help you as well!</p>
<p><em>For more information on this subject, call The Zehr Center for Orthopaedics at 239-596-0100 or visit </em><a href="http://www.zehrcenter.com/">www.zehrcenter.com</a>. <em>The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of a visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.</em></p>
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		<title>Does taping the kneecap really reduce pain of PFPS?</title>
		<link>http://www.naplesorthopedicsurgeon.com/does-taping-the-kneecap-really-reduce-pain-of-pfps/</link>
		<comments>http://www.naplesorthopedicsurgeon.com/does-taping-the-kneecap-really-reduce-pain-of-pfps/#comments</comments>
		<pubDate>Tue, 19 Oct 2010 15:00:43 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Knees]]></category>
		<category><![CDATA[knee pain]]></category>
		<category><![CDATA[kneecap]]></category>
		<category><![CDATA[PFPS]]></category>

		<guid isPermaLink="false">http://www.naplesorthopedicsurgeon.com/?p=727</guid>
		<description><![CDATA[Does taping help with the painful symptoms of patellofemoral pain syndrome? I&#8217;m trying to find a way to stay active despite the pain. Taping the kneecap in place is often suggested as a treatment method for patellofemoral pain syndrome (PFPS). This helps keep the kneecap (patella) in good alignment as it moves up and down. [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Does taping help with the painful symptoms of patellofemoral  pain syndrome? I&#8217;m trying to find a way to stay active despite the pain.</strong></p>
<p>Taping  the kneecap in place is often suggested as a treatment method for  patellofemoral pain syndrome (PFPS). This helps keep the kneecap  (patella) in good alignment as it moves up and down.</p>
<p>Many studies have been done to see if taping works for PFPS. Some  show no effect while many others say taping reduces pain right away.  Still other research shows taping works no matter how it&#8217;s applied.</p>
<p>This last finding suggests it&#8217;s not the position of the patella (knee  cap) that makes a difference. Perhaps the taping improves the  patellofemoral joint position sense called <em>proprioception</em>. Or maybe it helps the muscle contract more fully pulling the kneecap back into proper alignment.</p>
<p>If taping doesn&#8217;t work, there are other treatment choices that can be tried.</p>
<p><em>For more information on this subject, call The Zehr Center for Orthopaedics at 239-596-0100 or visit </em><a href="http://www.zehrcenter.com/">www.zehrcenter.com</a>.<em>The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic. </em></p>
]]></content:encoded>
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		<item>
		<title>What causes popping and cracking sounds in knee?</title>
		<link>http://www.naplesorthopedicsurgeon.com/what-causes-popping-and-cracking-sounds-in-knee/</link>
		<comments>http://www.naplesorthopedicsurgeon.com/what-causes-popping-and-cracking-sounds-in-knee/#comments</comments>
		<pubDate>Thu, 30 Sep 2010 15:10:38 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Knees]]></category>
		<category><![CDATA[knee pain]]></category>
		<category><![CDATA[PFPS]]></category>
		<category><![CDATA[popping and cracking in knee]]></category>

		<guid isPermaLink="false">http://www.naplesorthopedicsurgeon.com/?p=680</guid>
		<description><![CDATA[I notice I&#8217;m having more and more pain when I go up and down stairs (especially down). My left knee pops and cracks with every step. What could be causing this to happen? You may be having symptoms of a problem called patellofemoral pain syndrome (PFPS). PFPS can occur when the kneecap rubs against the [...]]]></description>
			<content:encoded><![CDATA[<p><strong>I notice I&#8217;m having more and more pain when I go up and down  stairs (especially down). My left knee pops and cracks with every step.  What could be causing this to happen?</strong></p>
<p>You may be having symptoms of a problem called <em>patellofemoral pain syndrome</em> (PFPS). PFPS can occur when the kneecap rubs against the femur (thigh bone) as it moves up and down with knee motion.</p>
<p>Sometimes the patella, or kneecap, gets out of the groove it normally  glides in. Abnormal positioning of the patella leads to inflammation  and pain. This problem can get started by muscle imbalance,  inflexibility, changes in the bones, improper walking pattern, overuse,  or trauma.</p>
<p>There are many ways to treat PFPS. Consult with a physical therapist  or orthopedic surgeon for a proper diagnosis. The best treatment plan  depends on the exact cause of the symptoms.</p>
<p><em>For more information on this subject, call The Zehr Center for Orthopaedics at 239-596-0100 or visit </em><a href="http://www.zehrcenter.com/">www.zehrcenter.com</a>.<em>The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic. </em></p>
]]></content:encoded>
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		</item>
		<item>
		<title>Could my knee pain be arthritis? I&#8217;m only 33!</title>
		<link>http://www.naplesorthopedicsurgeon.com/could-my-knee-pain-be-arthritis-im-only-33/</link>
		<comments>http://www.naplesorthopedicsurgeon.com/could-my-knee-pain-be-arthritis-im-only-33/#comments</comments>
		<pubDate>Wed, 04 Nov 2009 11:12:47 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Knees]]></category>
		<category><![CDATA[arthritis]]></category>
		<category><![CDATA[bursa]]></category>
		<category><![CDATA[knee pain]]></category>
		<category><![CDATA[ligament]]></category>
		<category><![CDATA[patellofemoral pain syndrome]]></category>
		<category><![CDATA[PFPS]]></category>

		<guid isPermaLink="false">http://www.naplesorthopedicsurgeon.com/?p=181</guid>
		<description><![CDATA[Lately I&#8217;ve had a lot of pain right behind my kneecap, especially when going down stairs. I am only 33 years old. Could I be developing arthritis already?   There are several possible causes of pain behind the knee. A recent injury can cause pain from a ligament tear. Sometimes a small structure in the [...]]]></description>
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<td><strong>Lately I&#8217;ve had a lot of pain right behind my kneecap, especially when going down stairs. I am only 33 years old. Could I be developing arthritis already?</strong></p>
<p> </td>
</tr>
<tr>
<td>There are several possible causes of pain behind the knee. A recent injury can cause pain from a ligament tear. Sometimes a small structure in the knee such as a bursa or plica can become inflamed and cause pain.</p>
<p>You may be describing a condition called <em>patellofemoral pain syndrome</em> (PFPS). This occurs when the kneecap is slightly off center as it slides up and down over the joint. This kind of tracking misalignment can cause the cartilage behind the knee to become torn or frayed.</p>
<p>PFPS is often characterized by pain when descending stairs. There may also be pain when trying to bend at the knee in a partial squat. An orthopedic physician or physical therapist can examine you and determine the cause of your symptoms.</p>
<p><em>The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic. For more information on this subject, visit </em><a href="http://www.zehrcenter.com/">www.zehrcenter.com</a>.</td>
</tr>
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