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Article: Special tests in the clinical examination of patellofemoral syndrome Back to article | View all comments

Author: Tom Plamondon PA-C | August 12, 2009

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October 04, 2009 08:12 PM
Tom Plamondon PA-C's avatar

The patellafemoral syndrome pain may limit aerobic exercise.  The best aerobic exercise may be pool exercise.  Caution with leg kicking during any of the strokes (breast, freestyle, backstroke, and fly) so a small flotation device can be placed between the knees.  This limits the need to use the legs during swimming (especially freestyle). 
For weight loss, I also recommend 5-7 servings of fruits and vegetables per day, plenty of water, and 120 minutes of exercise per week.  Added options to this basic program are to limit carbs to less than 270 grams per day and to limit/eliminate comfort or trigger foods (which compel a person to overindulge or compulsively over-eat) from their diet.


October 04, 2009 08:03 PM
Tom Plamondon PA-C's avatar

Yes, obesity is a risk factor for patellafemoral syndrome. 

Reference: The pathophysiology of patellarfemoral arthritis, Grelsamer RP et al, Orthop Clin North Am, 2008 July; 39 (3); 269-74.


October 03, 2009 10:38 AM
M. Jagesh Kamath, M.D.'s avatar

Very informative.Would correction of obesity improve function and relieve the symptoms?


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