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Manual therapy such as patellar joint mobilization, manipulation and soft tissue mobilization along with physical therapy exercises is found to be effective in treating PFPS. However, there is not enough evidence that supports lumbopelvic spine manipulation has any effect on the quadriceps muscle activation to improve function & reduce pain.
A patella fracture is a break of the kneecap. [1] Symptoms include pain, swelling, and bruising to the front of the knee. [1] A person may also be unable to walk. [1] Complications may include injury to the tibia, femur, or knee ligaments. [2] It typically results from a hard blow to the front of the knee or falling on the knee. [1]
A patellar dislocation is a knee injury in which the patella (kneecap) slips out of its normal position. [5] Often the knee is partly bent, painful and swollen. [1] [2] The patella is also often felt and seen out of place. [1] Complications may include a patella fracture or arthritis. [3]
Patellar tendonitis is inflammation of the patellar tendon. A physical therapist shares the 5 best exercises to help relieve patellar tendonitis pain.
The patella rests in the trochlear, which is found in the distal part of the femur. The patella can dislocate from the groove because of trauma or an unnatural twisting of the knee. [5] When dislocated, the soft tissue layer that the patella rests in is damaged; the patella is forced out of its groove and back into place.
This first way is the patellar tap. It is to squeeze the fluid between the patella and the femur by pressing at the medial patella using a non-dominant hand. Then, using the dominant hand to press on the patella vertically. If the patella is ballotable, then patellar intra-articular effusion is present. Another way is the milking of the patella.
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