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Knee cap pain or knee cap pain, also called patella femoral syndrome, is one of the most common knee joint injuries that can cause pain. When a joint is in trouble, all the movements of the body in which the joint is involved are also disrupted. In the case of the knee, the range of motion is very wide. The symptoms seen in the front of the knee and the pain in the area can be due to a variety of causes. The fix for each of these factors is different. Below we discuss knee pain and more specifically the injury and pain of the knee bowl.

- Dr.Ali.Noghrekar

How to deal with motion restrictions and knee pain?

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Knee cap pain or knee cap pain, also called patella femoral syndrome, is one of the most common knee joint injuries that can cause pain.

Knee cap pain or knee cap pain, also called patella femoral syndrome, is one of the most common knee joint injuries that can cause pain. When a joint is in trouble, all the movements of the body in which the joint is involved are also disrupted. In the case of the knee, the range of motion is very wide. The symptoms seen in the front of the knee and the pain in the area can be due to a variety of causes. The fix for each of these factors is different. Below we discuss knee pain and more specifically the injury and pain of the knee bowl.

What is Knee Bowl Pain?

 

Knee bowl pain is a disease that can affect both young and middle-aged people. The knee or patella consists of a joint with the femoral end called the femur. That is, a thigh bone is placed in the knee bowl. The pain that occurs in the front of the knee is usually related to impaired patellar joint function in the patella, which is called patellar syndrome. Often, patella syndrome occurs when the knee brace is inflamed and stressed for whatever reason. Inflammation occurs when the thighs do not move well in the patella and the two are not in good shape.

If we were to look at this from a scientific point of view and examine the anatomy of the hip, we should say that it is the knee bowl that is placed in the femur. The quadriceps are attached to the knee from the top and continue from the bottom to form the patellar tendon beneath it. Another soft tissue that is attached to the patella at the knee is the patella retinaculum. The patellar retinula is actually a tendon with a tendon that is in and around the outside of the patella.

 

What Are the Symptoms of Knee Bowl Pain?

Symptoms of Knee Bowl Pain

The most common and most common symptom of knee pain is pain in the front of the knee. Activities where the front part of the knee is active can also be painful. For example, switching from sitting to standing, going up and down stairs, going downhill and jumping will cause pain in this area.

In addition, you may hear a buzzing sound. This sound is produced by the patella of the knee, so-called bony abrasion (crepitus). Of course, the sound of bone abrasion is not a concern unless you feel pain with it.

 

Causes of Knee Bowl Pain

There are many factors that can cause knee pain. The structure and movements of the foot, muscle strength and flexibility of soft tissues are all factors that can cause pain in the front of the knee.

Some people may feel pain in the knee bowl due to heavy movements. In these people, this activity and excessive knee movement can cause excessive patellar movement. Excessive patellar movement over time can also lead to inflammation of the patella, which can cause pain.

In the past, patellar pain was only related to the tissues around the knee and the patella itself. But nowadays we know that patellar pain can not only be investigated on an island basis. That is, this pain should be considered along with the symptoms, pain, and behavior of other parts of the body. In fact, in most cases to alleviate the patellar knee pain, all of the lower trunk or at least the related parts that are directly involved in the patellar function of the knee should be examined and treated.

This type of look might give us a better understanding of the pain situation of the patella, which connects the muscles and tissues associated with the patella to a piece of bone between a series of bony tissues that are actually like a train moving on a rail. , consider. Knee patrol function is just like a train on a train. When the patella of the knee is out of alignment and its function is disturbed, the patella may not be the problem itself but the path of the patella. Like a train that may get off the rails due to a problem on the rails. For example, due to improper movement of the foot, muscles, and other tissues along the path, it may cause inappropriate patellar movement and damage to it.

The patella is removed from the groove, a condition that causes the tissues around the patella to become inflamed and painful.

The two sections that have the most movement along this path (the path to the patella) and can cause problems are the foot and the hip. The foot may rotate inward (pronation or in English pronation), causing the knee and thigh to move forward. This movement causes the patella of the knee to move out of the groove and cause problems.

One other part of the body that can cause excessive movement and exhaustion of the patella is the pelvis. The weakness of the muscles around the pelvis is the cause of the problem. If the muscles around the pelvis are not strong enough, the leg of the hip joint may rotate too far inward, again causing the path in which the patella is located to move, resulting in the patella being in the groove. Remove the groove.

In fact, the patella position in the middle of the pelvis to the bottom of the leg is similar to a ball placed on a bar. If the strap moves too far from the top or bottom, the ball will pop out of the bar.

 

Conservative treatment of knee pain

Methods of treatment of knee pain pain

Pain in the knee joint, as in all other joints in the body, should be treated on a regular basis. That means, first of all, the inflammation and the inflammation that created it must be somehow eliminated. When the inflammation disappears, joint pain is greatly reduced.

This can be done largely by ice treatment. There are a number of treatments available to reduce inflammation in the knee, all of which can be prescribed by your doctor as part of your knee pain treatment process. For example, taking anti-inflammatory drugs is one of the options that may require medical supervision and prescription. If ice therapy and medication are not effective, you can try cortisone direct injection. This procedure is performed only by one expert. The good thing about this method is that it is much more effective than the previous two and minimizes inflammation in the joint.

Next, knee injury should be avoided. In the case of difficulty in removing the patella from the groove, this should be done by preventing the movement of the foot from circulating internally. The pain decreases over time and the inflammation subsides when you can prevent damage to the patella.

One way to prevent internal rotation of the foot is to use proper footwear. In general, running sneakers have a significant effect on the control of over-leg movement and stress and pressure on knee tissues. You can also use special medical shoes for this. Medical shoes designed specifically to control movement and stabilize the foot are very suitable for this purpose.

Another way is to use suitable shoe insoles. Shoe insoles should be designed specifically for this purpose. However, you can use a medical shoe insoles ready for this. Of course, its shape and design must be approved by your doctor to make sure that what you are doing is really about improving the condition and condition of your foot.

The problem of over-patrolling the knee using the knee can also be greatly controlled. The knee strap helps the patella to stay in place and prevent it from moving too much and possibly slipping out of place (ie the thigh groove).

 

Appropriate exercises to treat knee pain

Proper exercises to treat knee pain pain

Exercises for the knee joint can be very different. These exercises are determined by the symptoms of patellar pain. Of course, the symptoms and symptoms of knee pain can also be due to various reasons. This is why a more thorough examination is needed to determine the appropriate knee pain exercises.

In the past, exercises intended for knee pain were focused solely on strengthening the quadriceps. That is, only the thigh muscles were strengthened. This was because it was thought to be the main problem of the internal flattened muscle (known as the vastus medialias oblique). In other words, the problem of patellar removal was justified by the fact that because of the weak internal muscles, the patella moves outward from the knee and out of place. Moving the patella out of the groove causes the inner side of the patella to tighten and become inflamed. That's why the focus has always been on strengthening the quadriceps.

However, we now know that this type of analysis is not entirely correct and cannot be the answer to the problem that arises. Medical science is now arguing that to treat the problem of knee patency exiting the groove, the whole leg from top to bottom should be examined and its movements and position corrected. Muscle flexion around the pelvis and knee play an important role in reducing pain and inflammation. On the other hand, different muscles in the head, such as the iliotibial band, the hip flexor muscles, the hamstring muscles, and even the leg muscles, can all have negative effects on the position of the bones.

As mentioned earlier, hip and knee muscles strengthening should be considered as part of a treatment plan to reduce knee pain. Quadriceps strengthening, hip abductors, and gluteal muscles are also included in the strengthening program.

The important thing about strengthening exercises is that all of these exercises are painless. Especially strengthening the quadriceps should be completely pain free. If the pain is felt while performing any of these movements, it will mean that it will only cause more inflammation in the leg and therefore have to stop.

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About Dr.Ali Noghrekar

Dr. Ali Nogareh, Specialty of Pain Fellowship of Iran University of Medical Sciences, Specialty Board of Anesthesiology and Critical Care, Tehran University of Medical Sciences

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