Sports Medicine Project Dr Brad Neal - What We’re Getting Wrong About Patellofemoral Pain & How to Get It Right with Clinically Relevant Solutions #110
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Agenda. Chapters available.
Clinical recap - Foot orthosis and PFP, Surgical case rehab & PRP for chondromalacia patella - good or bad?
Understanding patellofemoral pain biomechanics
Evidence-based interventions
Strategies for long-term management
Impact of anatomical variations
Effective patient education
Optimizing foot orthoses and footwear
Gait retraining for pain relief
Developing return-to-running protocols
Exercise programming for symptom management
Tailoring rehabilitation dosages
Advancing sports medicine practice
Breaking down myths about patellofemoral pain
Exploring cutting-edge research in rehabilitation
Learnings:
Takeaways:
Patellofemoral pain is prevalent among recreational athletes. Orthoses can be effective for patellofemoral pain management. Loading strategies are crucial for rehabilitation. Patient education is key in managing expectations and outcomes. Biomechanics play a significant role in understanding knee pain. Research is evolving, and clinicians must stay updated. The relationship between pain and tissue capacity is complex. Effective treatment requires a personalized approach. Understanding pain mechanisms can improve treatment outcomes. Collaboration between clinicians and researchers is essential for progress. Patient symptoms should guide treatment strategies. Long-term pain is common in patellofemoral pain cases. Expectations for recovery should be realistic and based on evidence. Anatomical variations can significantly impact treatment outcomes. Resistance training is crucial for joint and muscle health. Education is a key component of effective patient care. Research is needed to establish long-term treatment efficacy. Individualized return-to-run programs can enhance recovery. Understanding biomechanics is important for treatment planning. Effective communication with patients can improve treatment adherence.Chapters
00:00 Introduction and Background of Brad Neal
02:56 The Journey into Patellofemoral Pain Research
05:20 Collaboration in Research and Clinical Practice
06:11 Case 1: Foot orthosis & PFP - Do or Don't?
07:39 Orthoses in Patellofemoral Pain Management
08:42 Evidence for orthosis and PFP
10:14 Loading Strategies for Patellofemoral Pain
11:25 Foot orthosis and different feet
17:06 case study 2: PFP need surgery?
25:29 Explaining chondromalacia patelli
30:12 Diagnosing PFP
32:14 Understanding Pain: Kneecap vs. Back Pain
33:21 Nociceptive Tissue and Treatment Tailoring
35:35 The Importance of Accurate Diagnosis
37:22 The Role of Physiological Changes in Pain
38:46 Prognosis and Long-Term Pain Management
45:09 Factors Influencing Pain Duration
48:45 The Impact of Structural Variations on Pain
52:01 The Role of Resistance Training in Joint Health
54:34 mindfulness and recreational runners with patellofemoral pain.
56:06 Dosing Activity vs. Traditional Exercise
01:03:49 Pain Neuroscience Education and Its Application
01:04:52 The Impact of Exercise on Osteoarthritis
01:05:18 The Role of Education in Patient Care
01:06:09 Innovative Approaches to Patient Education
01:07:23 Navigating NHS Waiting Lists
01:08:01 The Importance of Accessible Information
01:10:05 The Future of Patient Education
01:11:26 The Balance of Information and Clinical Guidance
01:12:53 Running Rehabilitation Strategies
01:13:34 The Mechanics of Running Retraining
01:17:00 Research Aspirations in Physiotherapy
01:21:35 Personal Insights and Future Directions