JOSPT Insights Ep 229: Best practice in managing patellofemoral pain, with Dr Brad Neal
Jul 7, 2025
In this discussion, Dr. Brad Neal, an Advanced Clinical Academic Fellow at Queen Mary University, shares his expertise on managing patellofemoral pain, a common issue across various demographics. He highlights the importance of individualized treatment approaches, emphasizing education and targeted exercises. The conversation also explores the significance of running retraining for athletes, focusing on biomechanics and symptom management. Dr. Neal underscores the need for effective patient education and tailored strategies, especially for young athletes facing long-term implications.
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Understanding Patellofemoral Pain
- Patellofemoral pain affects people of all ages, common in adolescents and military recruits.
- It usually develops gradually with diffuse anterior knee pain linked to activity changes stressing knee flexion.
Individualized Treatment Approach
- Tailor treatment to the presentation, not just the diagnosis of patellofemoral pain.
- Use education, knee exercises, supportive interventions like taping or orthoses as clinically indicated.
Effective Patient Education
- Education should be a face-to-face conversation, allowing questions and addressing fears.
- Test patient understanding by asking them to explain key points back in their own words.