Physio Network [Physio Explained] Assessment and treatment of patellofemoral pain with Dr Natalie Collins
Jan 14, 2026
Join Dr. Natalie Collins, an expert APA Sports and Exercise Physiotherapist from The University of Queensland, as she dives deep into patellofemoral pain. Discover key signs like crepitus and how to address them with patients. Natalie emphasizes the importance of a thorough assessment and shares effective load management strategies for treating knee pain. Learn about the role of foot orthoses, how they may work biomechanically, and the teamwork required with podiatrists for optimal outcomes. This insightful discussion is packed with valuable clinical tips!
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Diagnosis Relies On History Not One Test
- Patellofemoral pain (PFP) lacks a single definitive physical diagnostic test and relies heavily on the patient interview.
- Use the consensus definition: pain around/behind the patella aggravated by at least one load-related activity like squatting or stairs.
Noisy Knees Aren't Always Harmless
- Crepitus can be benign and not directly related to pain or disability in many patients.
- However, crepitus may also predict future osteoarthritis, so avoid dismissive language and be mindful when explaining its significance.
Use Loading History And Direction Tests
- Assess relevant loading history and ask what activities aggravate symptoms to guide treatment choice.
- Use the treatment direction test during the provoking activity to trial interventions and guide your starting treatment.