Our treatment model is different than most, utilizing only experienced, licensed physical therapists and scheduling 60 minute visits to ensure we have the time and appropriate resources to get you better as fast as possible. Combined, we have over 50 years of Physical Therapy Experience and 30 of those years in the Bellevue, Redmond and Mercer Island areas. We have established deep and longstanding community roots and experience in the local medical community. Convenient appointment times are availible for any busy schedule, including Saturdays.
Visit us at either our Redmond or Mercer Island clinics. Please call us at (425) 883-9630 if you have any questions or to schedule an appointment.
Pain over the front of the knee is an injury frequently treated by physical therapists.
This condition, known as patellofemoral pain is due to inflammation of the under surface of the kneecap and surrounding tissues. Causes may include mal-tracking of the patella related to tight muscles, weak stabilizing muscles and poor foot biomechanics.
One or both knees may be affected, and it is more common in girls, particularly adolescents.
Sporting activities which can lead to the development of patello-femoral pain include running, walking, jumping and cycling.
Knee symptoms include pain over the front of the knee which may be brought on by prolonged sitting or going up or down stairs. There may be episodes of ‘giving way’ and feeling of ‘crunching’ under the knee cap.
Treatment for patello-femoral pain involves correcting the factors which have led to the mal-tracking. This may involve stretches and massage to tight muscles and fascia, mobilizations to the patella and exercises to strengthen weak stabilizing musclulature
Ice and anti-inflammatories may be used to reduce pain and inflammation.
Taping can be very effective in correcting the patella position in order to retrain the muscles required to stabilize it. This form of taping is referred to as McConnell taping and was developed by a physical therapist who led research into this area. She also describes a series of specific exercises which aim to strengthen particular muscles (called VMO) on the inside of the knee to stabilize the patella.
If poor foot biomechanics are indicated as part of the problem, this may also need to be addressed. If the foot rolls in too much (pronates) this can cause a ‘turning in’ (internal rotation) of the lower leg leading to altered forces through the knee.
Rehabilitation of this problem can be lengthy so following the correct stretching and strengthening program until the knee is fully stable is recommended to prevent reoccurrences. Your Advantage Physical Therapist can advise you on the best exercises to overcome this injury.