Patellofemoral pain: results of nonoperative treatment.

ABSTRACT

Nonoperative treatment of patellofemoral pain has a long-standing tradition of success. I will discuss the scientific background and practical application of such treatment. Evaluation and treatment should include lower extremity flexibility, muscular control, and careful evaluation of tender structures. Avoiding pain during rehabilitation is important and suggestions for this are included in this review. Emphasis on accurate diagnosis, careful clinical evaluation, activity modification, flexibility, and strengthening in creating an effective program are discussed and the literature is reviewed. Most patients should go thorough nonoperative treatment before elective surgery for patellofemoral pain is prescribed.