DiscoverSports Medicine ProjectDr Brad Neal - What We’re Getting Wrong About Patellofemoral Pain & How to Get It Right with Clinically Relevant Solutions #110
Dr Brad Neal - What We’re Getting Wrong About Patellofemoral Pain & How to Get It Right with Clinically Relevant Solutions #110

Dr Brad Neal - What We’re Getting Wrong About Patellofemoral Pain & How to Get It Right with Clinically Relevant Solutions #110

Update: 2024-12-141
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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.






PMID: 39401870
PMID: 25716151
PMID: 29793124
PMID: 25558288 
PMID: 26884223 
PMID: 31475628
PMID: 25569281



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



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Dr Brad Neal - What We’re Getting Wrong About Patellofemoral Pain & How to Get It Right with Clinically Relevant Solutions #110

Dr Brad Neal - What We’re Getting Wrong About Patellofemoral Pain & How to Get It Right with Clinically Relevant Solutions #110

Blake Withers