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

Sports Medicine Project

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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