Moving the kneecap medially through exercise

[Guest guest]

Question: Is this really possible? My surgeon, although he found that my

patella subluxed, didn't do a LR while he was in there and now I have to use

tape. Using tape works. But I don't want to use tape the rest of my life. My

suspicion (I see him tomorrow) is that he thinks I can de-sublux the patella

through various frustrating PT exercises. Has anyone here ACTUALLY " cured "

their CP (i.e. gotten the kneecap back on track) by strengthening various

muscles? Or is this just an attractive hypothesis?

Ann

[Guest guest]

That is actually what they tried with me for a couple months before deciding

to do the LR with my surgery. I can understand what they are trying to do

and I agree if the knee does not track severely. I believe in that case you

could retrain your muscles but I believe it would have to be caught early and

treated in that way to show any positive results. I also tried taping but my

knee cap tracked so poorly to one side that tape would not hold it and the

exercises were a waste. After having a lateral release though you should try to

start working those muscles to keep your knee tracking properly through healing

and after.

Manda

[Guest guest]

From what I've read and heard the vast majority of tracking issues

can be resolved with good physio. IE if you create a muscle

imbalance from bike riding, PT can help correct the balance and

you're OK again. It's when things start happening with high q

angles, family disposition to such problems, etc etc... that it

becomes trickier to deal with.

I " ve got tight lateral reticulums in both knees and my knee caps

sublux(5X+ a day), but they haven't subluxed on x-ray or my scope so

there isn't a whole lot my OS could except say yes I've got chondro.

My main problem is that I have a connective tissue disorder (severe

systemic hypermobility syndrome/ehlers danlos type three) which

causes many of my joints to sublux, injure, and hurt a lot among

other things. This really complicates my knee issues and makes it

even harder to deal with. I've done PT for my knees 3 or 4 different

tiems... but I " ve finally found a wonderful, wonderful PTist who

teaches other PTists in conferences and seems to know about my

issues. He's made a better PT program for me and I'm hoping it'll

eventually help. Its my last chance for any improvement in my knee

at this point.

Gosh I've rambled off on a tangent... sorry! Back to the point...

Many people with patellofemoral syndrome or chondromalcia resulting

from PFS get better with PT. There are medial glide stretches that

can be done for tight LRs and exercises to correct muscle

imbalances. I guess it all comes down to how you are built and how

that's affecting how your knee works I guess.

Take care and I hope you find relief soon!!!

-Rhea

[Guest guest]

..Rhea said:

>My main problem is that I have a connective tissue disorder (severe

>systemic hypermobility syndrome/ehlers danlos type three) which

>causes many of my joints to sublux, injure, and hurt a lot among

>other things.

I knew someone who had this. I wonder if prolotherapy would help it.

Ann