The ‘Best Practice Guide to Conservative Management of Patellofemoral Pain’: incorporating level 1 evidence with expert clinical reasoning (Barton et al, 2015).
Patellofemoral pain (PFP) is a common cause for knee pain in general practice and sports settings. Pain is aggravated by running, stairs, and squatting. The majority of suffers report an onset of pain in early adolescence and chronic ongoing pain for up to 20 years.
A number of high-quality reviews covering conservative interventions for PFP provide greater guidance for research and clinical practice.
Four key principles to ensure effective management include:
(1) PFP is a multifactorial condition requiring an individually tailored multimodal approach.
(2) Immediate pain relief should be a priority to gain patient trust.
(3) Patient empowerment by emphasising active over passive interventions is important.
(4) Good patient education and activity modification is essential.
Research supports a multimodal treatment approach including:
The ‘Best Practice Guide to Conservative Management of Patellofemoral Pain’ has been based on a combination of contemporary level 1 evidence and the analysis of international experts’ clinical reasoning: