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Abstract
Patellofemoral pain syndrome: conservative treatment
published in March - April 2024 - in Il Fisioterapista - issue n.2
Tommaso Pagnanelli

The patellofemoral pain syndrome (PFPS) is a condition involving the knee joint complex, primarily the patellofemoral joint, caused by imbalances in the forces controlling patellar movement during knee flexion and extension. Symptoms include anterior or retro-patellar pain exacerbated by activities such as climbing stairs or prolonged sitting, often accompanied by crepitus and mild to moderate joint effusion. Diagnosis relies on a physical examination focused on the patella and surrounding structures, with imaging studies reserved for specific cases. Treatment begins with load reduction on the joint, decreasing training volume, and educating the patient on the importance of rehabilitation. Pain management involves ice or other methods, while surgery is considered only after the failure of complete conservative therapies. The therapeutic approach includes specific exercises to improve pelvic stability and strengthen lower limb muscles. The goal is to reduce pain and restore joint function, allowing the patient to return to daily and sports activities.