Patellofemoral Pain is a Multifactorial Complex Condition; Are We Missing a Multidisciplinary Approach to its...

Area of Science:

• Orthopedics and Sports Medicine
• Rehabilitation Science

Background:

• Patellofemoral pain is a widespread musculoskeletal issue causing anterior knee pain, aggravated by activities increasing joint stress.
• Its origins are multifactorial, including biomechanical, muscular (hip/knee weakness), and psychological elements like kinesiophobia.
• Impaired movement and muscle deficits are common in patellofemoral pain patients, contributing to or resulting from the condition.

Purpose of the Study:

• To explore the multifactorial nature of patellofemoral pain.
• To highlight the impact of the condition on patients' quality of life.
• To discuss current and emerging management strategies for patellofemoral pain.

Main Methods:

• Literature review of biomechanical, muscular, and psychological factors in patellofemoral pain.
• Analysis of the impact on physical function and quality of life.
• Evaluation of current treatment modalities and emerging interventions.

Main Results:

• Patellofemoral pain significantly impairs physical function and quality of life, with potential progression to osteoarthritis.
• Exercise therapy and adjunct treatments are current standards, but adherence and long-term success are challenging.
• Obesity, patient education, self-management, and dietary interventions targeting inflammation show promise for enhanced outcomes.

Conclusions:

• A comprehensive, multidisciplinary approach is essential for managing patellofemoral pain.
• Integrating patient education, self-management, and anti-inflammatory strategies may improve treatment efficacy.
• Addressing psychological factors and obesity is crucial for holistic patient care in patellofemoral pain.