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

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
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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