chapter 12: Nonoperative Treatment

"The winner has an answer for every problem; the loser has a problem for every answer. "

One thing remains clear in the minds of orthopedic surgeons, physical therapists, and other health care providers: nonoperative treatment provides satisfactory results in most patients with anterior knee pain (1‑9). In fact, Jensen and Albrektsen (10) have shown that 81% of patients treated for patellofemoral pain without malalignment had mild or no pain at 12‑year follow‑up.

Whereas a decade ago nonoperative treatment for the patient with patellofemoral pain was highly standardized, usually involving aspirin, quadriceps strengthening, and limited activity, today the physician or therapist will design a much more specific program tailored to the unique physical findings of the patient. The goal of patellofemoral rehabilitation will be to define the problem(s) and organize treatment accordingly.




Inside Chapter 12: