Anterior Knee Pain

[physiobob]

How old is he? Think about the joints above and below the knee (proximal tib/fib joint, ankle and hip) and ensure they are optimized in their function. Of course the lumbar spine should also be checked and perhaps mobilized.

A good month on glucosamine probably wouldn't hurt either? Knee pain is often insidious in nature due to prolonged overuse. As long as the pain is reducing you are on the right track. I wouldn't spend to much time doing exercise that will aggravate it as much as strengthen quads.

p.s. On the taping front, if taping is to be successful you should be able to demonstrate a good reduction in pain with stair activity immediately after the application of the tap. If you can demonstrate that then either the taping is not correct or it isn't going to help

[quorthon]

i will agree with physiobob about the lumbar spine involvement....Consider how easily the lumbar spine can refer pain on to the knee joint...I think that in every peripheral joint problem we must ALWAYS exclude any spinal component, for example in a frozen shoulder u should always screen FIRST the cervical spine...the same rule apply on the knee and a possible spine relationship.....Of course it is obvious as u describe the case that there is a dysfunction on patella, but we cannot exclude the lumbar spine...my opinion is to try in the beginning some repeated movements (ala McKenzie) and then proceed to mobilisation techniques on the lumbar and see the symptomatic response

Take care