Anterior Knee Pain

[pudding_bowl]

If the pain is OA - you may have reached your plateau with the patient. You have decreased his pain by half and hense have done very well this far.
How long has he had the knee pain, why did it come on... as well as the back assess the ankle also. What are his golf shoes like?

[physiojlb]

Thankyou for your replys. Following your comments I assesed his lumbar spine, he has stiffness at L4/5 and whilst treating his lumber spine and he reported a sensation in his knee during mobilisation.

The patient is aged 58. The pain was insidious onset and he has had a history of around 3months.I have assesed his ankle and there are no problems there.

I am also treating him for neck pain/ache. Which is related to a trigger point in upper-trapezius and some tenderness over C4/5. He also has a forward head posture. I have been doing TrP release, and lots of soft tissue work, aswell as stretching, Csp mobs and DNF exs.

I am starting to question my effectiveness with this patient and am wondering how much is due to psychological and OA factors...

I am considering if there is no progression this week I shall recommend glucosamine and refer him on to a personall trainer for general fitness.