Dear ALL,
Any help will be greatly appreciated.

I have a patient who is 47yrs old lady and has had Rt. Knee re-do arthroscopy debriment and lateral release - 01.03.2007. Had earlier arthroscopic Debridement - 25.01.2006. Surgeon notes says - Anterior knee pain syndrome with patella tilt.

Initially after post op she was seeing a physio and was doing fine but then suddenly stared getting pain in her patellar tendon on active contractionof quads. When I saw her she is not able to actively extend her knee and complains of shooting burning pain in anterior aspect of knee. There is NO tenderness anterior to the knee. Patella was stable and non-apprehensive. Full range of passive ROM with no pain. Pain only on active knee extension. Recent Wikipedia reference-linkMRI - 21 June 2007, the specialist notes says mild to moderate patella tendonitis and surrounding lining. No other signs of abnormality, although little bit of irregularity on the outer aspect of knee where the lateral release was done. Wikipedia reference-linkMeniscus and all structures fine. The specialist again sent her back to physio and said wil not give any injection at this stage.

We have been trying to to concentric and eccentric work on her knee, but very gradual and minimal improvement. Also tried Hydro. Can any one please share their expertise in this condition. I would really aprreciate this. I have informed the patietn that I am placing her case in this forum and hope to get an answer for her.

Thank you to every on out there.

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