Hi, would you please be able to elaborate on the link between the association of fat pad syndrome and menstrual cycle? I have infrapatellar fat pad impingement in both knees and this can become extremely painful in line with my menstrual cycle. Some months it can be hard to stand and walk. I and am trying to understand the link and what I can do about this. My consultant and physio are unaware of the reason and this is the first time I have come across someone mention that the 2 things may be linked. Any guidance would therefore be very much appreciated! Many thanks for your help.

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Quote Originally Posted by linbin View Post
hi all
since its felt as a fat pad syndrome,the line of management will be a bit different.as all know,fad pad syndrome has an indirect association with the menstural cycle.history regarding it becomes relevant.
the pain and associated symptoms arises when effusion in the infrapatellar region lift the fat pad up due to the density difference.this come into contact with the highly innervated and sensitive synovial membrane.
so to relieve the symptoms there should be minimising of contact between the fat pad and synovial membrane.
so the treatment plan include
taping technique
management directed to reduce effusion
activity modification
avoiding of position which causes excess contact of fat pad with synovium