Patellar Tracking Disorder
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- Опубліковано 26 лип 2021
- Patellar Tracking Disorder
What does this mean? Do you have it? How to manage it effectively.
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Thank you very much ! It is an helpful knowledge as I'll soon begin running after a long inactivity period and I feared for my knees. Now I'm pretty confident that I'll deal with it easily. Thank you again :)
You're welcome, and thanks for watching! Best of luck to you!
How are you doing now
I have had my patella dislocated 8 months ago and I have been trying to get back to running but it’s not working how did you do it ?
Ever since I dislocated my knee 2 yrs ago, it feels like it’s going to give way when going down the stairs, and walking uphill feels so unnatural. My MRI showed no issues with the ligaments and the muscles are quite strong too (can do heavy weights). When running I get pain in my inner knee too, I have no idea what the issue could be, on a waiting list to see an ortho but could be forever since I’m seen
Hard to provide a clear answer without a personal assessment of your knee. Everything may look okay on imaging but you may still have instability of kneecap and this can cause the symptoms you are having. I hope you are able to find some answers and relief soon.
I seemed to have cleared mine up, I think(?). I tried using a flat metal bar to push at the outside of my petellar and push it towards the inside as much as I could and then I'd straighten and bend my leg to try and force it to get used to the motion of my leg. In addition to that I would lay down on my side, grab the foot the ailing patelllar is and bend it to give myself a quad stretch.
It's cleared about 90% of it up but it's done nothing for what sounds like a bag of crinkly things coming from my knee whenever I bend my leg. Does the sound of twisting celery coming from the knee whenever you walk on it indicate anything bad? I don't even know if there's a fix for that.
Good question, most of the time the sounds coming from the knee does not indicate anything bad unless it is accompanied by a sharp increase in pain, swelling, or other symptoms. These noise often diminish over time as swelling decreases and strength and stability of the knee improves. However, some individuals will continue to have a "noisy" knee forever.
In November I had my quad tendon reattached and I was doing so well in PT. Two weeks ago while testing strength we heard a crunch that immediately had me nervous. ROM is now less than it was. Saw my Ortho and have an MRI next week. My knee cap is moving way too freely and I'm concerned it's back to surgery for me. Any exercises for someone recently in surgery with PTD?
As this is a unique circumstance I recommend consulting with your personal PT and doctor regarding what exercises and activities you can and can’t do. Hope you feel better soon and best wishes!
Thank you for the video. Great, helpful, easy and short. I have PTD for almost a 4 month causes by over load.
1. How long do you think will take to put it back in place
2. Will it get back perfectly to the same spot as it use to be or never
3. Is it worth working on releasing the IT band
4. Surgical way (in cease of successful result) would you consider as an option?
Thank you
Thank you for watching.
1. it really varies it can take a number of weeks or months to notice an improvement. If you don't start to see improvements within a few months I would consult with a PT or doc.
2. It is possible to get the patella in a stable position where you essential don't have any pain or issues. Again, lots of variability
3. Not necessarily, with massage and activities we don't actually release the IT band tissue as it is very thick and requires tremendous force to do so. This is more of a symptom management strategy.
4. The surgical option can have good outcomes and I've worked with some people who've gone that route. Much better to determine if surgery is appropriate via consult with an orthopedic surgeon if it gets to that point.
Hope this helps let me know if you have any other questions.
@@KneeReplacementTherapists when you say get the patella in a stable position do you mean where it’s supposed to be/original position, or?
I had knee surgery and I’m 6 weeks out starting PT.
When I straighten my leg after bending it, my kneecap feels like it shifts and it kind of hurts. Definitely not comfortable, do you think this is correctible with exercise? I didn’t move my leg for nearly 6 weeks.
Most likely as you initiate exercise and build strength especially in the quadricep muscles in your thigh this will lead to better stability in the kneecap.
What bout fluid and popping and tight muscles with this ???
Thanks for watching please see my reply on your other comment.
i got acl surgery twice most recently two years ago and i continue to suffer from this i did therapy for 7 months and have been doing leg strengthening lifts since and it seems to get worse throughout the years it feels as if it’s bruised and always catching and locking feels out of place how am i supposed to get my quad and hamstring back to normal if my knee keeps buckeling from overuse
This can be difficult. Something you may want to consider is electric stimulation for quad strengthening or aquatic therapy to better tolerate strengthening exercises. Hope this helps!
I'm not sure if this applies to me. When I walk, it's like my lower leg is going to disconnect completely from the femur. The femur goes laterally and my leg looks very bowed. When I stand things look normal. It's when I walk that it looks really bizarre. I had an ACL replacement on this leg in 1995. Is that what PTD looks like? Thank you for your video.
Oftentimes alignment issues of the leg don't present when not moving but then can be seeing with movements such as walking, squats, steps. What you're describing is called knee varus. Patella tracking issues tend to be more a side effect or consequence of this alignment issue than the cause. It's not definite that you have a tracking issue but I would say you are at a higher risk due to the issues with the alignment of your leg with walking.
How can we be sure that we have patellar tracking disorder? Should we ask our doctor to have an x-ray our knees bent? I've seen many many doctors for this problem and none of them ask for an x-ray of my knees bent. Even if we have this problem our patellas would be in its groove when our legs are straight. Am I wrong?
In most instances the patella may remain "in place" while statically observing the knee with imaging or the naked eye. This concern more often presents itself with dynamic movements such as a squat, going down a step as the patella is moving in relation to the femur behind it.. and also based on clinical presentation and history. There is no specific test unfortunately that proves patellar tracking issues, it is rather suspected based on multiple physical indicators such as the leg "giving out", alignment issues at the hip or foot/ankle, assessing patella position with knee flexion and extension.
Understood. We need to develop a new imaging technology where we can see the joints in motion for this specific problem. Maybe.
bot of my patella's lack mobility when pushing down, how can I fix this?
You can try some patella mobilization techniques. Either you or someone else gently using your fingers to move the kneecap in all different directions, lateral, medial, up/down.
When i teist my foot all the way backwards my knees stay inplace looking forward
Interesting. If you are having pain or other issues I definitely recommend consulting with your doctor and/or physical therapist.
What bout fluid and popping with this ???
You may experience these symptoms with patella tracking disorders including with some of these exercises. This can potentially be due to the kneecap contacting other bones or the friction between the kneecap and muscles, tendons, ligaments. Fluid / swelling in the knee can exacerbate these issues or can be a symptoms of patella tracking issues.
Love the 2008 intro
🙃
My patella is at the lateral outside knee 😭
Are these helpful for me?
Tibia is bowled & foot is pronated 😭
These exercises can potentially be helpful for what you are dealing with. Please consult with your doctor / physical therapist before attempting any exercise regimen.
Mri said “lateral patella dislocation” but it’s not necessarily dislocated completely, more drifting from side to side and not stabilized correctly. Do the same exercises apply? Very confused 😂
These exercises would still be beneficial for what you are describing, but I would recommend confirming with your doctor or a PT before performing as I don't know all the specifics of your particular situation. Thanks for watching and the question!