Page 54 - 2021 IDMT Digital

PATELLOFEMORAL PAIN SYNDROME (PFPS)
Introduction:
• 3)36 LV FKDUDFWHUL]HG E\ GLIIXVH DFKLQJ DQWHULRU NQHH SDLQ
• 7KLV LV QRW JHQHUDOO\ D UHVXOW RI DFXWH LQMXU\ DQG LV FRQVLGHUHG DQ RYHUXVH SUREOHP
• 3)36 LV H[DFHUEDWHG E\ FOLPELQJ VWDLUV UXQQLQJ NQHHOLQJ VTXDWWLQJ RU DIWHU
SURORQJHG VLWWLQJ

Subjective:
• 6LJQV DQG 6\PSWRPV
o 3DLQ LQ WKH DQWHULRU NQHH ³XQGHU´ WKH NQHHFDS
o 3DLQ PD\ DOVR EH UHIHUUHG WR WKH PHGLDO RU ODWHUDO SDWHOOD DQG WKURXJK WKH NQHH
o 6ZHOOLQJ LV XQOLNHO\ ZLWK 3)36
• )RFXVHG +LVWRU\
o 5HFHQW LQFUHDVH LQ H[HUFLVH
o +LVWRU\ RI WUDXPD
o $FWLYLWLHV WKDW FDXVH SDLQ
Objective:
• 3K\VLFDO ([DP
o 3DOSDWH WKH XQGHUVXUIDFH RI WKH SDWHOOD
o 3RVLWLYH SDWHOODU DSSUHKHQVLRQ VLJQ
o 3RVLWLYH SDWHOODU JULQG WHVW
o &UHSLWXV QRWHG ZLWK IOH[LRQ
Assessment:
• 'LIIHUHQWLDO
o 0HQLVFDO ,QMXU\ WHQGHUQHVV WR SDOSDWLRQ DORQJ WKH MRLQW OLQH LQMXU\
o $&/ ,QMXU\ HIIXVLRQ RI WKH NQHH
o )UDFWXUH WHQGHUQHVV WR SDOSDWLRQ RYHU ERQH
o 3DWHOODU VXEOX[DWLRQ SRVLWLYH DSSUHKHQVLRQ VLJQ
o 3&/ WHDU SRVLWLYH VDJ WHVW SRVWHULRU GUDZHU WHVW
Plan:
• 5,&(
• 16$,'V IRU SDLQ VKRUW WHUP
• If certified in Battlefield Acupuncture (BFA) and with preceptor concurrence, consider
administering up to 10 treatment sessions as an alternative to NSAIDs as long as
there is clinical benefit and no worsening of the patient’s condition
• 3DWHOODU VWDELOL]DWLRQ EUDFH
• 27& RUWKRWLFV LI HYLGHQFH RI SHV SODQXV
• 3K\VLFDO WKHUDS\ LV WUHDWPHQW RI FKRLFH

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