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I have lots of experience of this problem. Very frustrating advice to strengthen the vmo from physios. Didnt work for me. I found it practically impossible if there are any serious pfj issues. All quad strengthening exercises engage the patellar in the pfj joint and to grow muscle you need to overload the muscle (even minimally) And in my case i get pain and inflamation which switches off the muscles. A vicious circle. The joint needs to dealt with 1st therefore - and not the other way round. How to deal with the joint itself thats another issue which i could write a book about. 15 years right knee problems Isolated pfj arthritis patellar/ femeral groove2014 LR + chrondoplasty + microfracture
Quote from: Svatopluk on November 02, 2019, 12:28:31 PMI have lots of experience of this problem. Very frustrating advice to strengthen the vmo from physios. Didnt work for me. I found it practically impossible if there are any serious pfj issues. All quad strengthening exercises engage the patellar in the pfj joint and to grow muscle you need to overload the muscle (even minimally) And in my case i get pain and inflamation which switches off the muscles. A vicious circle. The joint needs to dealt with 1st therefore - and not the other way round. How to deal with the joint itself thats another issue which i could write a book about. 15 years right knee problems Isolated pfj arthritis patellar/ femeral groove2014 LR + chrondoplasty + microfractureI second this, having exactly the same experience myself.
My conundrum is that whilst the knee does not interfere much with daily life, i cannot now remain active and the my lookout is a sedentary life with all that brings. The general opinion seems (from professionals) i should just put up with it which I take to mean ‘watch it get progressively worse’ with continued muscle wastage weakening the whole joint until in 10 years time they give me a total (i am now 58).