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Anterior Knee Pain in Female Athletes: Management & Rehab Exercises

Learn about the anatomy, symptoms, risk factors, causes, and treatment options for anterior knee pain in female athletes. Discover specific exercises, bracing techniques, and footwear considerations to alleviate pain and promote recovery.

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Anterior Knee Pain in Female Athletes: Management & Rehab Exercises

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  1. Anterior Knee Pain in Female Athletes Management and Rehab Exercises Monica A. Nickoli, LAT Staff Athletic Trainer Fisher-Titus Medical Center

  2. Anterior Knee Pain • Anatomy • Signs and Symptoms • Risk Factors & Causes • Treatment • Exercises • Bracing and Footwear

  3. Anatomy • Femoral Groove • Patella • Max contact between femur and patella @ 90 degrees • Forces up to ½ body weight during walking, 3 x during stairs and 7 x while squatting

  4. Signs and Symptoms Risk Factors and Causes • Muscle imbalances • Core, glutes, hips • Patellar hypermobility • Poor flexibility • IT band, hams, quads, calves • Flat Feet • High arches • Hyperextended knees • Poor footwear • Overuse • Overload • Repeated activity, uneven surfaces • Diffuse “achy” pain • Popping or Clicking • Swelling is rare • Pain with prolonged sitting “theatre sign” • Knee “gives out” • Pain with uneven surfaces • Pain with hills • Pain with stairs • Pain with squats/lunges

  5. Treatment • Rest • Remove Irritant • Squats, lunges, etc • Alternate Exercises • Biking, swimming • Reduce Mileage • Ice • NSAIDS • Stretching • Strengthening

  6. Strengthening Exercises • Studies have found anterior knee pain highly correlates to weak hip musculature Study 199 people with overuse anterior knee pain Group 1: Knee/thigh strengthening (6 weeks, 3x week) Group 2: Hip/core strengthening (6 weeks, 3x week) Results: Group 1: 77% reported decrease in pain Group 2: 80.2% reported decrease in pain Difference: Group 1: results felt after 4 weeks Group 2: results felt after 3 weeks

  7. Treatment Phase 1Greatly reduce mileage & introduce low impact activities (bike, swim, elliptical) Strengthening 3 sets of 15 • Quad sets • Calf raises • Squats • 4 way leg raises • lying vs standing • Bridges • Clamshell Stretching 3 x 30 sec hold • Hamstrings • Quads • IT Band

  8. Treatment Phase 2Begin to increase mileage while decreasing low impact activity Strengthening 3 sets of 15 • Step ups • Side Step ups • Squat walks w/band • Forward/lateral • Bridges w/band • Clamshell w/band Stretching 3 x 30 sec hold • Hamstrings • Quads • IT Band

  9. Treatment Phase 3Full mileage & stop low impact activity Strengthening 3 sets of 15 • Vector Squats • Unilateral Dead Lift • Stool Squats • Step Downs • Lunges • Unilateral Bridges Stretching 3 x 30 sec hold • Hamstrings • Quads • IT Band

  10. Bracing and Footwear • Bracing • Controversial • Patella moves in several planes • Used for subluxations • Footwear • Fit for foot type • Arch Supports/Orthotics • Correct biomechanics

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