The Physical Performance Show: Dr Bradley Neal, Specialist Musculoskeletal Physiotherapist, Researcher & Lecturer; Patellofemoral Pain Best Practices (2021)
In episode 296 of The Physical Performance Show Brad Beer shares a conversation with Dr Bradley Neal, Specialist Musculoskeletal Physiotherapist, Researcher & Lecturer sharing around Patellofemoral Pain Best Practices (2021) on this expert edition episode.
Brad has more than 15 years’ experience as a Physiotherapist working in the NHS in elite sport and the private practice setting serving in the role of Head of Research at Pure Sports Medicine, one of the UK leading sports medicine groups. Brad completed his PhD investigating the influence of Lower Limb Biomechanics on the development persistence and management of patellofemoral pain in recreational runners. Brad and his colleague Dr Simon Lack are educating the therapy world on how to best manage patellofemoral pain through their collaboration Team Patellofemoral Pain.
Dr Bradley Neal will recap on what Patellofemoral Pain is, the current understanding of the aetiological drivers, differential diagnosis around the front of the knee, the top five mistakes to avoid when trying to get on top of your own patellofemoral pain or, for the therapist, the top five mistakes to avoid in treating patients with patellofemoral pain, specific tips for runners with kneecap pain.
To listen to Episode 296:
Listen in as we delve into the following:
- Why Brad decided to specialise in Patellofemoral Pain
- Symptoms of Patellofemoral Pain
- Activities that can aggravate kneecap pain
- Source of Pain
- Can People with patellofemoral pain truly put it behind them?
- Impact of the symptoms
- Role of imaging in diagnosis
- Known causes of Patellofemoral Pain
- Changes in workload
- His insight on maltracking (VMO)
- 5 Common errors in kneecap Pain rehab
- Tips on strength and conditioning exercises for people with Patellofemoral Pain
- Tips for Runners with Patellofemoral Pain
- Tips to Clinicians
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“PFP is the pain around or behind the kneecap.”
“The reality is that some people can do very well when they have patellofemoral pain and they receive optimal care.”
“Some people receive good care and still don’t improve.”
“If you have PFP you’re more likely to have poor general physical health.”
5 Common errors in kneecap Pain rehab
- Too many Thigh Exercises, strong quads are an important part of the rehab process
- Not enough Thigh Exercises
- Ignoring Shoe Inserts
- Not using taping and bracing
- Not considering your psychology
“Get a glove, grab a friend, grab a ball and go and have a throw.”
To follow Dr Bradley Neal
04:00 Welcome Brad
05:00 Why Brad decided to specialise in Patellofemoral Pain
08:04 Symptoms of Patellofemoral Pain
10:40 Activities that can aggravate kneecap pain
12:05 Source of pain
18:05 Can People with patellofemoral pain truly put it behind them?
21:30 Impact of the symptoms
25:50 Role of imaging in diagnosis
33:20 Known causes of Patellofemoral Pain
38:41 Changes in workload
42:30 Brad’s insight on maltracking (VMO)
46:57 5 Common errors in kneecap Pain rehab
1:07:00 Tips on strength and conditioning exercises for people with Patellofemoral Pain
1:11:19 Tips for Runners with Patellofemoral Pain
1:14:35 Tips to Clinicians
1:18:28 Physical Challenge
1:19:15 Best Advice
Dr Christian Barton – Patellofemoral ‘knee-cap’ pain, Episode 112 The Physical Performance Show
Dr Simon Lax – Specialist MSK Physiotherapist & Head of Research @puresportsmed
Dr Rich Willy – Running Researcher & Physical Therapist at University of Montana (Assoc Prof.), Episode 74 The Physical Performance Show
For questions and comments about this Episode