Originally Posted by lovescatstoo
I have Patella femoral syndrome and iliotibial band syndrome of both knees. I have had this pain for many years. Was doing well. Now I am in constant pain. I do wear a cho-pat straps on both knees and do not sit with knees bent very long. I do not go up or down stairs. And I am taking advil four times a day. I am not a runner. I am trying to walk more to gain strength in thigh muscles. I use heat, tiger balm muscle cream a lot. I sleep with a pillow between my legs. I was wondering if there is any hope of being pain free one day?
One thing is for sure and that is that no single non operative approach has shown it is better than any other. The usual treatments have been to make your quads stronger, taping the patella, mobilizing the patella, friction massage, sort tissue work and orthotics, at times all of these or just some.
What I have managed to glean through the web is that some work was done years ago by the late Dr Janda, Hungarian I think which makes sense and may be is being considered of again as of help in assessing PFS. You say you have iliotibial band syndrome, the tensor fascia acts through it pulling upwards and forwards. It helps in flexing and medially rotating the hip and help lift the leg away from the body. Patients with weak hip flexors often have PFS. In sitting, flexors such as psoas can have significant weakness. If these weaknesses are present you may have an unstable pelvis and your pelvic mechanics do not allow your femur to rotate properly and the patella will be misaligned in the groove. See a physiotherapist who knows what this all means and have him or her test you for the weaknesses and if present get an exercise program.