Lateral Patellar Compression Syndrome Rehabilitation

Lateral Patellar Compression Syndrome Rehabilitation

Ask your health care provider which exercises are safe for you. Do exercises exactly as told by your health care provider and adjust them as directed. It is normal to feel mild stretching, pulling, tightness, or discomfort as you do these exercises, but you should stop right away if you feel sudden pain or your pain gets worse. Do not begin these exercises until told by your health care provider.

Stretching and range of motion exercises

These exercises warm up your muscles and joints and improve the movement and flexibility of your knee. These exercises also help to relieve pain, numbness, and tingling.

Exercise A: Medial patellar mobilization, seated

  1. Sit with your left / right knee out in front of you and slightly bent. You can put a rolled towel or small pillow under your knee for support.
  2. Place your left / right palm on the outside of your knee. With your index finger and thumb, form a “C” shape around your kneecap. Your thumb will be above your kneecap and your index finger will be below it.
  3. Use your hand to gently slide your kneecap toward the inside of your knee. Keep your leg relaxed. Use your other hand to keep your knee steady. You should feel a slight stretch on the outside edge of your kneecap.
  4. Hold this position for __________ seconds.

Exercise B: Hamstring, standing

  1. Stand with your left / right leg straight and your foot resting on a chair.
  2. Arch your lower back slightly.
  3. Lean forward at the waist, leading with your chest, until you feel a gentle stretch in the back of your left / right knee or thigh. You should not need to lean far to feel the stretch.
  4. Hold this position for __________ seconds.

Repeat __________ times. Complete this stretch __________ times a day.

Exercise C: Iliotibial band

  1. Lie on your side with your left / right leg on top.
  2. Bend your left / right knee and grab your ankle.
  3. Slowly bring your knee back so your thigh is behind your body.
  4. Slowly lower your knee toward the floor until you feel a gentle stretch on the outside of your left / right thigh. If you do not feel a stretch and your knee will not fall farther, place the heel of your other foot on top of your outer knee and pull your thigh down farther.
  5. Hold this position for __________ seconds.
  6. Slowly return to the starting position.

Repeat __________ times. Complete this stretch __________ times a day.

Strengthening exercises

These exercises build strength and endurance in your knee. Endurance is the ability to use your muscles for a long time, even after they get tired.

Exercise D: Quadriceps, isometrics

  1. Lie on your back with your left / right leg extended and your other knee bent. You can put a small rolled towel or pillow under your knee.
  2. Slowly tense the muscles in the front of your left / right thigh. You should see your kneecap slide up toward your hip or see increased dimpling just above the knee. This motion will push the back of the knee toward the floor.
  3. For __________ seconds, hold the muscle as tight as you can without increasing your pain.
  4. Relax the muscles slowly and completely.

Repeat __________ times. Complete this exercise __________ times a day.

Exercise E: Straight leg raises (quadriceps)

  1. Lie on your back with your left / right leg extended and your other knee bent.
  2. Tense the muscles in the front of your left / right thigh. You should see your kneecap slide up or see increased dimpling just above the knee.
  3. Keep these muscles tight as you raise your leg 4–6 inches (10–15 cm) off the floor.
  4. Hold for __________ seconds.
  5. Keep these muscles tense as you lower your leg.
  6. Relax your muscles slowly and completely.

Repeat __________ times. Complete this exercise __________ times a day.

Exercise F: Wall slides (hip and knee extensors)

  1. Lean your back against a smooth wall or door, and walk your feet out 18–24 inches (46–61 cm) from it.
  2. Place your feet hip-width apart.
  3. Slowly slide down the wall or door until your knees bend __________ degrees. Keep your knees over your heels, not over your toes. Keep your knees in line with your hips.
  4. Hold for __________ seconds.
  5. Stand up to rest for __________ seconds.

Repeat __________ times. Complete this exercise __________ times a day.

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