Dear Colleagues,
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Any thoughts regarding this patient with posterior knee pain..?
She describes the pain as a sharp jarring sensation. It happens with every step she takes.
34 y/o female generally fit. Referred to me by knee surgeon whose diagnosis was hamstring spasm. Unresponsive to physio. Gradual onset 18 months ago when training for a marathon. Cycling out of saddle gives no pain. Only pain is on heel strike when walking (and running, but she's had to give up), and on dismounting from her bike when putting her foot on the ground. Better in cushioned shoes, worse in higher heel and barefoot. If she mid foot strikes, pain is easier. Any help appreciated.
She had hx of anterior knee pain, lateral patella facet pain, arthroscopy for this, and no other knee joint pathology evident.She has ongoing discomfort in the region of vastus lateralis , which she reports is worse as she tries to offload the posterior knee pain, but this is manageable. The posterior knee pain is preventing activity.
Many thanks, Helen
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Foot orthoses for plantar heel pain: a systematic review and meta-analysis
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Core Stability and Running
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Foot orthoses for plantar heel pain: a systematic review and meta-analysis
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Core Stability and Running
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