Knee Fat Pad Impingement Physiotherapy Management

Knee fat pad impingement involves the infrapatellar fat pad, a soft tissue structure beneath the kneecap (patella) that cushions and reduces friction during knee movement.  Management Strategies:  Pain Management: Medications: Over-the-counter pain r

Knee fat pad impingement involves the infrapatellar fat pad, a soft tissue structure beneath the kneecap (patella) that cushions and reduces friction during knee movement.

Management Strategies:

  1. Pain Management:

    • Medications: Over-the-counter pain relievers like ibuprofen or prescribed medications may be used to manage pain and inflammation. Follow dosage instructions and consult your healthcare provider before starting any medication.

  2. Rest and Activity Modification:

    • Reduce Activity: Rest is crucial to allow the fat pad to heal. Avoid activities that worsen symptoms, such as repetitive knee bending or kneeling.

    • Modify Activities: If certain activities contribute to impingement, modify your technique or use supportive knee braces to reduce pressure on the fat pad.

  3. Physical Therapy:

    • Stretching Exercises: A physical therapist will guide you through exercises to improve flexibility and reduce tension in the surrounding muscles and tendons.

    • Strengthening Exercises: Targeted exercises can help strengthen the muscles around the knee, providing support and stability.

  4. Corticosteroid Injections:

    • In some cases, a healthcare provider may recommend corticosteroid injections into the fat pad to reduce inflammation and pain.

  5. Ice Therapy:

    • Cold Compress: Applying a cold compress or ice pack to the affected area for 15-20 minutes at a time, several times a day, can help reduce pain and swelling.

  6. Patellar Taping or Strapping:

    • Taping or strapping the patella in a specific manner can help reduce pressure on the fat pad during movement.

Lifestyle Modifications:

  • Maintain proper knee alignment during daily activities to minimize stress on the fat pad.

  • Ensure that your footwear provides adequate support and cushioning for the knees.

Follow-Up and Monitoring:

Regular follow-up appointments with a healthcare provider or physical therapist are crucial to assess progress and adjust the treatment plan as needed.

By Charlie Molloy

 

Nick Stamatiou

Nick has a strong interest in sports and musculoskeletal physiotherapy and is motivated to help people reach their desired goals and to achieve their full potential.

His experience includes:

  • Sports and musculoskeletal physiotherapist in a private practice setting

  • Orthopaedic and Rehabilitation inpatient physiotherapist at Brisbane Private Hospital

  • Clinical Reformer and Mat-work Pilates instructor

  • Football gameday physiotherapist

While Nick is skilled in managing all areas of musculoskeletal physiotherapy, he has a particular interest in the rehabilitation of muscle strains, hip, knee and lower back conditions. Nick offers dry needling, massage and joint mobilisation to compliment exercise prescription.

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