I have hoffa's disease and was curious as to what could help or worsen it, got any advise? Have already had surgery twice... and physical therapy
2006-12-14 05:00:31 · 4 answers · asked by Anonymous in Health ➔ Diseases & Conditions ➔ Other - Diseases
Hoffa's Disease is also known as Fat Pad Syndrome.
Anterior knee pain is caused by impingement of the fat pad between the patella and the femoral condyle. Inflammation of the fat pad is present and it may be associated with infrapatellar bursitis. It is commonly caused by direct trauma or post-surgical.
Pain is usually exacerbated by knee extension (straightening the leg). Sometimes scar tissue forms and pulls the inferior pole of the patella (bottom of the kneecap) backwards - which may increase impingement. Mobilization of the patella and breaking up scar tissue, ice, ultrasound, and knee ROM and strengthening exercises would be involved in physical therapy treatment. Anti-inflammatory meds, rest and activity modification should help the pain. Excision of the fat pad may be done as a last resort.
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