WHAT IS IT? FAT PAD IMPINGEMENT

  • Fad pad impingement occurs when the infrapatellar of the knee becomes irritated or impinged.

  • The fat pad is well innervated, and therefore a sensitive structure

  • The infrapatellar fat pad lies beneath the patellar tendon, behind the patella, and in front of the distal end of the femur.

  • Also known as ‘Hoffa’s disease’

 

Signs and symptoms

  • Pain below the patella

  • Tenderness on squeezing either side of the patellar tendon

  • Patella is tilted inferiorly

 

 

WHAT CAUSES IT?

  • Excessive hyperextension of the knees in standing
  • Increased anterior pelvic tilt
  • Repeated hyper extension of the knee
HOW TO SELF MANAGE

 

  • R.I.C.E. protocol

  • Monitor stance and sporting technique to see if hyperextension is a contributing factor

  • Improve your posture and core stability with a Pilates program

PROGNOSIS
  • Conservative management should be enough to manage mild to moderate arthritis

  • Once pain becomes constant and severe, and life activities are significantly impeded then specialist intervention may be required

HOW PHYSIO HELPS?
  • Assess your knee to confirm that the fat pad is impinged

  • Assess the patella for inferior tilt

  • Trial taping technique to offload the irritated fat pad

  • Correct postural contributing factors (lumbar lordosis, pelvis tilt, degree of hyperextension in standing and in sport)

  • Assess and correct muscular imbalances

 

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