Revolutionising patellofemoral syndrome treatment with Winback TECAR therapy.

Patellofemoral Syndrome (PFS), also known as Patellofemoral Pain Syndrome (PFPS), is one of the most common causes of anterior knee pain seen by healthcare professionals. Patients often describe a diffuse pain in the front of the knee, which worsens during activities that place stress on a bent knee, such as running, climbing stairs, or squatting. PFS is typically diagnosed by excluding other conditions, particularly those involving the intra-articular or peripatellar regions. Although most patients experience relief with conservative treatments, there are instances where symptoms persist despite ongoing therapeutic efforts.

Resistance training targeting the quadriceps and hip muscles has been proven to be effective in reducing pain and improving physical function. Strengthening these muscle groups can enhance biomechanics, reduce abnormal joint stresses, and provide pain relief through exercise-induced hypoalgesia.

A recent study conducted in Denmark and published in the Journal of Orthopaedic & Sports Physical Therapy (November 2024) revealed notable findings. For patients exhibiting tendencies towards pain catastrophising or those with a Body Mass Index (BMI) above 25, a hip-strengthening programme may be more beneficial than a quadriceps-focused strengthening plan. On the other hand, for individuals experiencing more severe knee pain at the outset, strengthening the quadriceps may lead to better outcomes.

Incorporating WINBACK TECAR therapy into existing hip and quadriceps strengthening routines three times a week for 12 weeks could potentially improve symptom resolution and promote functional recovery in patients with patellofemoral pain. Recent research from Denmark suggests that using the SLIM+ Hands-Free programme for individuals with a BMI greater than 25 could further enhance the effectiveness of traditional hip-strengthening physical therapy methods. This programme involves the use of diathermy to boost fat metabolism and activate the treated area, while the Hi-EMS setting on SLIM+ may assist with lymphatic drainage and improve postural toning. Additionally, the Hi-TENS modality could support epidermal toning, collectively promoting better pelvic posture, which is essential for maintaining patellofemoral health.

For those with severe knee pain at baseline, studies indicate that a quadriceps-focused strengthening regimen may be the most beneficial approach. In these cases, integrating the Rehab+ protocol into standard rehabilitation could be a highly effective addition. Specifically, the RET (Low) setting can help improve blood flow, reduce pain, and enhance muscle activation. Moreover, the Hi-EMS setting on Rehab+ may facilitate gentle muscle contractions, providing mobilising effects during the exercise routine.

As with all forms of patient care, the management of patellofemoral pain syndrome requires a tailored approach to achieve the best possible treatment outcomes. Identifying whether a hip- or quadriceps-based strengthening programme is necessary is a key first step. Furthermore, the bespoke use of Winback BACK4 Hands-Free modes can complement traditional treatments, maximising therapeutic effects and supporting patient recovery.

Reference: Differential Effects of Quadriceps and Hip Muscle Exercises for Patellofemoral Pain: A Secondary Effect Modifier Analysis of a Randomised Trial.

Reference: Differential Effects of Quadriceps and Hip Muscle Exercises for Patellofemoral Pain: A Secondary Effect Modifier Analysis of a Randomised Trial.