It is based on two principles: reduce inflammation and improve the dynamic between the patella and femur.
Only in those cases of a painful and swollen knee. The pain should be the guide for the conduct of activities. Some discomfort or bother is not a problem, rest only when there is pain.
It is recommended in the initial periods, especially at the end of the day or sports activity. It should be applied for about 15 minutes each time.
Nonesteroidal anti-inflammatories drugs
With the same objective as rest and ice, that is, to reduce inflammation and pain.
It is without doubt the essential element of any treatment of patellofemoral pain. Up to 95% of patients improve with correctly performed rehabilitation. Keep in mind that if the thigh muscles are strong, the patella will move within the sulcus femoralis with less pressure. Unfortunately, it is usual to see them being done improperly as well as the lack of continuity with the exercises by patients. In general, the lack of detailed medical information generates an incorrect execution of the exercises by the patient that does not yield any improvement. This generates disappointment that leads patients to abandoning the routines.
Exercises should be done at least 4 times a week with maximum intensity, about 30 minutes per session. There are three essential types of exercises to execute: