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This website uses JavaScript to apply discounts. The 7 exercises listed below will help keep the muscles around your knees and hips strong and flexible! SUwb1G9tdO7JwPUeXeqRaQ2Wlv0BBmGu1/2yEpJbl5gosLL8QW12gGbCGtZp7Xna6HOII40nvGqU 0000009474 00000 n At first, directly following an injury or flare-up of patellar tracking disorder, patellar subluxation, or patellar dislocation, knee activity should be reduced. Then lift your other leg on to the step. 3eoa3bnN7uHp6HtJ8UlNHL6DTlvve7JyKxkSHNrLNrQW7S1u6t2hPu+KSmTejOZY14zsogNe0tL2 WebKnee pain associated with patella alta (PA) can limit involvement in sport or work activities and prevent an individual from performing basic functional tasks. 2011-06-24T11:55:42-07:00 Your use of this information means that you agree to the Terms of Use and Privacy Policy. .DqbU(c>edM"C %DF^KD8t#!&K/O0@tqRR z1wJg5SL/&/ endstream endobj 136 0 obj <>>>/EncryptMetadata false/Filter/Standard/Length 128/O(pCeLPn*"i}5)/P -3388/R 4/StmF/StdCF/StrF/StdCF/U(p 6NUas )/V 4>> endobj 137 0 obj <>>> endobj 138 0 obj >/PageWidthList<0 419.528>>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/TrimBox[0.0 0.0 419.528 595.276]/Type/Page>> endobj 139 0 obj <>stream 0000001406 00000 n This information does not replace the advice of a doctor. This abnormality may cause increased pressure between the back of the patella and the trochlea, irritating soft tissues. 0000248494 00000 n << /Type /ExtGState 0000001714 00000 n The patella, or kneecap, is a small, inverted (upside down) triangular bone that sits at the front of the knee. 67LXiuppe93DWgkn4AIE0kAlT67K9vqNLd43N3AiWnuPJK1EEKYx9jgytpc5xhrWiSSewCSgLU9j Request for confidential communications forms. /OP false a7MDoP2Glz2Y3omvGdXkC6b35D3sF9b6/U0aAXfmiEeKdrRDHwjatPtS9LwuhZ2RmG+nDqoZe7Ha /ca 1 dGdSHHCtIJ1a/e5028l0vPc6ntz5pe5JXCGzYcHKqLbKrixreCHs3CRodWk6numpQto6SabCMS/0 0000066644 00000 n xmp.iid:D4656DF4201B1168B34BA564586C664B endobj Lie on your back with your good knee bent so that your foot rests flat on the floor. Keeping your ankles together, slowly lift your top knee up. saved Patella Alta: A Comprehensive Review of Current Knowledge. Adobe InDesign 6.0 cf8A/Jxi/wDpmr/9tU/F84Y8/wDNy8ny1abiKSUpJSklKSUpJT2/Uuq4OVl19Ec/1mXuxHPfk2Tj gF7Q6AeRr8ElMfsmJs9L0a9gEBuwRB7RCSmX2fH27PTbs52wNs66xx3SUwOFhuY2t1FZYwbWgtBg /op false Begin by lying on your stomach with both legs stretched straight behind you. af6ykpH9h3A78GknVmr925n0RuJb+6TokpevDf8Apm2YdTWmx1rQ2wkPdJG4tiGy06pKXqqya9kY H\j0Fz endobj Slowly slide your hips down the wall until your knees are bent at roughly a 45-degree angle. / As you step down, try to keep your affected knee moving in a straight line toward your middle toe. 1, 2 Patellofemoral pain syndrome can be caused by direct trauma to the knee, or Many options exist for treating patellar instability. u&*1tYem@eF XG=S\ohp7nu"Z$Z&q(V4m|fiL]y^bTL`46ikeF?XbUl. Hold for about 6 seconds, then return to the starting position, with your knee somewhat bent. %PDF-1.4 % 0000078511 00000 n /O 166 Incorrect taping method as performed by the patient. There are a number of other conditions which cause anterior knee pain and present with similar symptoms to patella alta. /;/metadata wPIeGNBDLA5+SyNx7hrpPYBCcpxA3TjhjkToN6/lq57vsmT1Lold7W5NQwa22V+o1gJBuO0uc9gB << Knee braces or arch supports may help improve pain. aA2zprQW2Ne2tl5LSS107jtbxxHEx4SkplZjWPxWUu6duYCa3Um//BvG58mYI3NAg8jySUszEcyy Adobe InDesign 6.0 % ws9QAOBc5w0LjPuJ193+sJKbSSlJKUkpxPrgwWdFe08Gxn5UzJsuhu+cu6XXThekxvrPaGeROwt7 Start each exercise slowly. Hold your leg at the top position for one second. Typically, your kneecap will shift too far towards the outside of your leg (laterally), but you can experience a shift towards the inside of your leg (medially) as well. /LastChar 173 Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. 0000072321 00000 n 0000025645 00000 n 0000029195 00000 n Make sure your knees do not go in front of your toes. Patella alta describes a high-riding patella which engages the trochlea later in flexion than normal, giving the patella less boney stability. xmp.did:74117FEA2007116883808B8213850D82 IEYgDo9L9QX76+peQq/JanxYpu71n/lHoX/pws/9sc9OWsfqr/4l+h/+EcX/AM8NSU2OqU9OeW3Z 0000067341 00000 n The authors report no declarations of interest. endobj 0000040602 00000 n slide 3 of 6, Half-squat with knees and feet turned out to the side. AE4Wf+2OenLWP1V/8S/Q/wDwji/+eGpKbma5zbWk5rcVhY5mwhsl7vov3PP5u06JKabXWlljx1tj GQaRlOL7WuJZvOwj27jr7UlOg3p9TXh/qXEtMgGwkcbYjwSU2GMDGNYCSGgAEmTp4lJTJJSklKSU Out of all the others, yours is so informational and easy to read." AQACAwQFBgcICQoLEAABBAEDAgQCBQcGCAUDDDMBAAIRAwQhEjEFQVFhEyJxgTIGFJGhsUIjJBVS In some people, the patella is b2Nk2Frj7iGgagTqpchFUxwjK7dTqeN1Dq/2d/TNXY/qbgHhjpdt7kgdlWEgN2zwGWzd6d0jL6Ti Various surgical techniques are available to address the specific underlying pathologies causing patellar instability. Picture illustrating the patellar alignment of the right (a) and left (b) knee of the patient. 1hNstAAh53CAOyiMDAmPZnGQZAJDYvU/UfRnUf6tX5LUYrZOz1n/AJR6F/6cLP8A2xz05ax+qv8A 0000014937 00000 n Tie the ends of an exercise band together to form a loop. +lUlOf1b6z/VuzP6K+vq2C9tOc99jm5NRDGnDzWbnEP0G54HxKSn/9k= /Type /Catalog /OP true 0000004200 00000 n Adobe InDesign 6.0 0000004678 00000 n u7jvokprCrp+MwVUdNuHq0gFtNe2Ge5wZu3tAI3u0n+CSkbqOnOAa7pWS5rXOe1pbIJcQ1xg2xr6 /Encoding 172 0 R 0000008064 00000 n saved Gardening and yard work can be a great form of both exercise and stress relief if done correctly Jennifer Keitel, a native of Dewitt, Iowa, grew up as an Iowa Hawkeye fan. 0000037107 00000 n trailer <<86143857737144CA850C8F701D72AFD3>]/Prev 507900/XRefStm 1406>> startxref 0 %%EOF 124 0 obj <>stream 0000001733 00000 n This case report UkpSSmm+vqe6w1upif0e4HiQdYb4fFJSg3qUsg0FkAvJ3Oc7UzBG0cRrHyCSmAb1rcwu+ybQZeGh This knee brace can help with a number of injuries involving patella tracking, kneecap irritation, or patella misalignment. WebPatellar Malalignment Patellofemoral pain syndrome can also be caused by abnormal tracking of the kneecap in the trochlear groove. No worries, youre not alone! 0000018659 00000 n lJftX+Ln/uX0n/2Ip/8ASiSmVed/i8qsbbVm9KY9hDmubkUgggyCP0iSm7/zp+qn/l1g/wDsZX/6 / Predisposing factors include both morphological and functional patellofemoral disorders: [9] [10] [11] Ligament laxity (can lead to atraumatic dislocations) [1] Slowly bend your knees so that you squat down like you are going to sit in a chair. Journal of Biomechanics. /Type /Font When your knee is bent past this point, your kneecap will have more contact with your thighbone, causing more pressure, pain, and possible cartilage damage. MdtIaXkgciRPmQkpM5zX0l7SC1zZBHBBCSnM6z/yj0L/ANOFn/tjnpKY/VX/AMS/Q/8Awji/+eGp WebPATELLAR INSTABILITY Home Exercises When the knee bends, the patella slides evenly up and down within a groove at the end of the femur. 0000001603 00000 n /FontBBox [ -52 -193 1300 914 ] Og9PjXcgDISpcRjlC/5fm2zj/Vq3Jsx/smMxv2y/Ea9tr5FTajY2z+cid4gHjsheQDfou4cRNUN6 eQ1ux0QC4hu6W+rxM9/mkpE6zrYax7a6QSD6jCOXbg1sO9Yfmme/gkplRZ1gk/aK6uYaGiNA8N3f Hcdpk8SmMrmdZ/5R6F/6cLP/AGxz0lOT9X/rB9VT9Vul4Wd1TABbgY9d1NmTU0gipjXMe0vBnsQU saved Your affected leg should be straight. BMJ. BJSG7opun9fzK9znOPpvY3R0+0fo9AJ0SU6LGljGtLi8tABc6JMdzAASUySUpJSklKSUpJTSPWMF 6USUr/nT9VP/AC6wf/Yyv/0okpX/ADp+qn/l1g/+xlf/AKUSUr/nT9VP/LrB/wDYyv8A9KJKV/zp official website and that any information you provide is encrypted endobj If youre worried about your kneecap subluxing or dislocating again, try wearing a knee brace throughout the day and while exercising to prevent maltracking of your kneecap. Hhorj3QQC0nzlJSzftHpNsf1hgD2Q1zW07d4Jre5pI19zmiOx8ZhJSau6uH1O6iyw3NDaj+jDmk6 WebPain during exercise and activities that repeatedly bend the knee, such as climbing stairs, running, jumping, or squatting. saved Hold for about 6 seconds, then lower your leg slowly. %PDF-1.4 % /ca 1 /SMask /None K12 HD055931/HD/NICHD NIH HHS/United States, UL1 TR000448/TR/NCATS NIH HHS/United States. 0000026239 00000 n 0000004237 00000 n /op true Jo, UK. ifgkpKzpLGOa/wC1ZbiwAe650Ej84gQCTHw8klJnYLXzN10O9QEb9CLBqPl+b4JKQnpDCwtdlZR0 Wl~>t6]Peo^{! Y2/zb/6p/Ikpy+s/8o9C/wDThZ/7Y56SmP1V/wDEv0P/AMI4v/nhqSnQvx8e/Jq9fGbdsa5zL3Bj Gz+?X$mg}s6g_(D\s 6S;^m=:&$dJU,7k-S9:>8R6I`*S55xD>'``Q|H22t1a:}jm 9{Z|C@m&z/}KK$|ii!>QI+. y+0mrNxX1t1LWkFwaOSSLP4JKR05wLm+p1HDfBIsFYDZLZmJufEaeP8AclMxmt21zn48vktOnuH0 Patellofemoral pain syndrome (PFPS) is one of the most common causes of anterior knee pain encountered in the outpatient setting in adolescents and adults <>/Metadata 764 0 R/ViewerPreferences 765 0 R>> 0000003224 00000 n vbu2Dc+AQ0t8jx8UlNuvqOJbcMdhf6hJbBrsAkbvziwD81JTw/8AjAH+XaD/AN1Wf+fLk0rouNj1 FOIA Patella Alta is what is known as an idiopathic condition, meaning that the cause of high riding patella is typically unknown. xmp.iid:0B71896C20321168B34BA564586C664B Patellar tracking disorders refer to different medical conditions that cause your kneecap totrack out of place when you bend or straighten your leg. 0000038146 00000 n /SMask /None / 0000001944 00000 n /BleedBox [ 0 0 836.22 595.276 ] The open patella design of this brace improves its flexibility and keeps pressure off your sore kneecap. The first is known as a traumatic patellar dislocation. KX4sOaNnqB4IftE6A6iZKSmdv7T3XeiceNn6AP3zv8Xx+b8ElMMn9s6/Y/sxkGPV3iDLtv0edNsp 0000049429 00000 n 0000002423 00000 n / Influence of patellar position on the knee extensor mechanism To be eligible for discounts, please enable JavaScript for your browser. XAOPX9ZPrARrm2ceX9yFpoM3/WXrzGtjKte97gxjGxLnHgDRAypIjZVX9ZevWM3farWOBLXMdtlr Mjs7Ozs7Ozs7Ozs7Ozs7Ozs7QEBAQEA7QEBAQEBAQEBAQEBAQEBAQEBAQEBA/8AAEQgBAADGAwER 72.00 0000039340 00000 n 0000040329 00000 n WqXEsyOx1n/lHoX/AKcLP/bHPUjGx+qv/iX6H/4Rxf8Azw1JTsJKUkpSSlJKUkpSSlJKUkpSSlJK But with patella alta, because the kneecap is sitting higher than normal in the shallower part of the groove, there is less sideways stability. If you do not have a footstool, you can use a thick book, such as a phone book, a dictionary, or an encyclopedia. /Type /FontDescriptor False %PDF-1.4 When inflamed, the infrapatellar fat pad can be pinched between Adobe InDesign 6.0 1 0 obj <>]/Pages 3 0 R/Type/Catalog/ViewerPreferences<>>> endobj 2 0 obj <>stream Here are some examples of exercises for you to try. / 0000006268 00000 n Visit the front knee pain diagnosis section to find out more. 0000083929 00000 n 0000022753 00000 n We are available M-F 8:30 AM - 5 PM CT. WSA2Gw2Wn9ztykpTsjp+NaG2ZeUTU4ksh9gJZA922t2g9OefNJSOx3TmhpfnZ3vYNrQbQQGONbiQ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Only use your affected leg to bring you up on to the step. Keeping your back straight, step up with your affected leg. Patella is the largest sesamoid endstream endobj 3 0 obj <> endobj 6 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>>>/XObject<>>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 7 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>>>/XObject<>>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 27 0 obj <>stream 0000003601 00000 n 0000007550 00000 n Adobe InDesign 6.0 xmp.iid:EC423A7920251168B34BA564586C664B }ylnm?-D*pCrqBvU:3U*8L#itDf'*|;OMv=YGgt.Fj*dHF,:c*|20 c$`1y3I[':b JOn7N#CS%xIBSDeH#Q{>qdz[ > 48UBqOh;luzAwdUDmdS>u2-vsmo S&};umbNC>bInyl>Am+6s64ih6'!FwS=a:Gcolbl- q~!a~7_-J]v Unable to load your collection due to an error, Unable to load your delegates due to an error. Slowly lift one leg upward as far as you can . WebPrimary patellar dislocation is defined as traumatic disruption of the previously uninjured medial peripatellar structures. Y+n2cCkpdubVXdtvzqJY4sfWS1pl0Fo1dMj8UlPEf4xbAzrlP/hRn/ny5Nkvjs4NGT6ePZa47QYa Adobe InDesign 6.0 0000000017 00000 n 0000007892 00000 n VtNEWUVX7rSWvbY973A1iNRY9zddvM66cpEkpprj7OwhwwswG8Fz/Tc/a03Dc8wbWwfeRoJEeQQU Ice Packs:regularly applying ice packs can help reduce pain and inflammation with symptomatic patella alta - /;/metadata vch3V7OT90q/YXW//K/K/wC2bP8AyKXuQ7q9nJ+6VfsLrf8A5X5X/bNn/kUvch3V7OT90q/YXW// 6l7du7Rg1bMhJTLI6MzJx349mTkAP3gvDmbosABbrWRGngkpmOmx6f61kRWx7ANzRO/dq6Gct3af 0000001096 00000 n I will be putting the stretches and exercises into practise. 0000025971 00000 n YWN6TTYBY2z3FkO9MbDVpOgPuSUytdntJFGFQ4Na30y63b7uXDSl0QUlJqWve5xyaKqyCDXtIcTI kpSSnIvzn1ve05jwfVgBmJY8NAJbslrXT2k/H5JSfKyH4jSLclzY3P3Ch1ntdO1vsHIj4pKRDLuD 0000004791 00000 n xmp.iid:61B952D220301168BC05A9DFDBC72DD4 Adobe InDesign 6.0 /L 338486 169 0 obj 0000007372 00000 n default xmp.iid:EC423A7620251168B34BA564586C664B xmp.iid:EC423A7820251168B34BA564586C664B HEEB0aGD3QtNFiihSSlJKbvRP+WcD/w1T/58amZPkPkyYf5yPmH1frP/ACj0L/04Wf8AtjnrMdtz Slide a rolled up towel or blanket under one knee so that it is slightly bent. 0000007927 00000 n 5lh+V9Xs/m3f1T+RWmu5fWf+Uehf+nCz/wBsc9JTH6q/+Jfof/hHF/8APDUlNrqHV8Xpt1FF7Xuf WebPatellofemoral pain syndrome (PFPS) is one of the most common conditions limiting athletes. WebPatellar Taping:taping can also help to correct the position of the patella. 0000097272 00000 n Move back to the starting position, with both feet on the footstool or book. 0000007900 00000 n 2011-07-18T12:32:34-07:00 2011-06-24T13:15:27-07:00 Treatment of Patella Alta with Taping, Exercise, Mobilization, and Functional Activity Modification: A Case Report. /FirstChar 1 MeSH - Running further than you are used to doing too quickly. proof:pdf Rachel L. Lenhart, Scott C.E. >> Supportive braces. X `Am\ >qVH0xr" )~Vb H0NP`r%Xg\ ; C endstream endobj 286 0 obj <>/Filter/FlateDecode/Index[26 213]/Length 30/Size 239/Type/XRef/W[1 1 1]>>stream Brandon, Colin R. Smith, Tom F. Novacheck, 168 0 obj xmp.iid:EC423A7520251168B34BA564586C664B WebComplete recovery after patellar stabilization ranges from 3-6 months or longer, depending upon the procedure performed. x][o8~/AYE] u,vEc=J$vlcWuP--sx\(j=)gox].:|\Vg_\O5Rju~}0_! Put your good leg about a step behind your affected leg. Taping the patella medially: a new treatment for osteoarthritis of the knee joint? 0000040663 00000 n bvHu2Rx93CSmdWSy1/phr2u2h/uaQIIB+lxOvCSnjfrt1nq3T+sU0YOS+ip2O17mtiC4vtE6jwCB saved /Flags 4 0000001276 00000 n s6g4fpMathER+k3DmP3B+br+CSkrbMk3+m6kCqB+k3A6+G3nw/15Sk21vgElK2t8AkpW1vgElLpK For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. Adobe InDesign 6.0 xmp.iid:0B71896B20321168B34BA564586C664B It presents as pain just below the 0000006882 00000 n /CA 1 0000039991 00000 n 0000017313 00000 n eToxEVpkSx6z/wAo9C/9OFn/ALY56chj9ViB9VuiEmAMDFkn/iGpKb1znueHU5LGAD6JggnXlEEI saved QCHcyAdUlLjBwxW6kVN2P0c2NDqTr/nFJSx6dgusbaaW72OL2O7tc7dLh4E7ykpspKUkpSSlJKUk trailer xmp.iid:EC423A7A20251168B34BA564586C664B 0000036819 00000 n bvr3te11Q3NsJlw7Smx4vyXTEBVgaAtK3E6G/pTcgVYzBZVVY2xlpN32p9g9Sj0zYSGNYT+bxrKe f+nCz/2xz0lMfqr/AOJfof8A4Rxf/PDUlJuqjAcXNybraLRS5wspB3srBhzmkMcAdYREqQRbRDuh But/STDXSXGXe4b7GiPmkpHfTivaK3YGZY1oYAQ8iIJeP8ODILufxSUkyW49L3FuFk3faY3vqP7o saved This site needs JavaScript to work properly. 0000004567 00000 n tltT3Oa+kta8FjiQXucxg0B+kWafLxTuAosL/tbD3sYC+Xtc4ex35jW2EHTna6UuEqtF+3+mm/7O u8UbKZxc/c4ubsbY/czds3F7hft8Pzj3jWUlMb68T7S6q3Hz3G0kOe2y70/00T9G0NEF0CPo9ohJ tuMHa1gmTuiPzSlwFVhVfV+n22OqZYd7Kxc5rmuaQwmJ9wHz8O6RgQqwzw+o0ZwDscOc2HbnEQGu 2011-07-06T07:30:49-07:00 0000068824 00000 n saved 0000007500 00000 n Adobe InDesign 6.0 /Contents 183 0 R This case demonstrates the effective use of a taping method for the treatment of pain associated with PA. Taping appears to be a safe, conservative, and cost-efficient measure to manage symptoms and to improve activity tolerance in this patient. The authors alone are responsible for the content and writing of the paper. y7L]BFFcnqt]; 86sE8#v,_7Rht5DP4NvB4{_^v,lWQE-hWUm"|[g+',"db :3$1e^2Z13I4KC3lAoNjh8{'4:Tjp[JXdx;VxGw5EM=?RlM`=c&sovD"mxa+Bj2lx[m]G.ma(f ,.ei3hyh%-,:7FQ1If\lq |PlZE x1 30HQ!A^1!!Clq b+PPgj\VUi|?le`_\v02l0 #; endstream endobj 123 0 obj <>/Filter/FlateDecode/Index[17 68]/Length 21/Size 85/Type/XRef/W[1 1 1]>>stream Lie on your side with the leg you are going to exercise on top. Adobe InDesign CS4 (6.0.6) 0000008601 00000 n 0000188307 00000 n 0000046076 00000 n /ID [<443d2f177b4ada677ab4e36944422e70><443d2f177b4ada677ab4e36944422e70>] KEY POINTS The goal of surgery is to restore normal tracking of the patella and restore stability. 0000049524 00000 n Attach one end of the loop to a secure object, or shut a door on it to hold it in place. AJR6F/6cLP8A2xz0lMfqr/4l+h/+EcX/AM8NSU7CSlJKWiOElK2t0MDTjySUukpSSlJKUkpSSlJK KdG+i61wdXk2UDa5u1grIJPDvexxkduySkQwcsOn9oZB0iC2iOZ7UD4f7UlLvw8pxBbn3sgNBDW0 E+SivVk6Nm3peNaGva0MsY4OaQNAR2QtLbfiVkte5wfthoA+A17IkCtEmRLPGYfttBkEB7PwcE0b PDF/X-3:2002 652 587 588 618 272 575 678 788 650 658 688 705 688 628 569 0 0 0 0 0 0 0 0 Pain on the front of the knee after sitting for a long period of time with your knees bent, such as one does in a movie theater or The common causes of patella alta are: Typical symptoms of patella alta include: To diagnose patella alta, your doctor will start by examining your knee. 0000009390 00000 n IKMPz3Mj18f1HCBAMB2nHu17o+lHqS2V5u9zqbGbTw17SY07QR3QFKIkqkdQF59d1Rp12hgdu5G2 The patient was a 56 year-old female with bilateral knee pain associated with PA. uuid:db03cf78-26df-4a78-abaa-f236e97c1c97 C1q 2T99[AS?cL>C. nb?-zmCr J8Zs3OPA)4r76sNiK0@=`c";Y*hs.P8*2q /N 8 pPTLrGMDqg1rAG7WF+g3PYIM6f1vCUlK6ji9Pre667p9uV6kOca2mw7o2Abd2nt8PywkpWLVg/aq /Parent 162 0 R AAIRAQMRAf/EAUIAAAEFAQEBAQEBAAAAAAAAAAMAAQIEBQYHCAkKCwEAAQUBAQEBAQEAAAAAAAAA It is also important to listen to your body. Note: For straight-leg raise exercises, your physiotherapist may have you add light ankle weights as you become stronger. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 0000008388 00000 n For recommended treatments, please consult with your health care provider. Hold your knee straight. Do this for 8 to 12 repetitions several times a day. /E 51657 Excellent work. Amy, UK, "Your site and exercises have been a lifesaver! The patellar tendon is soft tissue that connects the tibia bone to the patella. /ViewerPreferences << /Direction /L2R >> (Or you can have someone hold one end of the loop to provide resistance.). 0000029835 00000 n >> /XObject << /X1 184 0 R /X2 210 0 R /X4 211 0 R >> >> 0000014990 00000 n 0000009830 00000 n 2011-06-24T13:10:17-07:00 0000013982 00000 n /OPM 1 /SA true 0000004461 00000 n 0000008045 00000 n 2011-06-24T11:44:09-07:00 0000053729 00000 n You might also be interested in the following articles: Page Last Updated: 03/22/22Next Review Due: 03/22/24, 1. Keeping the thigh muscles tight and your leg straight, lift your leg up so that your heel is about 12 inches off the floor.