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Patellofemoral pain — MRCGP AKT MCQ

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HardKnee InjuriesPatellofemoral painMRCGP AKT

A runner with improving patellofemoral pain becomes symptomatic whenever weekly mileage is doubled. Strength and gait assessment show no red flags. What is the best rehabilitation adjustment?

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Correct answer: D — Graded running load with ongoing strengthening

The best answer is “Graded running load with ongoing strengthening”. Patellofemoral pain responds to progressive load management and combined hip and knee strengthening. Abrupt workload increases commonly exceed tissue capacity; symptoms guide a gradual return, while analgesic masking, permanent avoidance or premature cessation of strengthening undermines rehabilitation.

Reference: NHS inform: Patellofemoral pain syndrome: https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/leg-and-foot-problems-and-conditions/patellofemoral-pain-syndrome/