Anterior Knee Pain- Adult Leeds

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1.  Information Resources for Patients and Carers

Quick info:
Patient information

information leaflet for Joint/Joint Line Pain (Meniscal Tear, Ligament Injury, Cartilage Injury)

Information leaflet Osteoarthritis of Knee

Decision Aid Knee Replacement

patient information leaflet for knee replacement surgery from Arthritis Research UK.

Patient Information Leaflet Surgery BMI over 35

Knee Replacement Patient Information Leaflet

information leaflet for anterior knee pain

information leaflet for patella tendinopathy

patient information leaflet for Baker's Cyst

information leaflet for bursitis of the knee.

information leaflet for patellofemoral pain

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2.  Referral Forms

Quick info:
Referral Forms

Quick View - PDF
MSK4 Knee Form V3
MSK5 Knee Replacement Triage Form V3
MSK 6 Acute Severe Knee Injury Form V3
MSK14 Problem not on Pathway Form V3

Mail Merged
The forms below are provided as a repository. They can be downloaded to your computer and be imported to your clinical system. This is so all practices have access to the most up to date forms.

EMIS - merged
MSK4 Knee Form V3
MSK5 Knee Replacement Triage Form V3
MSK 6 Acute Severe Knee Injury Form V3
MSK14 Problem not on Pathway Form V3

SystmOne - merged
MSK4 Knee Form V3
MSK5 Knee Replacement Triage Form V3
MSK 6 Acute Severe Knee Injury Form V3
MSK14 Problem not on Pathway Form V3

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3.  Anterior Knee Pain

Quick info:
GP Information
Anterior Knee Pain is a relatively common presentation and careful history and examination will often reveal the likely diagnosis. See information leaflet for assessment of anterior knee pain.

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4.  Patella Tendon/Soft Tissue Focal

Quick info:
GP information
The clinical features of Patella Tendinopathy are outlined in the information leaflet attached to the 'Anterior Knee Pain' node. When diagnosed, a period of self-management is often reasonable, and the following points can be discussed with the patient.

  • relative rest and avoidance of provocative activities
  • pain relief and management of any swelling (ice etc)
  • simple methods to correct any identified biomechanical errors, eg well-supporting footwear such as a laced trainer, or use of insoles to correct flat feet, etc
  • provision and discussion with the patient of the patient information leaflet attached to the 'Self-management' node. Eccentric loading exercises are of proven benefit in tendinopathies, and a general outline is described on the information leaflet which the patient could try at home.

It would be reasonable to arrange review at 4 weeks, and if symptoms persist, an onward referral to Tier 1 physiotherapy would be appropriate. If the patient has significant symptoms, or perhaps leads a particularly active lifestyle which is interrupted by this problem (patellar tendinopathy most frequently occurs in sporting populations), then an earlier referral to Tier 1 physiotherapy could be instigated. The rationale would be to ensure the patient follows the eccentric loading exercise regime correctly.

There is also provision to refer to the MSK-MDT if the patient presents again following discharge from Tier 1 physiotherapy, for a further assessment and treatment.

If there is significant diagnostic doubt or a clinical reason why early further assessment is desirable, a referral could be instigated to MSK-MDT at an earlier stage, though Tier 1 physiotherapy is generally the preferred initial option.

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5.  Anterior Knee Pain Syndrome

Quick info:
GP information
The clinical features of Anterior Knee Pain Syndrome (also known as Patellofemoral Pain Syndrome) are outlined in the information leaflet attached to the 'Anterior Knee Pain' node above.

When diagnosed, a period of self-management is often reasonable, and the following points can be discussed with the patient.

  • relative rest and avoidance of provocative activities
  • pain relief and management of any swelling (ice etc)
  • simple methods to correct any identified biomechanical errors, eg well-supporting footwear such as a laced trainer, or use of insoles to correct flat feet, etc
  • provision of the patient information leaflet attached to the 'Self-management' node and advise to try the exercises included:
    • Quadriceps stretch in side-lying
    • Gluteal muscle strengthening
    • Straight leg raise

It would be reasonable to arrange review at 4 weeks, and if symptoms persist, an onward referral to Tier 1 physiotherapy would be appropriate.

There is also provision to refer to the MSK-MDT if the patient presents again following discharge from Tier 1 physiotherapy, for a further assessment and treatment.

If there is significant diagnostic doubt or a clinical reason why further assessment is desirable, a referral could be instigated to MSK- MDT at an earlier stage, though Tier 1 physiotherapy is generally the preferred initial option.

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6.  Self-management

Quick info:
Patient information
See information leaflet on management of anterior knee pain.

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7.  Self-management

Quick info:
Patient information
See information leaflet on management of patella tendinopathy.

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8.  Refer to Tier 1 Physiotherapy Form (MSK4)

Quick info:
Referral Form:
MSK4 Knee Form V3

Choose & Book
You can find this clinic on Choose & Book under:
Speciality:Physiotherapy
Clinic Type:Musculoskeletal

Provider information
The only provider of Tier 1 physiotherapy in the city is the Leeds Musculoskeletal Service. This service is directly bookable via Choose and Book. Please complete the appropriate form and send via Choose and Book.

If symptoms persist, referral to Tier 1 physiotherapy is appropriate, who will refer onward to MSK-MDT if symptoms persist or there is diagnostic doubt.

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9.  Refer to MSK-MDT Form (MSK4)

Quick info:
Referral Form:
MSK4 Knee Form V3

Choose & Book
You can find this clinic on Choose & Book under:
Speciality: Orthopaedics
Clinic Type: Knee

Provider information
The only provider of the MSK-MDT clinic in the city is the Leeds Musculoskeletal Service. This is a multiprofessional clinic including senior physiotherapists and musculoskeletal physicians.

This clinic provides diagnosis, investigation, treatment and onward referral if needed.

This service is directly bookable via Choose and Book. Please complete the appropriate form and send via Choose and Book.

Key Dates

Published: 09-0ct-2015, by Leeds
Valid until: 17-Jun-2016

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