Many people suffer from arthritis behind the kneecap, called patellofemoral osteoarthritis . This kind of arthritis causes knee pain when going up or down stairs. Patients also have pain after sitting with the knee bent, or when standing up after sitting. About 80 percent of adults with this condition are helped by nonsurgical treatment such as medication, special exercises, and avoiding painful activities. Other patients may get relief from a simple surgery called lateral retinacular release . With this procedure, the surgeon cuts the retinaculum . This is a dense, fibrous band of tissue along the outer edge of the kneecap. The arthritis doesn't go away with the release of the retinaculum. However, pain relief is reported by many people who have this surgery. Retinacular release can delay major surgery such as total knee replacement. Patients who are too young for joint replacement or too sick for major surgery may choose this easy operation for arthritis relief. Reference: Joseph Aderinto...
I am a 73 year old female. I get an excruciatingly painful stab in my right temple from time to time. If it lasted for more than a very split second I feel that I would not be able to support it. It is very similar to what I perceive as being a bullet wound. Thanks. Helen.
What you describe could be ice pick headaches. For more information, see Ice Pick Headaches - The Basics . Head pain should always be checked out. Please see your doctor about these "stabs" to be sure they're not an indication of something potentially serious that needs treatment.
Good luck, John Claude Krusz and Teri Robert
To review other questions from our Ask the Clinician Column, browse the Ask the Clinician archives .
If you need help finding a Migraine and headache specialist, visit our listing of Patient Recommended Specialists .
Patellofemoral pain syndrome (PFPS) is a common problem among military soldiers in training. In fact, it's the main reason soldiers are given a medical discharge. PFPS is also common among runners. PFPS causes pain behind the kneecap during running, squatting, and stair climbing. Even though PFPS is common, we still don't know exactly what causes it. Researchers suggest factors such as muscle weakness, loss of muscle control, and changes in the foot and ankle. How do we treat something when we don't know what causes it? What works for one person may not work for everyone. In this study, physical therapists in the military looked at the use of a shoe insert for PFPS. The insert is called a foot orthotic . They used an off-the-shelf and ready-to-use orthotic. It's a premolded full-length insole that fits inside the shoe. It has a firm arch support and heel cushion. The shoe insert was combined with a modified training program. Forty-five men and women with PFPS were examined before wearing ...
You should knowAnswers to your question are meant to provide general health information but should not replace medical advice you receive from a doctor. No answers should be viewed as a diagnosis or recommended treatment for a condition. Content posted by community members does not necessarily reflect the views of Remedy Health Media, which also reserves the right to remove material deemed inappropriate.