Application of bodybuilding for correction of musculoskeletal disease in Patellofemoral Pain Syndrome - A case report

Pablo Monteiro Pereira,J Santos Baptista,João Reis,J Torres Costa,J Duarte,Filipe Conceição

doi:10.24840/2184-0954_004.001_0007

Abstract

Background: Medicine and Physical Education can work together to solve many health problems. Bodybuilding is a multidisciplinary area whose goals can range from body development to the correction of postural problems and the resolution of various pathologies related to human movement. In the case in analysis, the patient presented (at rest) localized pain (twinges) in the anterior face of the left knee, with an intensity of five (0-10 scale), without phlogistic signs, which worsens when performing the squat, hindering him from leaving the bed without pain. Symptoms were exacerbated when descending stairs. Through anamnesis and directed physical examination, it were considered the possible differential diagnosis of pain in the anterior portion of the knee: Diseases in menisci, anterior and posterior cruciate ligament injuries, diseases of knee collateral ligaments, diseases of knee cartilage, diseases of patellar tendon tendinitis and patellar chondromalacia. After a correct diagnosis of patellofemoral pain syndrome, a conservative treatment was performed using bodybuilding. The results were positive after four months of treatment. From this case, it can be concluded that bodybuilding can be an alternative solution for the conservative treatment of Patellofemoral Pain Syndrome

Highlights

This case report describes a case of knee pain treatment through bodybuilding, in which it was possible to end the pain and allow the subjective to return to normal activity after four months of clinical intervention, which occurred after two years without treatment success
After careful evaluation of the patient, it was possible to do the correct diagnosis of the Patellofemoral Pain Syndrome (PFPS), enabling the therapeutic success
The knee pain, especially pain related to Patellofemoral Pain Syndrome, has a high prevalence in society, affecting mainly females in the ratio of two women for one man, with an incidence of approximately 11-14% of physically inactive population, 25-40% of the people practicing physical exercises, and 36% of cyclists (Collins et al, 2018; Crossley, Stefanik, et al, 2016; Crossley, Van Middelkoop, et al, 2016; Powers, Witvrouw, Davis, & Crossley, 2017; Smith et al, 2018; Van Middelkoop, Van Linschoten, Berger, Koes, & Bierma-Zeinstra, 2008; Wood, Muller, & Peat, 2011)

Summary

INTRODUCTION

This case report describes a case of knee pain treatment through bodybuilding, in which it was possible to end the pain and allow the subjective to return to normal activity after four months of clinical intervention, which occurred after two years without treatment success. After careful evaluation of the patient, it was possible to do the correct diagnosis of the Patellofemoral Pain Syndrome (PFPS), enabling the therapeutic success. In the case under analysis, the patient reports that, since the period of the first incident, the doctor did not share his diagnosis. It was used the standard CARE standard (Gagnier et al, 2013) in the case description. The main objective of this case study was to apply the bodybuilding method as a conservative treatment for Patellofemoral Pain Syndrome, and, as a secondary aim, to demonstrate that a good anamnesis and physical examination are fundamental for a correct diagnosis

CASE STUDY

Clinical findings

Diagnostic evaluation

Follow-up

Findings

FINAL REMARKS