Skip to main content
Accessibility|Contact|Privacy|Terms|Cookies

Knee Pain - Try Exercise Therapy

  • Published: 2009-10-20 : Author: BMJ-British Medical Journal
  • Synopsis: For patients with severe knee pain supervised exercise therapy is more effective at reducing pain and improving function.

Main Document

Exercise therapy best for knee pain. Supervised exercise therapy vs. usual care for patellofemoral pain syndrome: an open label randomized controlled trial.

For patients with severe knee pain, supervised exercise therapy is more effective at reducing pain and improving function than usual care, finds a study published on bmj.com today.

Patellofemoral pain syndrome is a condition in which pain occurs at the front of the knee during or after exercise and is a common reason to visit the doctor. Women are more likely to be affected than men, and symptoms usually start during adolescence when participation in sporting activities is high.

General advice is to rest during periods of pain and to avoid pain provoking activities. This "wait and see" approach is considered usual care.

A recent study reported only limited evidence for the effectiveness of exercise therapy with respect to pain reduction, while there is conflicting evidence with respect to functional improvement.

So researchers based in the Netherlands investigated the effectiveness of supervised exercise therapy compared with usual care in 131 patients aged between 14 and 40 years with patellofemoral pain syndrome.

A total of 131 participants were included in the study, 65 to a supervised exercise program (intervention group) and 66 to usual care (control group). Both groups received similar written information about the syndrome and similar instructions for home exercises, as well as advice to refrain from painful activities.

Patients rated their recovery, pain at rest, pain on activity, and function scores at the start of the study and again at three and 12 months.

After three months, the intervention group reported significantly less pain and better function than the control group. At 12 months, the intervention group continued to show better outcomes than the control group with regard to pain at rest and pain on activity, but not function.

A higher proportion of patients in the exercise group than in the control group reported recovery (42% v 35% at three months and 62% v 51% at 12 months), but these results were not significantly different between the two groups.

This study provides evidence that supervised exercise therapy for patellofemoral pain syndrome in general practice is more effective than usual care for pain at rest, pain on activity, and function at three and 12 months, say the authors. However, supervised exercise therapy had no effect on perceived recovery.

Further research is needed to understand how exercise therapy results in better outcome, they conclude.


Have Your Say! - Add your comment or discuss this article on our FaceBook Page.


Interesting Similar Topics
1 : Dripping Candle Wax Bone Disease (Melorheostosis) Cause Solved : NIH/National Institute of Arthritis and Musculoskeletal and Skin Diseases.
2 : Research Helps Explain Why People Experience Muscle Loss in Old Age : The Physiological Society.
3 : Tendinitis and Bursitis: Staying Active While Healing : Melissa Chefec.
4 : Hip Impingement: Symptoms, Causes & Treatment : Thomas C. Weiss.
5 : Difference Between Carpal Tunnel Syndrome and Tarsal Tunnel Syndrome : Disabled World.
From our Bones & Joints - Conditions section - Full List (73 Items)


Submit disability news, coming events, as well as assistive technology product news and reviews.


Loan Information for low income singles, families, seniors and disabled. Includes home, vehicle and personal loans.


Famous People with Disabilities - Well known people with disabilities and conditions who contributed to society.


List of awareness ribbon colors and their meaning. Also see our calendar of awareness dates.


Blood Pressure Chart - What should your blood pressure be, and information on blood group types/compatibility.





1 : Eating at Night, Sleeping By Day Alters Key Blood Proteins
2 : Interior Car Temperature Can Become Life-threatening for Children in an Hour
3 : 20 New Episodes of Letters to Lynette with Dr. Lynette Louise to Air on The Autism Channel in 2018
4 : Turnstone Center Designated as Official Paralympic Training Site by US Olympic Committee
5 : Help Your Child in School by Adding Language to The Math
6 : 50% of Retirees Saw Little or No COLA Increase in Net 2018 Social Security Benefits
7 : Turnstone Endeavor Games Concludes with National Records Broken
8 : Spinning in Circles and Learning From Myself by Tsara Shelton


Disclaimer: This site does not employ and is not overseen by medical professionals. Content on Disabled World is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. See our Terms of Service for more information.

Reporting Errors: Disabled World is an independent website, your assistance in reporting outdated or inaccurate information is appreciated. If you find an error please let us know.

© 2004 - 2018 Disabled World™