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re: Patellofemoral Pain Syndrome AKA Runners Knee

Posted on 2/26/26 at 7:03 pm to
Posted by JasonDBlaha
Woodlands, Texas
Member since Apr 2023
4629 posts
Posted on 2/26/26 at 7:03 pm to
What about arthroscopic surgery?
Posted by PrezCock
Florida
Member since Sep 2019
940 posts
Posted on 2/26/26 at 7:09 pm to
There is a surgery for it, but conservative treatments usually do the trick. An Ortho will have you go to PT first.
Posted by JasonDBlaha
Woodlands, Texas
Member since Apr 2023
4629 posts
Posted on 2/26/26 at 7:33 pm to
To be honest, physical therapy will only aggravate it more. I can’t do single leg lunges without any pain. Maybe a cortisone shot might help but idk. I’ve got a disc injury in my lower back as well so I definitely have to go extremely easy when it comes to resistance training
Posted by PrezCock
Florida
Member since Sep 2019
940 posts
Posted on 2/27/26 at 8:26 am to
A cortisone shot could do the trick. It's often times the Ortho's first line of attack.

quote:

physical therapy will only aggravate it more


I completely understand this. A PT's job should be knowing how far they can push you to rehab the tissue and not aggravate it. Unfortunately the profession is in a bad place right now. There are too many PT mills and PTs are forced to treat multiple people at once which decreases standard of care. My advice would be to find a good PT, it'll probably be cash pay, and have them evaluate you and give you a home exercise program.
Posted by JasonDBlaha
Woodlands, Texas
Member since Apr 2023
4629 posts
Posted on 2/27/26 at 9:34 am to
quote:

are too many PT mills and PTs are forced to treat multiple people at once which decreases standard of care. My advice would be to find a good PT, it'll probably be cash pay, and have them evaluate you and give you a home exercise program.


Yeah that sounds like the best thing to do. PT definitely has its place when it comes to rehabbing significant injuries, but when it comes to chronic pain with no known cause, it’s kind of ineffective.

Do you work in healthcare?
Posted by PrezCock
Florida
Member since Sep 2019
940 posts
Posted on 2/27/26 at 11:06 am to
quote:

Do you work in healthcare?


I'm actually a PT. But I'm very disenfranchised with the profession. There are a ton of good PTs out there, but the reimbursements reward the PT mills that choose volume over care.

Since I'm transitioning to a new career I'll happily give some advice to people who may have injuries.
Posted by JasonDBlaha
Woodlands, Texas
Member since Apr 2023
4629 posts
Posted on 2/27/26 at 1:46 pm to
Yeah I’ve heard that the PT mills are pretty bad. DPTs are getting pumped out every year with six-figures worth of debt yet have starting salaries in the $70,000 to $80,000 range.

Posted by PrezCock
Florida
Member since Sep 2019
940 posts
Posted on 2/27/26 at 2:12 pm to
quote:


Yeah I’ve heard that the PT mills are pretty bad. DPTs are getting pumped out every year with six-figures worth of debt yet have starting salaries in the $70,000 to $80,000 range.



That's one of my major arguments. When I first went to college back in '97 a PT degree was only a B.S. Which I think is fair. They've tried to make the profession "autonomous" by pushing it to a Masters then DPT. Which is understandable. But all that did was increase the amount of debt new grads take on without really expanding the profession. Since compensation never increased it's just placing new grads into indentured servitude.

I've been a PT for about 10 years now and I'm finally out of debt. I'm not happy with the state of the profession and just burned out. Still somewhat young (mid 40s) so I'm going to make a career change.

In the meantime I get more joy from my profession doing anonymous recommendations on this board than I do actually practicing.
Posted by JasonDBlaha
Woodlands, Texas
Member since Apr 2023
4629 posts
Posted on 2/27/26 at 3:00 pm to
Why don’t you go into medicine? Way better pay-off and a much more rewarding career.
Posted by PrezCock
Florida
Member since Sep 2019
940 posts
Posted on 2/27/26 at 3:18 pm to
quote:

Why don’t you go into medicine? Way better pay-off and a much more rewarding career.


Funny enough, every time I had someone shadowing me for hours needed to apply to PT school I would spend those hours telling them to skip PT school and go to Med School. I used to say, go be a Physiatrist. They know all the same stuff PTs do and have much better and can do much more than we can.

I'm done with healthcare. I feel my life being sucked away from spending all my days inside.
Posted by JasonDBlaha
Woodlands, Texas
Member since Apr 2023
4629 posts
Posted on 2/27/26 at 3:25 pm to
quote:

I used to say, go be a Physiatrist. They know all the same stuff PTs do and have much better and can do much more than we can.


Even better than PM&R would be orthopedic surgery. Only problem is that it’s an insanely competitive residency to get into.

To be honest, I’d say that orthopedic surgery is probably one of the most fulfilling medical specialties in medicine
Posted by PrezCock
Florida
Member since Sep 2019
940 posts
Posted on 2/27/26 at 6:02 pm to
I agree, I used to work for an Ortho. Great dude, great surgeon. It's definitely a competitive field.
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