Know about Knee Cap Pain the Patellofemoral syndrome.


Knee cap pain is very common in the current scenario and affects mostly young active age group, it is a pain in front and side of knee cap, usually aggravates while walking up and down the stairs, squatting or kneeling, also knows as runners knee.

The other name of this is movie goers knee or people who do sedentary office desk top work as they keep their knees bent and it leads to pain.


The main reason of misaligned knee cap(patella) where the cap is not tracking accurately in its groove and the extra friction  leads to cartilage injury and in long run arthritis.

The multiple causes of PFC are:

Low back –irritated nerves which lead to weakening of butt (gluet) muscle and quadriceps which makes the quadriceps weak too and lead to friction and loss of cartilage.

Hip issues: studies have shown that biomechanics play a major role with foot turned in (internal rotation) or foot turned out (external rotation) can cause the groove for patella in femur bone to be misaligned, this study explores how too much rotation of femur groove inside will track the knee cap to the outside and cause misalignment.

VMO muscle weakness (inner thigh muscle weakness) allows the knee cap to move too far to the outside

Patellar trauma:

Injury to the undersurface of the knee cap or the cartilage can cause arthritis

Hamstring stiffness and ITB over tightness can lead to knee cap and meniscal injury

Management and treatment:

IT involves joint preservation mechanisms  along with interventions which are done under regenerative medicine techniques, which involve injecting super concentrated platelets and mesenchymal cells which are taken from iliac crest and have similar activity as stem cells under imaging followed by a well structured rehabilitation programme for better outcomes.



Preventing shoulder rotator cuff injuries

Rotator cuff tears are very common and more than 10 to 15% of population above 50 and more than 25% active population or athlete’s  will suffer one of the rotator cuff tears or damages.

It affects all as shoulder is a highly mobile structure so from sedentary adults to weekend warriors and prime elite athletes everyone gets affected due to rotator cuff injury.

But here are steps that can be taken to reduce the injuries, specific exercises, ergonomic correction, stretches, conditioning and isometric strengthening helps you prevent your shoulder girdle from getting injured.


For sports men, cricket player’s tennis players, trying to lift weights overhead without shoulder muscle activations, are the commonest causes of rotator cuff and AC joint injuries and pain.

Teachers writing on black boards, house wife who repeatedly keep reaching out to overhead cabinets while working in kitchen all injure their shoulders one way or other leading to nagging pain in the shoulder which is on the side and makes It difficult for you to sleep on one side and perform basic routine activates like combing hair, to unhooking the clips of the clothing.


A good  shoulder exercise program which does not focus on just weight training or aerobics but should include, isometrics holds, chest and pectoral muscle stretch, with mobility exercises and strength training will help in both preventing and also healing the shoulder injuries.




Yes in a lot many cases non-surgical options are the way to go for mild to moderate tears or even complete tear without retraction of muscle fibres.

Opting out for AXIS ORTHOBIOLOGIC procedure where we use your own blood and cells and implant them on same day under usg and x ray guidance has shown to have a faster recovery from pain and less down time for athletes to get back to active games following our state of art orthobiologic treatment. Rotator cuff tendinitis treatment, rotator cuff bursitis all can be easily be cured with orthobiologic interventions and physical therapy after that, there is not much evidence for surgical decompression or artho scopy repair unless the tear is massive with tendon fibres damaged to an extremely severe level.




                                        AXIS SD OB*PROCEDURES                                                  SURGERY

Return to daily                 a week                                                                         4 to 6 weeks



Return to Sports           2 to 3 months                                                                   6 months plus


During recovery                  physiotherapy 6 weeks &                                  PT for months, less

Time post procedure  over counter pain med and brace                             driving and limited rom


Done same day                        Yes                                                                          needs IPD admission


Rotator cuff intact                  Yes                                                                                   NO


SD OB= Same day ortho biologic procedures.


We at AXIS always thrive for the best treatment solutions for our general public and elite athletes and DR Madhur Chadha our main lead in regenerative and sports science leads it from the fore front to develop tailored made programs for you to get back to active routine as soon as possible after a shoulder injury.