👉 Examples (on Amazon) of some of the treatment solutions I mention in the video: ✅ Heel raising shoe inserts: geni.us/2tvfBEu ✅ Orthotics for overpronation: geni.us/dEHA2x2 ✅ Zinc oxide tape: geni.us/CxTj1P ✅ Hypafix tape: geni.us/WsYg1y If you buy anything via these links, we may get a small commission at no extra cost to you.

The absolute best video online about fat pad injury and I’ve searched for hours. Over weeks. Many suggest the causes but then the treatments they offer immediately causes swelling. This is the first video to offer advice that starts right from serious injury of Hoffas - very early stages. Thank you!!! So in depth. So detailed. So perfectly broken down . There’s nothing she left out. What incredible asset to this industry. Thank you 🙏🏾 so much. For even helping my diagnosis.

@SportsInjuryPhysio

2 ай бұрын

You're very welcome!

This was really helpful

super informative video, well done Maleke

@SportsInjuryPhysio

2 ай бұрын

Thank you kindly

Brilliant! Extremely detailed and well informed!!! 👍

@SportsInjuryPhysio

4 ай бұрын

Thank you kindly!

Incredibly thankful for that informative video!

@SportsInjuryPhysio

8 күн бұрын

My pleasure!

Amazing info. Thank you so much 🙏🏼

@SportsInjuryPhysio

13 күн бұрын

You're welcome!

Very informative video 👍 thanks you so much for your time and effort 👌

@SportsInjuryPhysio

3 ай бұрын

So nice of you

Suffering with this at the moment, your video was so helpful, thank you

@SportsInjuryPhysio

3 ай бұрын

Glad you found it helpful!

Very useful and helpful. Thanks

@SportsInjuryPhysio

4 ай бұрын

Glad it was helpful!

You are my hero❤

BLESS YOU! I fell in a parking lot almost 2 years ago and my knee has never been right. Finally this explains it. My symptoms match exactly what you are describing. Im almost in tears to have something to go back to the MDs with. I thought that I was just going to have to live with these limitations for the rest of my life. Im so grateful to havefound this video

@SportsInjuryPhysio

11 сағат бұрын

Thanks for watching, and good luck with your recovery!

Best video about Hoffa syndrome I’ve seen! Thank you! Figuring out how to solve mine… trying electrolisis with the PT now as well as correcting muscles, loads and postures (acl injury a year ago). I wish I discovered this video earlier, because not all PTs know about this!

@SportsInjuryPhysio

Ай бұрын

Thanks for watching!

Wonderful information. I've had this issue for years and I couldn't figure out what it was, thanks!

@lmaarcl

Ай бұрын

Did the treatment she described help you to solve it?

I've been struggling with Hoffa's fat pad impingement on and off for 4 years now. This is the best video I've come across. Thank you!!

@SportsInjuryPhysio

29 күн бұрын

Thanks for watching!

You are a great fysio! This comes from a medical doctor and fysioherapist with a Hoffa´s knee at the moment :)

@SportsInjuryPhysio

4 ай бұрын

Thank you! And good luck with your recovery.

I spent a couple of weeks up on a ladder painting my home, with my knees locked! Towards the end of the project the pain began in my right knee. After much research and having a background in musculoskeletal anatomy I believe that this is my problem. Thank You so much for the information and guidance presented here!

@SportsInjuryPhysio

2 ай бұрын

You're welcome!

I wish she were located near me. She seems so knowledgeable and compassionate. The doctors I have seen just fat shame me and tell me to lose weight. They automatically assume I am lazy, which I'm not. How am I supposed to increase my exercise if it causes increased pain?

@lesleybarnor

2 ай бұрын

Precisely! Well done for not giving up and doing your own research! Now there’s a way out!

I got some knee pain during playing badminton. I did MRI of knee, consulted 4-5 Doctors but in vein. Not the MRI nor the Doctors can diagnose the disease. Then after 1&1/2 month 1 watch this video and I completely understood the pathology og my disease. Thank you very much for your indepth knowledge over the subject and your explanation about the disease process and the treatment options and pros and cons of all the treatment modalities. God bless you and hope to listen more from you.

@SportsInjuryPhysio

22 күн бұрын

Thanks for watching, and good luck with your recovery!

Great

How about using ultrasound or TENS as a treatment option? Does it help? Thanks for the awesome video, best information I’ve found so far👍🏻

@SportsInjuryPhysio

7 сағат бұрын

So far, research has failed to show much benefit for ultrasound and soft tissue injuries. TENS can be useful for pain relief - the same advice applies to this injury as I gave here: kzread.info/dash/bejne/rJqmpqxpZ9Gph6g.html

Thank you for this. I feel this is what I'm suffering with at the moment, although my physio is going more down the lines of the IT band. 95% of the day my knee is fine, but I find if I sit at my desk I tend to straighten out my leg - and then when I stand up I get the pain. I also get it when walking down/up hill on occasions if it's irritable. It has stopped me running though, and after about 1.5k gets to the point I can only jut about walk on it.

@SportsInjuryPhysio

4 ай бұрын

If you want help figuring it out, this is something that our team of physios can assess and help with via video call. You can read more about the video call service here: www.sports-injury-physio.com/

WOW! This video was absolutely eye opening. I fell and injured my fat pads in January of 2021, it was a workers comp case so part of my issue is definitely how slow the state was in approving things. But, over 2021 and 2022 I had PT on both knees and it helped, but didn't fix it. I was told I have bi-lateral Patellofemoral syndrome, a touch of patella tendonitis, and IFP impingement / Hoffas I both. In Jan of 2023, I did three rounds of hypersonic injections, that was SO much more painful and really, really hurt. In the fall of 2023 we finally did surgery with a subtotal removal of inflamed hoffas. But now I'm 9 months post op on my right, and 6 months post op on my left, and my pain is so much worse than before surgery, I don't know what to do. I am thinking maybe it's scar tissue..? I also scored high on the Brighton test so maybe it's hEDS? The state is denying more PT, and I am in tons of pain. I don't know what to do!! :(

@ricardos.4456

Ай бұрын

Hi Sarah, how is it going?!

@SarahOnAir3

18 күн бұрын

@@ricardos.4456 Not good. Still super painful, my doctor is now suggesting Prolotherapy to help with my chronic inflammation, hoping it helps the entire thing.

Can I have ultrasound therapy for hoffa fat pad? It's been like this for over four years,thanks very much!

@SportsInjuryPhysio

4 ай бұрын

Ultrasound won't do any harm but it also doesn't really help for this.

Which physiotherapist would you recommend for an online consultation (I think they are all good). But I was in long rehab for quadriceps attachment tendinosis from running and just before I could start running again, I got an unclear diagnosis on the other knee. I think it's patella tendinitis or hoffitis. Unfortunately, the first measures didn't work and I can't do anything anymore. So it would be great to come across someone who specializes in running and injuries like this. Thank you!!!

@SportsInjuryPhysio

4 ай бұрын

You're right, they're all good :-) Barry and Kevin would be especially good with treating the issues you describe.

I had a distal patella realignment along with a lateral release 8 years ago. Ever since then my hoffas fat pad has playing up and a large lump has been existent on the outer pad for years. I have medial patella tilt and alignment now. Alignment issues such as not having a lateral reticulum puts pressure on the outer fat pad.

@SportsInjuryPhysio

10 күн бұрын

Thanks for sharing!

has anyone purchased a knee brace that has helped avoid further injury/aggravation? i’m in a soccer league and have identified my knee pain as hoffa’s since hyperextension is the only time i ever feel pain. i do plan on getting checked, but for now will do some rehab at home and use a brace outside of games(unless the one suggested is able to be used without constricting movements)

@SportsInjuryPhysio

Ай бұрын

The problem with braces is that they all tend to apply pressure over that area, so you will have to look for one that only has a thin strap support - something like this geni.us/74f6 but perhaps you can find a more compact one - but these types of braces are usually on the pricier side and in my opinion overkill for this type of condition.

Hi . I have patella alta and hoffa fat pad syndrome in both knees from last 10 months.. I have done physio throughout the period but irregularly. The pain is still there and my left knee locks when i try to sit with crossed legs. Your suggestive advice will be appreciated 🙌..

@SportsInjuryPhysio

4 ай бұрын

I can't really provide any extra advice that in the video because I don't know all the details of your case. For physio to be effective, you must work closely with your therapist so they can adjust your plan and provide treatment advice depending on how your condition changes. So, I would suggest that you get a review from your physio. Or if you wanted a second opinion, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com/services

This fits my issue to a T! Thank you. I also have several of the other knee problems you mentioned. My question is, I've had this for a few days now, and today, I started getting shooting pain from my knee up my thigh without any movement. Can this be part of it?

@SportsInjuryPhysio

3 ай бұрын

I would perhaps also speak to your doctor and just check if perhaps you have an inflammatory condition - because excessive inflammation can sometimes cause that type of pain at rest. But it may also happen when you keep your knee too still. So, it is a bit difficult to give a very clear answer as to what is normal in your case. If you wanted help figuring this out and rehab plan, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com

@mindymay3

3 ай бұрын

@@SportsInjuryPhysio Thank you so much for your detailed reply! My knees do swell a lot; I have a Baker's cyst, probably a torn meniscus, minimal articulate cartilage, etc. 'Former' runner. 😕I have had bloodwork to check for inflammatory issues, and those were negative. I'll keep your rehab plan in mind, thank you!

@SportsInjuryPhysio

3 ай бұрын

You're welcome!

Hello, I am from Mexico and I practiced athletics, 3 months ago I suffered a grade 1 tear in the long head of my femoral bicep, it was a 6 cm tear with a length of 0.79 cm, I never stopped walking normally but to date I have not been able to run 3 weeks ago I went to get checked and I still have a 3cm tear. But I ask you, why is it that in these 3 months the pain has not gone away? And if you consider it a good idea to strengthen even if you are torn I really liked your content and your knowledge on these topics since the information I have found in Spanish is quite old and mediocre. si ve este mensaje gracias por su atención, de verdad lo aprecio mucho:)

@davidquevedop

4 ай бұрын

The story of my injury is very strange in my opinion. One day while I was running I heard my muscle thronge and I went to the physiotherapist at my university and he told me that it wasn't a tear, which I believed him, the fact is that I couldn't run and I didn't stop lifting weights 2 weeks after my injury. I trusted myself because it never hurt me, it only hurt when I did that exercise, I tried to run and when I had gone 30 meters I heard how it sounded like a strong, dry tear, they told me IT WAS NOT A TEAR, which I trusted. I wasn't going to know that since that day the pain has never gone away again, compression doesn't help me and before in physiotherapy they gave me ultrasound and laser. but a month ago they said they didn't want me to go anymore and my leg is all blistered from so much heat that I apply I really have learned a lot from your videos and I'm sorry if my words are not understood, I'm using Google Translate xd

@davidquevedop

4 ай бұрын

I really have already spent more or less 600 dollars on ultrasounds and supplements for the tear and I still don't see much improvement :(

@SportsInjuryPhysio

4 ай бұрын

This type of injury can take 9 to 12 months to fully recover so it is normal for the pain to not yet have gone. It is important that the rehab exercises you do must be set at the correct level - if they are too intense for your tendon's current tolerance or just simply in the wrong position then they will also make your pain worse. The rule with rehab and exercise is usually that it is OK to do as long as: 1. It only causes a slight discomfort while doing it, AND 2. It does not cause an increase in your pain and swelling that lasts for more than 24 hours So, your rehab has to be adapted to fall into those guidelines. This video explains more about distal hamstring tendonitis. If your doctor has said that you can start rehab for your tear, then the advice may also be right for your case: kzread.info/dash/bejne/ao2Xwbmuocyqorg.html

Thanks for the video. I think I have have exactly this. Since a scar tissue removal surgery I have patellar maltracking and I can’t figure out why. I didn’t have this impingement before surgery and now I have it and something always gets stuck under the inside of my patella. My patella is hanging inside knee. What can I do for this?

@SportsInjuryPhysio

Ай бұрын

Your case sounds like it needs tailored advice, so best to get it checked by a physio. But usually the best way to help the patella track better is by strengthening the quads.

@marionym5969

Ай бұрын

@@SportsInjuryPhysio thanks for the info. I have seen many pt unfortunately. I wonder if the pfl or retinaculum lateral was accidentally hurt and that’s why it’s slipping medial

My physio diagnosed my with this syndrome, asked to ice it and gave me some exercises. It’s been two months now and the only time the knee is hurting is if i start running, usually after 2-3km it gets me again. Any other exercise, cycling, rowing, stairs climbing are fine. I can’t feel it anymore as well when hyperextending my leg. Do you think it’s a matter of resting it even longer? I really would like to come back to running again and this is the only activity I feel the knee - it’s not painful, but discomfort is there so I don’t want to push it and just stop.

@SportsInjuryPhysio

2 ай бұрын

You likely need to focus a bit more on other rehab and exercise more but you also perhaps need to ease into running a bit more slowly and think about what you are doing while you run. E.g. instead of doing continuous runs, do few minutes jog and then walk. But while you run and walk make sure you don't overstride (not placing foot down far in front of you) because that can cause impingement - when you run, try and make contact closer underneath your body. For me it helps if I think about pulling my feet up to my butt rather than driving into big stips with my quads.

what exercises would be best for someone who has this condition and low hamstring tendonitis?

@SportsInjuryPhysio

2 ай бұрын

It's best to get a bespoke rehab plan since your exercises has to be adjusted depending on how sensitive your knee is into all directions, but I discuss low hamstring tendonitis exercises in this video: kzread.info/dash/bejne/ao2Xwbmuocyqorg.html If you wanted help with your rehab and an exercise plan, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com/

@mikaelacather6462

2 ай бұрын

@@SportsInjuryPhysio Thank you!

I like to run in minimalist shoes! Like Vibram Fivefingers - is that ok on all surfaces?

@SportsInjuryPhysio

4 ай бұрын

I can't really answer that because I don't know your situation etc.

@DevelopingNL

4 ай бұрын

@@SportsInjuryPhysio I just want to know if it is bad for the body to walk and train in minimalist shoes on hard artificial surfaces?

@SportsInjuryPhysio

4 ай бұрын

It can give you injuries to your metatarsal bones and plantar fascia - some people manage to do it but others don't

Hi there! I think this is the culprit for me. I've surmised that pain is felt when laying on my back and trying to hyperextend my knee or after being in a lotus yoga pose then standing and loading the knee. Also, when standing my knee gives way and overextends without much resistance. Would really appreciate your take on this.

@amradel3048

3 ай бұрын

I forgot to mention that pain is more along the joint line of my outer knee, not under the patella

@SportsInjuryPhysio

3 ай бұрын

It does sound as if you're pinching something in that position, but because your pain is more to the outer side it may not be the fat pad. Regardless of what it is, you should be able to get it to settle down and recover by following the same advice about avoiding those positions and getting into the habit of controlling your knee better rather than just passively letting it go into hyperextension.

@typef_ce

7 күн бұрын

​@@amradel3048this is really similar to what I've been suffering the past year, especially with it being more so on the lateral side

This is super informative, I was kind of hoping that maybe THIS was what my knee pain was, but I don't think it is. I don't have health insurance right now, so I can't get it diagnosed, but I have in basically that same exact spot a really nervy pain that sends electric bolts of pain when I try to kneel on my knee (can't do it at all now, it feels like I'm being shocked by a taser there when I try to,) and my skin even feels painful / tender sometimes. It feels slightly stiff when it's bent and okay when it's straight. I can't find anything online that talks about the electrical shock feeling I get when I kneel on it. I am going to search your other videos to see if maybe you've talked about this type of injury before. Also, the strange thing about this injury is it wasn't caused by anything, it just showed up randomly one day with no known cause.

@SportsInjuryPhysio

4 ай бұрын

Maybe I can point you in the right direction but I have a few questions: 1. how often do you kneel on your knee? 2. The stiffness you feel, is it deep inside, or just over the front on the tendon or does it feel behind the kneecap?

@vespertineSSB

2 ай бұрын

I also have similar pain to this! I also tend to feel it on my skin as well, and the pain tends to come in strange 5-minute flare ups then suddenly disappears. For me, though, it seems quite unpredictable when the pain will come on. I try to reproduce it by bending or extending it and nothing happens

Does this sometimes cause a tapping noise at the site if the fat pad when the knee is fully extended?

@SportsInjuryPhysio

3 ай бұрын

That's not something I've come across before.

@typef_ce

7 күн бұрын

This noise is something I've experienced, I've been suffering from this for a bit over a year

@ancientdiscoverys

7 күн бұрын

@@typef_ce ..do you hear the noise when you extend your knee around 20 degrees?

@typef_ce

7 күн бұрын

@@ancientdiscoverys no, mostly just hear a little click if I'm standing up straight and try to clench my knee to fully extend my leg

@ancientdiscoverys

7 күн бұрын

@@typef_ce what you have sounds like just air in the joint

Madam, you may explain the matter with the image, not with your hand.

11:05

Hello mine is not pain full but its swelling.

@SportsInjuryPhysio

Ай бұрын

Swelling in that area can be the fat pad but it might also be coming from inside the knee joint.

@markjustinealinsugay1249

Ай бұрын

@@SportsInjuryPhysio d swelling started to reduce ive been puting ice on it.

Any chances of returning to sports with bulge Hoffa fat pad ?

@SportsInjuryPhysio

4 ай бұрын

I'm not sure what you mean with bulge Hoffa fat pad

Mam,how can i contact you.. i am having this issue from last one year.. shown to many doctors but no improvement. Please share contact number

@NAIDU162

2 ай бұрын

Mam, I got this issue due to over exercise.. initially felt pain after using indian toilet... there after I am not able to fold by knee. By wearing knee cap band I used play volleyball But from 2 months I stopped playing and under medication. While driving also feel pain(left leg-- clutch). How much time it will take.. which exercise I should do

@SportsInjuryPhysio

2 ай бұрын

Hi there, You can contact us here: www.sports-injury-physio.com/contact