What is Hoffa’s Syndrome (Fat Pad Impingement)?
Hoffa's syndrome, also known as infrapatellar fat pad impingement, is a condition characterized by inflammation and swelling of the fat pad located beneath the kneecap. This can lead to anterior knee pain, particularly when the knee is straightened or during activities that involve extending the knee. The condition may arise from acute trauma, overuse, or following knee surgery.
Physical Therapy for Hoffa’s Syndrome (Fat Pad Impingement)
Physical therapy is a cornerstone in the management of Hoffa's syndrome, aiming to reduce pain, decrease inflammation, and restore normal knee function. Initial treatment often includes modalities such as ice, ultrasound, or electrical stimulation to manage pain and swelling. Gentle range-of-motion exercises and patellar mobilizations are introduced to maintain knee mobility and prevent stiffness.
As symptoms improve, the focus shifts to strengthening exercises for the quadriceps, hamstrings, and calf muscles to provide better support and stability to the knee joint. Additionally, exercises to improve balance and proprioception are incorporated to enhance knee function and prevent further injury. It's also important to address any biomechanical issues, such as poor foot alignment or muscle imbalances, that may contribute to the condition. A physical therapist can provide guidance on proper technique and activity modification to ensure a safe and effective recovery. With a comprehensive physical therapy program, individuals with Hoffa's syndrome can achieve significant relief from symptoms and return to their normal activities.