Ep 196. Patellofemoral Pain: 40 Years of Clinical Insights with Dr. Danilo De Oliveira Silva

🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access. Start your trial here: https://bit.ly/4pSkYjP 💡 In this episode of PT Pro Talk, host Mariana Parks sits down with Dr. Danilo De Oliveira Silva, Associate Professor at La Trobe University, to unravel the last 40 years of research on Patellofemoral Pain (PFP). They take a deep dive into the history of PFP, debunking the effectiveness of early surgical interventions and the long-standing obsession with Vastus Medialis (VMO) isolation. Dr. Danilo clarifies current best practices, explaining why general quadriceps and hip strengthening are the gold standard and how treatments like foot orthoses and taping fit into the clinical puzzle. You will also learn about the "Envelope of Function" theory by Scott Dye, why "too much, too soon" is often the real culprit behind the pain, and why you should stop telling your patients to cease the activities they love 💭 “If you don’t overload your knee, even if you have an impaired quadriceps, high subtalar pronation, or weak hip muscles, you will not have pain.” - Dr. Danilo de Oliveira Silva 📚You will learn about: • How thinking around patellofemoral pain has changed over the last few decades • What the evidence shows about strength, movement, and biomechanics • The role of pain processing and neural mechanisms in ongoing symptoms • How load management and the envelope of function guide treatment today 🔎 Danilo's resources of information: • My Knee Cap: https://mykneecap.trekeducation.org/ • Track education: https://trekeducation.org/ 📲 Danilo's contact information: • https://www.linkedin.com/in/danilo-de-oliveira-silva/ • https://www.facebook.com/danilo.deoliveirasilva.5 • https://www.instagram.com/drdanilo_silva/ • https://x.com/DrDanilo_Silva 📩 Don't miss out on podcast updates!📬: https://www.ptprotalk.com/ 👉 Share Your Feedback: https://forms.gle/YspLGAzHph2fVord8 🎙Listen on all platforms: https://bit.ly/45rzffO 🍁 𝗔𝗯𝗼𝘂𝘁 𝐏𝐓 𝐏𝐫𝐨 𝐓𝐚𝐥𝐤 𝐏𝐨𝐝𝐜𝐚𝐬𝐭 🍁 In this channel, you will find Physical Therapy-related content, like interviews with experts that share their views and experiences, providing relevant information to help Physical Therapists to improve their practice and patient care! 📩 Don't miss out on podcast updates!📬: https://www.ptprotalk.com/ 🌐𝐅𝐨𝐥𝐥𝐨𝐰 𝐌𝐞 𝐎𝐧 𝐒𝐨𝐜𝐢𝐚𝐥𝐬 https://www.instagram.com/ptprotalk/ https://www.facebook.com/ptprotalkpodcast https://www.linkedin.com/company/pt-pro-talk/ https://twitter.com/MariHannaParks Spotify: http://bit.ly/3HFJcNQ ✅𝐆𝐄𝐓 𝐈𝐍 𝐓𝐎𝐔𝐂𝐇 📧 📩Email: mariana@ptprotalk.com Support 💁‍♂️ PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like: Hanna Health: https://hannahealthhub.com/hep and SaRaHealth: https://bit.ly/saraytb