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Old 07-27-2014, 12:46 PM   #1
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Unhappy Any experience with Hoffa's Disease (Infrapatellar Fat Pad Syndrome)?

Hello! I have been diagnosed with Hoffa's desease, which is an inflammation of the fat pad beneath the patella. Could anyone shed some light on how to go about it?

Ive ignored it for months now (i know, not very smart) and have continued squatting, but i have to do something about it already.

Any help would be greatly appreciated!!
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Old 07-27-2014, 09:37 PM   #2
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I do not haave any experience or knowledge of Hoffa's Disease, but I do have alot of exxperience with inflammation, which may be of some help to you:

http://muscleandbrawn.com/forums/showthread.php?t=17489
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Old 07-27-2014, 10:47 PM   #3
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Squatter that is awesome! Do you know here can I ask/read more about the connection between inflammation and nutrition (i'm taking 1800mg of fish oil daily, but thats all i know)?

Also, thank you very, very much for sharing your experiences, i'm glad i joined this community!
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Old 07-28-2014, 04:48 AM   #4
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Ok, the natural inflammation is the body trying to heal the area. Removing the inflammation may cause scar tissue and damaged tissue.

Now, this likely happens due to several reasons.

Tightness of quad-adductor-ham-it band(all?)

Misalignment of knee (shin vs femur (very common))

Poor quadricep angle: faulty VMO, abductor (glute medius weakness usually)

Issues like this won't go away by itself. Most likely this is a tracking issue of the patella, which will have the fat pad scrape on the edges of the femur instead of the cavity.

Get your VMO firing correctly and/or gluteus medius and external femoral rotators.

Could also be significant tightness in hamstrings, quads, adductors and IT band as already mentioned. Assess them and stretch+foam roll where needed.

Hope this helps.
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Old 07-28-2014, 09:05 AM   #5
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Originally Posted by Fatcat View Post
Squatter that is awesome! Do you know here can I ask/read more about the connection between inflammation and nutrition (i'm taking 1800mg of fish oil daily, but thats all i know)?

Also, thank you very, very much for sharing your experiences, i'm glad i joined this community!
No I do not. All I learned is from a member here who is no longer active here.

I have another tip for you tho - fresh pineapple is naturally anti-inflammatory, especially when eaten as a standalone snack.

Additionally, Tumeric is a great natural anti-inflammatory. You can buy it in pill form as a supplement if you don't cook with or like Curry. Even my Gastroenterologist recommended it to me!
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Old 07-28-2014, 09:52 PM   #6
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Awesome, i'll look into pineapple and turmeric. thanks for the info again squatter!
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Old 07-28-2014, 09:59 PM   #7
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kjetil1234

i had X rays done and the doctor said that my patellas are way misaligned. My left knee (the one that hurts) sometimes makes a very loud sound when i bend it, like if it was falling into place. It doesn't really hurt, but it's very weird and i had never experienced it before.

I should also mention that my elbows and especcially my shoulders make sounds often (this has been happening for some months), Again, it doesn't hurt, but i find it strange because it has not been always like that.

Do you think it could be some kind of nutritional defficiency?

Thanks a LOT for the help!!!
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Old 07-29-2014, 02:58 AM   #8
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kjetil1234

i had X rays done and the doctor said that my patellas are way misaligned. My left knee (the one that hurts) sometimes makes a very loud sound when i bend it, like if it was falling into place. It doesn't really hurt, but it's very weird and i had never experienced it before.

I should also mention that my elbows and especcially my shoulders make sounds often (this has been happening for some months), Again, it doesn't hurt, but i find it strange because it has not been always like that.

Do you think it could be some kind of nutritional defficiency?

Thanks a LOT for the help!!!

There you go. Confirms my suspicion.

Fix the CAUSE: Work glute max, gluteus medius, VMO and activation of the big toe during gait (how you walk). Also how you bend and lift. (Google "youtube Evan Osar VMO" for a good video)

This is a little complicated and you will need a good physiotherapist (read: good!) because most physios suck.

Also you probably have dominance in one side of side hamstring(usually biceps femoris).

Rehab smart mate. Get your knees working optimally before you fuck something up.
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Old 07-30-2014, 02:32 AM   #9
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Man this is awesome! thank you so much!

I have always walked like a duck, do you think there is a connection? Should i try to walk with my feet straight?

Quote:
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This is a little complicated and you will need a good fisioterapia (read: good!) because most physios suck.
Man this concerns me. In my country lifting the proper way is quite uncommon and powerlifting is like unheard of, so i doubt i can find a fisiotherapist that knows about strength training. Would you care to give some advice about identifying a good one?


Sorry if i'm bothering you too much, and again, BIG thanks, this is very helpful!
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Old 07-31-2014, 02:48 AM   #10
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Default Any experience with Hoffa's Disease (Infrapatellar Fat Pad Syndrome)?

Quote:
Originally Posted by Fatcat View Post
Man this is awesome! thank you so much!



I have always walked like a duck, do you think there is a connection? Should i try to walk with my feet straight?





Man this concerns me. In my country lifting the proper way is quite uncommon and powerlifting is like unheard of, so i doubt i can find a fisiotherapist that knows about strength training. Would you care to give some advice about identifying a good one?





Sorry if i'm bothering you too much, and again, BIG thanks, this is very helpful!

Welcome bro.

Yes absolutely. Duck walk is usually a symptom of misfiring of glutes, vmo and gluteus medius (which are very likely to be your dysfunction as well, as we talked about)

What happens is that the external rotators and abductors (deep lateral rotators, glute max and medius) fail to stabilize the femur (thigh bone), result is Valgus knee, which in turn (often) inhibits VMO and tightens vastus lateralis.

You'll then end up with an over active psoas (hip flexor tightness), poor gluteal function and deep lateral stabilization of the femoral head, knee Valgus, tight IT band, foot probation and external rotation = DUCK FEET and patellar mistracking. Which are your exact symptoms bro.

I realize this is a lot of information, but I recommend that you educate yourself on these issues to keep yourself healthy.

So, correction!

Strengthen glutes with glute bridge (unilateral preferably)

Strengthen gluteus medius with femoral abductions.

Strengthen deep lateral rotators of the femur (gemelli and obturators). The muscles that externally rotate the femur (psoas overcompensates for these muscles and becomes chronically tight when they're weak)

Strengthen VMO (and integrate in daily movement by not letting your legs track sideways when you walk, squat etc) and medial hamstrings (semitendonosus and semimembranosus)

Strengthen the muscles of your big toe, as it will keep your foot from pronating.

STRETCHES
Stretch psoas and hip flexors
Foam roll vastus lateralis
Stretch illiotibial band and roll TFL
Stretch and massage calf muscles.
MAYBE stretch piriformis and hamstrings (depends on individual)

How to identify a food physio!
Look for someone who do not just treat symptoms (like just removing inflammation which is idiotic), but identifies and EXPLAINS not only your injury but why it has happened, and the concrete actions to cure it.

Good luck man.

Last edited by kjetil1234; 07-31-2014 at 02:58 AM.
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