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Client case study: Anterior Knee Pain

Patient Name: Alex W.
Age: 35
Occupation: Financial Analyst

Medical History: No significant prior knee issues, regular runner with a recent increase in training frequency. 

Alex presented with anterior knee pain that developed gradually after increasing the frequency of their running sessions. The pain was localized around the kneecap and intensified during running and descending stairs. The discomfort had affected their ability to maintain the desired training pace for an upcoming marathon. 

Clinical examination and history-taking suggested symptoms consistent with patellofemoral pain syndrome (PFPS), a common condition among runners caused by imbalances and overuse. 

A comprehensive treatment plan was developed to address Alex’s anterior knee pain and support their return to marathon training: 

Osteopathy Sessions (Initial Visit and Follow-ups):

  • Initial assessment revealed tightness in the quadriceps muscles, restricted knee mobility, and biomechanical imbalances contributing to PFPS. 
    Osteopathic treatment focused on releasing muscle tension, improving joint mobility, and providing exercises to address muscle imbalances. 

First Osteopathy Session (Day 1):

  • After the initial osteopathy session, Alex reported a decrease in anterior knee pain and improved comfort during daily activities. 
    The osteopath provided a personalized exercise program to enhance muscle strength and flexibility. 

Treatment Outcomes:

Follow-up Osteopathy Sessions (Days 3, 7, 14, and 21):

  • Over the course of five sessions conducted weekly, Alex experienced gradual improvement in knee pain and increased running comfort. 
    Osteopathic treatment addressed residual muscle imbalances and ensured optimal patellar tracking. 

Return to Marathon Training (Weeks 4-10):

  • Alex followed a structured return-to-running plan, incorporating a gradual increase in training frequency and intensity. 
    Monitoring for any signs of discomfort, Alex successfully progressed through the training plan, gradually reaching the desired pace. 


After completing the series of osteopathy sessions and successfully returning to marathon training, Alex reported being pain-free during runs and achieving the desired pace. The osteopath provided ongoing guidance on maintenance exercises, proper warm-up routines, and strategies to prevent future episodes of anterior knee pain. Alex was able to participate in the marathon with confidence and complete the race without any knee-related issues.

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