# 179. Patellofemoral pain 3 - Effective rehab that won't flare their symptoms with Tom Goom

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Text version: https://stenobird.com/podcast/physio-edge-podcast-with-david-pope-1059059/179-patellofemoral-pain-3-effective-rehab-that-won-t-flare-their-symptoms-with-tom-goom.md
Podcast: [Physio Edge podcast with David Pope](https://stenobird.com/podcast/physio-edge-podcast-with-david-pope-1059059)
Published: 2026-07-08T10:57:00+00:00
Episode link: https://physioedge.libsyn.com/179-patellofemoral-pain-3-effective-rehab-that-wont-flare-their-symptoms-with-tom-goom
Audio file: https://traffic.libsyn.com/secure/physioedge/179.mp3?dest-id=72110
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Duration seconds: 1955

## Resource

Strengthening exercises are a key part of successful patellofemoral pain (PFP) rehabilitation. Squats, lunges and single leg squats are often painful early on and can aggravate your patients pain, but on the flip side, we want to build up their tolerance and confidence with these movements. If you introduce an exercise your patient isn't ready for, progress too quickly, or overload the knee too early, you'll often flare your patients pain and set their rehabilitation back. In this episode, Tom Goom (Running Physio) and David Pope explore the third pillar of successful PFP treatment: progressive rehab. Continuing the case of Alice from the previous two podcasts, a HYROX athlete preparing for competition, Tom and I walk through exactly how to choose, modify and progress exercises that build strength, restore confidence and prepare patients for the demands of running and sport, without flaring their symptoms. You'll discover: How to decide when to prioritise load management before introducing strengthening exercises Why rehabilitation should be tailored to the individual rather than using a "cookie-cutter" exercise program The key strength deficits Tom commonly looks for in runners with PFP, and how to assess them How to select exercises that improve strength while minimising stress on the patellofemoral joint Practical ways to modify squats, lunges and other knee-loading exercises to reduce pain while rebuilding movement tolerance A simple four-stage progression from low-irritability exercises through to sport-specific strength and power training How to integrate rehabilitation into a patient's existing training so they are more likely to stick with the program Throughout the episode, Tom shares the clinical reasoning behind each exercise choice, showing how to progress…

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