Good questions Alex. I didn’t reproduce her pain in the knee during the examination. Since her pain came 4-6 hours after activity, I was not too concerned about reproducing it in the clinic and was satisfied with the plica testing at that time. However, she did complain of occasional sharp pains which maybe I should have gone after a bit more since Eric and Mike pointed out that she was not highly irritable at the initial evaluation.

I may be reading too much into this but CFM or applying a patellar strap to the mid-portion of the tendon will change the moment arm of the patella as it’s tracks through the femoral groove. By decreasing the moment arm of the patellar tendon, the inferior pole of the patella will be less to impinge on infrapatellar structures into deep knee flexion movements. So regardless of presence of tendinopathy, I think that’s totally a fair treatment for irritation of the plica/infrapatellar fat pad anyway.