### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have been diagnosed with Patellar Subluxation in both knees which essentially means my knee caps pop in and out of place. I am 28 years old and has been occurring since I was 7 years old. I was told my plates in my knees were far apart and would outgrow this by the age of 18 (which has not been the case). My latest x rays show a floating mass in my left knee (most likely cartilage). That knee now makes a popping sounds (no pain but feels uncomfortable) when i straighten it after being bent for a period of time. Because of this disorder, I often get flashes of instances where my knee pops out, whence in pain even though nothing is happening and just fearful that it will happen again at any given moment. I get very anxious every so often. Not every day but at least 1-2 times a week. Not sure if this a form of PTSD but looking to at least resolve the uneasiness of my situation. Any thoughts? Also, looking for an expert who handles Subluxation and Dislocation knee injuries.

### output:

Hi, thank you for providing the brief history of you. A thorough clinical musculoskeletal assessment is advised. As you have recurrent subluxation and dislocation of knee, you need a physical therapist who can help you fix this issue. As major support of the knee joint is through the muscles and the ligaments. Strengthening the knee muscles in a proper technique using a multiple kinetic and kinematics your muscles can be taken into the balancing role to support the knee. Also, for the ligaments to act and keep the joint in position a proper proprioceptive neuromuscular training is needed to activate the joint proprioception. Majority of sports injuries seen by me are having similar complains. Followed by a proper clinical assessment and understanding the biomechanics of the joint the therapy is implemented, and the maximum benefits are achieved. RegardsJay In Chat Doctor. 