Patellofemoral Pain Syndrome (PFPS), often called runner's knee, is a common condition involving pain at the front of the knee and around the kneecap. It occurs when the patella does not track properly in the groove of the thighbone, leading to irritation of the cartilage and surrounding tissues.
Symptoms usually develop gradually rather than resulting from a single traumatic event.
Dull Ache: Patients typically feel a persistent ache behind or around the kneecap.
Activity-Related Pain: Pain often intensifies during activities that load the joint, such as running, jumping, or squatting.
The Theater Sign: You may experience discomfort or stiffness after sitting for long periods with your knees bent, such as in a car or a movie theater.
Crepitus: You might notice a grinding or popping sensation when climbing stairs or standing up from a chair.
Diagnosis is primarily based on your medical history and a physical assessment of your movement patterns.
Physical Exam
Imaging: X-rays are used to check the alignment of the kneecap, though they are often normal in PFPS cases. MRIs are rarely needed unless we suspect a different underlying cartilage issue.
The focus of treatment is to correct the mechanical issues that cause the pain.
Load Management: Reducing high-impact activities temporarily helps the inflammation subside.
Cross-Training: Swapping running for low-impact exercises like swimming or cycling maintains fitness without irritating the joint.
Muscle Balancing: This is the most critical step. We focus on strengthening the quadriceps and hip abductors to ensure the kneecap stays in its proper track.
Taping or Bracing: Using specialized tape or a patellar sleeve can help stabilize the kneecap and provide immediate pain relief during exercise.
Orthotics: If flat feet or poor foot mechanics are contributing to th