What is patellofemoral syndrome?

Often referred to as “runner’s knee,” patellofemoral pain syndrome (PFPS) refers to a painful condition that is attributed to the patella (kneecap) and how it behaves in the front of the knee. 

Although the patella seems relatively insignificant, this bone actually moves around quite a bit. So when the patella’s alignment is not centered or it moves out of place, the result can be changes to the bone and soft tissues around it.

Who gets Patellofemoral Pain Syndrome?

Repetitive stress on the knee can be caused by sports or activities that require repeated movements. For example, running, jumping, squatting and climbing are all risk factors for developing patellofemoral pain syndrome. A sudden change or increase in activities also puts the knee at risk.

When the patella is not aligned there is a high likelihood of developing PFPS. Causes of mal-alignment include:

  • The way bones developed during growth
  • Muscular strength
  • Imbalance around the knee, particularly in the gluteal muscles, hamstring or quad muscles
  • A traumatic injury, particularly one causing a direct hit to the knee or a dislocation of the patella

What are the symptoms of Patellofemoral Pain Syndrome?

Typically, Patellofemoral syndrome produces pain in the front of the knee that is worse with:

  • Long periods of sitting
  • Climbing stairs
  • Running or walking
  • Mild swelling
  • Pain can be accompanied by crunching sounds around the kneecap

What are the treatments of Patellofemoral Pain Syndrome?

At Avid Sports Medicine we focus on consistent and progressive conservative treatments to address PFPS.  We may recommend starting with bracing, taping or anti-inflammatory medication for pain management. 

However, long term improvement requires a change in the forces being placed on the patella. This is done through:

  • Therapeutic exercises to improve strength, flexibility or function in the weak or imbalanced muscles
  • Shoe inserts to adjust the forces being placed on the knee.
  • Adjusting training regimens, your technique or changing exercise surfaces.

What’s Next?

Schedule your free consultation to evaluate your individual circumstances. During this call you’ll speak directly with Dr. Jow, our sports medicine physician. While we can’t give out specific advice until you become a patient, we can discuss your issue and determine if Avid is the best fit for you. If an in-person visit is recommended, we will schedule it right away.