Patellofemoral Syndrome (Runner’s Knee): Understanding Causes, Symptoms, and Knowing Your Treatment Options

Patellofemoral syndrome, often referred to as “runner’s knee,” is a common condition that affects many athletes and active individuals. This condition involves pain around the front of the knee and the patella (kneecap), which worsens with activities like running, squatting, or stair climbing. Understanding the causes, symptoms, and treatment options for patellofemoral syndrome can help manage pain and prevent further complications, allowing you to maintain an active, healthy lifestyle. 

What Causes Runner’s Knee?  

Patellofemoral syndrome occurs when the kneecap rubs against the femur bone, leading to irritation and pain. Several factors can contribute to this condition: 

• Overuse: Repetitive activities like running, jumping, or cycling can increase pressure on the knee joint and cause wear and tear, especially if you’re ramping up your activity too quickly. 

• Muscle Imbalance: Weak or imbalanced thigh and hip muscles can cause the kneecap to move out of alignment, leading to joint strain and discomfort. 

• Structural Issues: Anatomical factors, such as a misaligned kneecap, flat feet, or high arches, may also contribute to runner’s knee by causing uneven distribution of weight and pressure. 

• Injury: Previous injuries to the knee or surrounding structures can heighten the risk of developing patellofemoral pain syndrome.  

Symptoms and Treatment Options 

Patellofemoral syndrome is characterized by specific symptoms that typically worsen with activity: 

• Pain Around the Kneecap: Discomfort typically centers around or behind the kneecap and is most noticeable during activities like squatting, climbing stairs, or sitting for prolonged periods. 

• Stiffness: Many people report a feeling of stiffness in the knee, especially after periods of inactivity or sitting with bent knees. 

• Grinding or Popping Sensation: Some individuals experience grinding, popping, or a sensation of instability in the knee joint when moving. 

While patellofemoral syndrome can be uncomfortable, several treatment options are available to help reduce pain, improve function, and prevent further damage. 

Conservative Management

• Rest and Activity Modification: Resting and temporarily reducing activities that exacerbate symptoms can help. Avoid deep squats, lunges, and stairs when symptoms are at their peak. 

• Icing and Elevation: Icing the knee can alleviate inflammation and provide temporary relief. Elevating the leg also helps reduce swelling. 

Supportive Devices

• Knee Braces or Taping: Using a knee brace or supportive taping can help align the kneecap properly and reduce strain during movement. 

• Orthotics: Custom shoe inserts can provide additional support for those with flat feet or high arches, helping distribute weight evenly across the knee joint. 

Sports Medicine

For those with persistent symptoms, sports medicine offers a range of options: 

• Injections: In certain cases, a doctor may recommend injections to reduce pain and inflammation. 

• Targeted Strength Training: Strengthening surrounding muscles like the quadriceps and hip muscles can improve knee alignment and reduce pressure on the joint. 

When to Seek Treatment for Runner’s Knee 

If you’re experiencing ongoing knee pain that limits your activity or affects your quality of life, it may be time to seek medical care. Early intervention can help prevent worsening symptoms and allow you to stay active without discomfort. 

At ROC, our team of sports medicine experts offer comprehensive care for conditions like patellofemoral syndrome, helping you understand your condition and get back to your regular activities without pain. Don’t let knee pain keep you from enjoying your favorite activities—schedule a consultation with us today.