Pain on front of the knee- patellofemoral pain syndrome

Vivek Gaur Physiotherapist Guide 1 years ago

Descrição

Link for exercises and guidance on petello- femoral pain syndrome (PFPS)

https://www.ouh.nhs.uk/patient-guide/leaflets/files/33852Ppfps.pdf

Patellofemoral Pain Syndrome (PFPS)—often referred to as “runner’s knee”—is a common condition that causes pain around or behind the kneecap (patella). It usually occurs when the patella doesn’t move properly within the groove of the femur (thighbone) during activities like walking, running, squatting, or climbing stairs. This abnormal tracking may be due to muscle imbalances, overuse, poor alignment of the lower limb, or biomechanical issues such as flat feet or tight hip muscles. PFPS can affect both active individuals and those with sedentary lifestyles, though it's especially common among athletes and young adults.

Symptoms of PFPS typically include a dull, aching pain at the front of the knee, especially during activities that load the joint like stair climbing, kneeling, prolonged sitting, or squatting. There may also be a sensation of grinding or clicking, and the pain often worsens with activity or after long periods of inactivity. Diagnosis is primarily clinical and involves a physical examination by a physiotherapist or doctor who will assess knee alignment, muscle strength, and joint movement. Imaging like X-rays or MRIs is rarely needed unless other knee issues are suspected.

Treatment of PFPS focuses on addressing the underlying causes. Physiotherapy is the mainstay, with exercises aimed at strengthening the quadriceps, glutes, and hip muscles, as well as improving flexibility and patellar tracking. Taping techniques or knee braces may help support the kneecap. Activity modification, such as avoiding painful movements and gradually returning to sports, is important. Foot orthotics can help if flat feet contribute to the problem. With a consistent rehab plan, most people recover well, although full resolution may take several weeks to months depending on the severity.

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