Knee Cap (Patello – Femoral) Problems

Home Knee Cap (Patello – Femoral) Problems

Knee Cap (Patello – Femoral) Problems

Understanding Patellofemoral Syndrome:

Patellofemoral Syndrome (PFS), also known as runner’s knee or jumper’s knee, is a common condition characterized by pain around the front of the knee, specifically behind or around the kneecap (patella). This discomfort often worsens with activities such as running, jumping, squatting, or prolonged sitting.


  1. Muscle Imbalances: Weakness or tightness in muscles around the knee, such as the quadriceps, hamstrings, or calf muscles, can lead to improper tracking of the patella within the femoral groove.
  2. Overuse: Repetitive stress on the knee joint, common in activities like running, cycling, or jumping, can cause irritation and inflammation of the patellofemoral joint.
  3. Poor Biomechanics: Issues with alignment or movement patterns of the lower limbs, such as flat feet, knock knees, or improper foot pronation, can contribute to PFS.
  4. Trauma: Direct trauma to the kneecap or surrounding structures can lead to PFS, especially if it causes misalignment or damage to the cartilage.


  1. Pain: Dull, aching pain around or behind the kneecap, aggravated by activities like climbing stairs, kneeling, or sitting with bent knees for prolonged periods.
  2. Swelling: Mild to moderate swelling around the knee joint, particularly after physical activity.
  3. Crackling Sensation: Some individuals may experience a grating or popping sensation (crepitus) when moving the knee.
  4. Instability: Feeling of the knee giving way or buckling, especially during weight-bearing activities.Treatment:
    1. RICE Therapy: Rest, Ice, Compression, and Elevation help reduce pain and inflammation in the acute phase of PFS.
    2. Physical Therapy: Strengthening exercises for the quadriceps, hamstrings, and hip muscles, as well as stretching and mobility exercises, can correct muscle imbalances and improve biomechanics.
    3. Orthotics: Shoe inserts or orthotic devices may help correct foot alignment and reduce stress on the knee joint.
    4. Bracing: Patellar braces or straps can provide support and alignment for the patella during physical activity.
    5. Activity Modification: Limiting or modifying activities that exacerbate symptoms can prevent further irritation and promote healing.
    6. Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) may help reduce pain and inflammation, but should be used cautiously and under medical supervision.


    1. Proper Technique: Ensuring proper form and technique during physical activities, especially those involving repetitive knee movements.
    2. Gradual Progression: Gradually increasing the intensity and duration of exercise to allow the body to adapt and reduce the risk of overuse injuries.
    3. Cross-training: Incorporating a variety of activities and exercises to prevent muscle imbalances and reduce repetitive stress on the knee joint.
    4. Warm-up and Cool-down: Proper warm-up and cool-down routines can prepare the muscles and joints for activity and promote recovery.
    5. Footwear: Wearing supportive and properly fitted footwear suitable for the specific activity can help maintain proper alignment and reduce strain on the knees