Patellofemoral pain syndrome (PFPS) is a common knee condition characterized by pain around or behind the kneecap (patella). It’s often caused by overuse, misalignment, or muscle imbalances. People with PFPS might experience pain during activities like climbing stairs, squatting, or sitting with bent knees for extended periods.

 

Symptoms

  • Pain around or behind the kneecap: This is often described as a dull ache or sharp pain.
  • Pain during or after activity: Especially activities that involve knee bending.
  • Swelling or a feeling of fullness in the knee: Though less common, some might experience this.
  • Cracking or popping sounds: Sometimes heard when moving the knee.

Causes

  • Overuse: Repeated stress on the knee joint can lead to PFPS.
  • Muscle Imbalances: Weakness or imbalances in the muscles around the knee, especially the quadriceps and hamstrings.
  • Poor Biomechanics: Issues like flat feet or improper tracking of the patella can contribute.
  • Knee Injury: Previous trauma to the knee can increase susceptibility.

Diagnosis

Diagnosis is usually made based on a physical examination and medical history. In some cases, imaging tests like X-rays or MRIs might be used to rule out other conditions.

Treatment

  • Rest and Activity Modification: Avoid activities that exacerbate the pain.
  • Ice: Applying ice to the knee can help reduce pain and swelling.
  • Physical Therapy: Strengthening and stretching exercises to address muscle imbalances and improve knee alignment.
  • Medications: Over-the-counter pain relievers and anti-inflammatories can help manage symptoms.
  • Orthotics: Custom shoe inserts can improve alignment if flat feet are contributing to the problem.
  • Bracing or Taping: These can help support the patella and alleviate symptoms.

Prevention

  • Strengthening Exercises: Focus on strengthening the quadriceps, hamstrings, and hip muscles.
  • Stretching: Regularly stretching the muscles around the knee can help maintain flexibility.
  • Proper Footwear: Wearing shoes that provide good support and cushioning can help reduce stress on the knee.

If you’re experiencing symptoms or have concerns about PFPS, it’s best to consult a healthcare provider for a proper diagnosis and treatment plan.

     

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      J. Press
      Physiotherapist