Patellofemoral Pain Syndrome (PFPS)
Patellofemoral Pain Syndrome (PFPS) is a common condition characterized by pain and discomfort around the front of the knee. It primarily affects those who engage in activities that involve repetitive knee movements such as running, hiking or walking.
What causes it?
The exact cause of Patellofemoral Pain Syndrome is multifactorial and can vary from person to person. However, some common factors include:
Overuse or repetitive strain: Excessive or repetitive activities that place stress on the knee joint, such as running, jumping, or squatting, can lead to PFPS.
Muscle imbalances: Weakness or imbalances in the muscles around the knee, particularly the quadriceps and hip muscles, can contribute to abnormal tracking of the kneecap, resulting in pain.
Malalignment or biomechanical issues: Poor alignment of the kneecap, such as patellar tilt or lateral tracking, can disrupt the normal movement of the joint and cause pain.
Injury or trauma: Direct injury to the knee, such as a fall or impact, can lead to PFPS.
Other factors: Flat feet, tightness in the muscles and soft tissues surrounding the knee, and anatomical variations may also contribute to the development of PFPS.
Your physiotherapist will be able to diagnose and treat your knee specifically.
What are the symptoms?
Patellofemoral Pain Syndrome is characterized by pain around or behind the kneecap. The pain may worsen with activities that involve bending the knee, such as climbing stairs, squatting, or prolonged sitting. Common symptoms include:
Dull, aching pain around the front of the knee, particularly during and after physical activities.
Pain exacerbated by activities that load the knee joint, such as running downhill or jumping.
A feeling of grinding or popping sensation in the knee during movement.
Swelling or inflammation around the knee, although it may not be present in all cases.
Pain with prolonged sitting or keeping the knee in a bent position.
What are the treatment options?
The treatment of Patellofemoral Pain Syndrome typically involves a combination of conservative approaches aimed at reducing pain, improving muscle strength and flexibility, and correcting biomechanical abnormalities. Here are some common treatment strategies:
Rest and activity modification: Reducing or modifying activities that aggravate the pain to allow the knee to heal.
A structured rehabilitation program focused on strengthening the muscles around the knee, including the quadriceps, hamstrings, and hip muscles. We will customise this to suit your specific needs.
Pain management: Non-steroidal anti-inflammatory drugs (NSAIDs) or ice application can help reduce pain and inflammation.
Orthotics or bracing: The use of shoe inserts or knee braces can provide support, correct biomechanical issues, and alleviate symptoms.
Biomechanical assessment and correction: Addressing underlying biomechanical issues, such as foot pronation or muscle imbalances, through gait analysis and appropriate corrective measures.
Gradual return to activity: Gradually reintroducing activities and sports once pain has subsided and strength and flexibility have improved.
It's important to consult with a healthcare professional for an accurate diagnosis and tailored treatment plan based on your specific condition and needs.
