Anterior knee pain / Patellofemoral pain syndrome

Anterior knee pain, sometimes referred to as patellofemoral syndrome, is the most common cause of chronic knee pain. The condition develops due to softening of the cartilage beneath the kneecap (patella), resulting in small areas of breakdown of cartilage and eventually arthritic changes in knee joint, if not treated early.

Symptoms

• Vague pain around the kneecap with weight bearing activities.
• Clicking sound from knee joint
• Giving-way felling of the knee

Risk factors

• Increased levels of physical activity
• Malalignment of lower legs
• Hip and thigh muscles weakness / imbalance
• Having flat foot related pathologies
• Females with wide pelvis

Assessment – The podiatrists at toe-tal will diagnose the condition through a physical examination and biomechanical assessment. These assessments include checking lower limb muscle muscles imbalance (weaknesses & tightnesses), range of motion test of knee and foot and organizing specific x-rays to see the degree of abnormal alignment and arthritic changes.

The podiatrist will also implement a gait analysis which will provide more comprehensive knowledge and evidence regarding the cause of their knee pain, especially if there is any involvement  with their foot mechanics.   

Treatment: – It is important to follow a rehabilitation program so your injury doesn’t reoccur.

1. REST or decrease in training intensity
2. Apply ICE over the painful area for 15 minutes
3. Take non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief
4. Stretching and strengthening exercises – (talk to podiatrist what exercises require to do)
5. Footwear advice/modification – (talk to the podiatrist at toe-tal about what footwear suits your foot best)
6. Orthotic therapy
7. Refer to physiotherapy or orthopedic surgeon