Patellofemoral Pain Syndrome


What is Patellofemoral Pain Syndrome (PFPS)?

PFPS is one of the most common forms of knee pain. It is most common in athletes, active teenagers, older adults, and people who perform physical labor as an occupation. It is more prevalent in men than women. 

It refers to the pain at the front of the knee, in and around the kneecap (also known as the patella). It is considered an overuse injury from repetitive or excessive use of the knee. This, in combination with, weakness, tightness, or stiffness of the muscles around the knee and hip can result in poor knee cap tracking or increase in inflammation. PFPS may also follow prior injuries or surgeries and the decreased activation of muscles can contribute to poor patella tracking, When the knee caps isn't tracking correctly it will rub on the thigh bone causing friction and irritation to the underside of the knee cap resulting in pain. 

Signs and Symptoms of PFPS?

  • Tenderness along the side of the knee cap 
  • Sharp or dull pain surrounding or under the knee cap
  • Pain with walking up or down hills or stairs
  • Pain after the knee has been bent for longer periods of time
  • May hearing clicking or popping at the knee with activity. 

How Can a Physical Therapist or Chiropractor Help?

A phyiscal therapist or chiropractor will perform a full examination in order to identify your restrictions and deficits. The physical therapist can give you specific strengthening exercises focusing on hip and knee strengthening and symmetries. Additionally the home exercise plan may include stretching or mobility activities to help loosen restricted, painful, and/or tight muscles. Chiropractor and/or Physical Therapist would be able to address joint mobility and muscle asymmetries. Additional technieques can be used including hands on work and taping to help with tracking of knee.