Runners Clinic · Knee

Patellofemoral Pain Syndrome

Pain around the front of the knee or kneecap during running, stairs, squats, or prolonged sitting.

Understanding Patellofemoral Pain Syndrome

Pain can develop when patellofemoral joint load exceeds what the thigh and hip muscles can tolerate. Rapid training increases, quadriceps or gluteal weakness, and landing alignment may all contribute.

Whether pain is in front of or around the kneecap

Whether stairs, squats, or prolonged sitting make it worse

Whether swelling or locking is present

Hip and thigh strength and single-leg landing alignment

Knee anatomy illustration showing the patellofemoral joint and pain around the kneecap

Treatment Direction

Set a Tolerable Load

Reduce hills, stairs, deep squats, and running volume that clearly increase pain.

Differentiate the Cause

We assess kneecap movement and tenderness to distinguish cartilage, tendon, or meniscal problems.

Strengthen Thigh and Hip

Progressive quadriceps and gluteal strengthening helps distribute load around the kneecap.

Return-to-Running Criteria

Pain is controlled during stairs and normal walking

Knee alignment is maintained during squats and step-downs

Restart with short flat runs and increase distance and speed separately

When to Seek Evaluation Promptly

Seek evaluation first if the knee becomes markedly swollen, locks, suddenly gives way, or is very painful after an injury.

Do not put off persistent pain. Have it checked.

Our staff can guide you during clinic hours. Call us if you have questions before your visit.

Call the clinic Appointment