The knee joint is a complex joint consisting of the patella (knee cap), tibia and the femur.

Runner’s knee is also known as Anterior Knee Pain, Patella Femoral Pain Syndrome and Chondromalacia Patella (softening of the cartilage).

painfuljoints painfulknee
Painful Joints Painful Knee

Causes of Runner’s Knee Pain
Mechanical overload/overuse of the joint due to bio-mechanical abnormality (pronation)- this is indeed the most significant of all the problems. Call a podiatrist to have a bio-mechanical examination to rule out bio-mechanical problems in addition to the following causes:

  • Knock knees
  • Wide hips (female runners)
  • Weak quadriceps muscles/weakness of vastus medialis muscle
  • Tight hamstring and calf muscles
  • Tight illio tibial band
  • Subluxating patella

Signs and Symptoms

  • Pain near the knee cap – inner side of the knee cap as well as below the knee cap
  • Pain is felt after sitting for a prolonged period i.e. sitting with your knees bent or cross legged
  • Walking down the stairs or running down hill, this is followed by pain
  • Symptoms aggravated when the knee is bent

Treatment
Do you suffer from any of the above causes or signs outlined above?

Do you suffer from one or more of these causes that is contributing towards your runner’s knee? Then you need to have a consultation at the specialist podiatry clinic in Loughborough to assess you biomechanically to rule out:

  • Pronation (rolling of the feet inwards) or supination (high arch feet). This is to determine whether you have tight calf muscles or tight hamstrings and give you the appropriate treatment.
  • To look at your muscles; since weakness in quadriceps muscles and tight illio tibial band is also a contributing factor. This is to provide you with appropriate orthotics (foot inserts to align your feet and body) with an exercise regime, to look at your footwear as well as a training programme to eliminate all of above causes of runner’s knee.
  • To reduce activity significantly and reduce any activity which causes pain
  • Use of ice therapy and non-steroidal anti-inflammatory drug.

Call (02) 164 4958, or use the form below, for an appointment and for further information.

Rehabilitation
As symptoms improve one needs to address and eliminate any predisposing factors, such as weak quadriceps muscles with strengthening exercises. These exercises have to be such that they do not irritate or cause further injury.

As symptoms decrease bio-mechanical intervention is needed and orthotics prescribed.

Prevention
This is the maintenance around optimal bio-mechanical function appropriate footgear, strengthening and stretching of vastus medialis muscle and illio tibial band.