Pain around or behind the kneecap.
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Patellofemoral Pain Syndrome
Patellofemoral pain syndrome is a condition that causes pain in the front of the knee, often around or behind the kneecap. It can be caused by a variety of factors, such as misalignment of the kneecap, overuse, or injury.
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The patella, or kneecap, is a small, triangular bone in the front of the knee that protects the joint. Patellofemoral pain syndrome, also known as runner's knee, is pain in the front of the knee around the kneecap. It's a common complaint among athletes.
Causes, Symptoms, and Diagnosis
Causes can include poor kneecap alignment, dislocation, overuse, tight or weak thigh muscles, flat feet, or direct trauma. The pain often comes from strained tendons and irritated cartilage under the kneecap. Symptoms are a dull aching pain under the kneecap, especially when walking stairs, squatting, kneeling, or sitting with bent knees for long periods. Diagnosis involves a discussion of your symptoms and medical history, a physical exam, and imaging tests to rule out structural damage.
Treatment
Initial treatment is usually non-surgical and involves avoiding activities that cause pain. The RICE protocol (rest, ice, compression, and elevation) helps control pain and swelling. Non-steroidal anti-inflammatory medications may be prescribed. Other non-surgical treatments include physical therapy, knee taping, using a knee brace, or orthotics (shoe inserts) for people with flat feet. If these methods don't work, surgery like arthroscopy and realignment may be recommended.