
What is Runners’ Knee?
Runners’ knee, or patello-femoral pain syndrome, is a prevalent ailment marked by pain at the knee’s front, primarily during activities involving frequent and repetitive knee bending.
The knee joint comprises the thigh bone (femur), leg bone (tibia), and a small floating bone at the front—the kneecap (patella). Their coordinated movement facilitates smooth knee bending and straightening. The kneecap, sitting in a front groove of the knee, functions like a mechanical seesaw, safeguarding the joint and augmenting the knee-moving muscles’ efficacy. Anomalous movement of the kneecap within its groove can irritate and pain the underlying tissues.
Root Causes of Runners’ Knee
The quadriceps muscle, responsible for straightening the knee, consists of four distinct muscles that share a common kneecap attachment. Working synchronously, some muscles exert a pull to the left and others to the right during knee straightening. A development imbalance within the quadriceps can misalign the kneecap’s movement, leading to irritation and pain over time due to damage to the underlying bony surfaces.
The Role of Physiotherapy
Post assessment, a physiotherapist can pinpoint the pain’s source, perform muscle releases, and suggest tailored stretches. In cases of strength imbalance, specific exercises will be recommended to address the issue.
Hip or lower back muscular imbalances and subpar lower limb and foot biomechanics can affect quadriceps functionality, crucial for effective treatment. Footwear alterations or orthotic additions might be advised for better foot and lower limb support, either as a permanent or temporary measure.
Additional treatment strategies could encompass patella strapping, dry needling, or trigger point therapy. Surgery is generally viewed as a final measure after physiotherapy intervention.
Note: This article serves informational purposes and should not replace expert medical counsel. Consult a healthcare professional for personalised advice.