Runner’s knee (patello-femoral pain syndrome) is characterised by pain around or underneath the knee cap (patella) which is brought on by running and relieved by rest.
Runner’s knee presents as pain around the front of the knee when running, walking or jumping. Pain often also occurs when getting up from a sitting position, going up and down stairs and when squatting. You may feel grating or ‘creakiness’ in or around the knee. The knee cap may also be painful to touch and move around.
There are numerous causes of runner’s knee. A biomechanical problem, such as poor foot posture, is usually be present. This can lead to abnormal joint forces and altered muscle function. Runner’s knee is very common in those with flat feet. Other factors include poor footwear and obesity , a high Q Angle, weak quadriceps muscles .An increase in activity level, an unsuitable running surface or over-vigorous training regime and a bony or soft tissue abnormality can all also cause runner’s knee.
An assessment with your podiatrist is required to identify the cause of your runner’s knee. Often successful treatment of this condition requires intervention with orthotics and muscle strengthening or stretching. Any activity that appears to worsen the problem should be stopped immediately.
Continuing with vigorous levels of running on unsuitable surfaces should be avoided so that unnecessary damage doesn’t occur.
If left untreated, runner’s knee may possibly progress to osteoarthritis in the long term.
Modification of your exercise regime can be discussed with the podiatrist. Orthotics (shoe inserts) will be provided by the podiatrist. With runner’s knee, these aim to reduce the amount of internal rotation of the leg bone and provide support for the arch of the foot. This will return the joint forces and muscle function to return to normal.
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