KNEE

Patellofemoral Syndrome

Patellofemoral Syndrome

Patellofemoral syndrome refers to pain felt in or around the knee cap (patella). This condition is typically due to excessive patellofemoral joint pressure from poor kneecap alignment, which in time, affects the joint surface behind the kneecap.

Usually patients complain of a dull ache behind the knee cap with activity and often get worse when going up or down stairs, squatting, kneeling or running. Pain is often worse on repetitive activity such as running or walking long distances. You may notice a grinding or clicking sound when bending and straightening the knee. Once the syndrome progresses your knee cap may even become painful at rest.

This syndrome is often caused by:

  • Running on hard or uneven surfaces.
  • Muscle imbalance such as tight calf muscles and hamstrings resulting in extra stress placed on the knee.
  • Poor footwear.
  • Knock knees.
  • Overloading/overusing the knee joint.
  • Weak quadriceps muscles.
  • Poor alignment of the lower limbs.
  • Over pronation (rolling in of ankle).
  • Women have a higher predisposition due to their wider pelvises than men, which increases the size of the angle where the bones in the knee joint meet.

At Mint Foot Care we diagnose this condition by taking a comprehensive history, performing a biomechanical assessment and video gait analysis. The podiatrist may prescribe diagnostic imaging such as an X-ray or ultrasound.

Based on the findings a combination of treatment options may be prescribed including:

  • Rest and Ice – keeping off the foot and reducing activity prevents further injury and encourages healing. Ice can reduce inflammation, swelling and symptoms.
  • Non-steroidal anti-inflammatory medication – help reduce the pain and inflammation such as ibuprofen or aspirin.
  • Proper fitting and supportive footwear recommendations.
  • Custom made orthotic therapy – orthotics may be prescribed to address any biomechanical factors such as over pronation.
  • Exercises to strengthen the muscles within the quadriceps group, restoring muscle balance and stabilising the kneecap. Exercises may also be given for stretching of hip muscles, hamstrings and calf muscles to help improve biomechanics of the patellofemoral joint.
  • Ultrasound therapy.
  • Dry Needling.

Call us to make an appointment or book online now.

Latest News

  • Podiatry

    STRESS FRACTURES

    WHAT IS A STRESS FRACTURE? A stress fracture is an incomplete crack in a bone. Stress fractures are caused by repeated stress or repetitive activity over a period, weakening the bone. Stress fractures are common in runners and athletes who...

    No Comments Date: July 23, 2017
  • Meet the Team

    Mia-Office Administrator

    The youngest member of our team, Mia is a dynamic office administrator. Mia is currently studying nursing and plays an active role in our infection control procedures and assisting our podiatrists. Outside of work Mia likes to stay active by...

    No Comments Date: June 19, 2017
  • Footwear

    Effects of high heels on feet

    High heels dominate the fashion industry. They give women more confidence and empowerment by elongating and accentuating the legs, increasing height and drawing attention from both men and women. However, high heels not only cause chronic foot problems, but can...

    No Comments Date: May 9, 2017
  • Nails

    Why Does My Nail Polish Stain My Nails Yellow?

    This is a common complaint that I hear from many of my patients. There are two possible causes. The most likely reason is a colour reaction. Darker coloured polishes in particular can stain nails due to a chemical reaction between...

    No Comments Date: February 3, 2017
  • Circulation

    Peripheral Vascular Disease

    What is peripheral vascular disease? Peripheral vascular disease (PVD) is the reduced circulation of blood to a body part other than the brain or heart. It most commonly affects the blood vessels of the legs and kidneys. It is caused...

    No Comments Date: August 6, 2016