Materiały źródłowe

• #1 Patellofemoral pain syndrome – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/patellofemoral-pain-syndrome/symptoms-causes/syc-20350792

  Patellofemoral pain syndrome is pain at the front of the knee, around the kneecap. […] The knee pain often increases when running, walking up or down stairs, sitting for long periods, or squatting. Simple treatments, such as rest and ice, often help. But sometimes patellofemoral pain needs physical therapy. […] If the knee pain doesn’t improve within a few days or it gets harder to move the knee, call your health care provider. […] Patellofemoral pain syndrome can have several causes. It’s been linked with: Overuse. Running or jumping sports put repeated stress on the knee joint, which can cause irritation under the kneecap. […] Muscle imbalances or weaknesses. Patellofemoral pain can occur when the muscles around the hip and knee don’t keep the kneecap in line. Moving the knee inward during a squat has been linked to patellofemoral pain.

• #2 Patellofemoral Pain Syndrome (PFPS): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17914-patellofemoral-pain-syndrome-pfps

  Patellofemoral pain syndrome (PFPS) is knee pain under or around your patella (kneecap). […] You can usually treat PFPS at home with the RICE method: Rest, Ice, Compression, and Elevation. […] A physical therapist will show you stretches and exercises that strengthen the muscles around your knees. […] Your healthcare provider might suggest medications to relieve PFPS. […] You might need to wear a knee brace or special shoe inserts (orthotics) to stabilize your knee, ankle or lower leg. […] Its very rare to need surgery to treat PFPS. […] You might be able to prevent PFPS, depending on what your provider thinks might have caused it. […] The best way to prevent PFPS (and any other type of knee pain) is to stay safe when youre physically active. […] Most people need a month or two to recover from patellofemoral pain syndrome. […] Visit a healthcare provider if youre having knee pain that doesnt get better on its own after a few weeks of rest and at-home treatments. […] Your healthcare provider or physical therapist will help you find ways to strengthen your muscles, increase your flexibility and manage the pain.

• #3 Patellofemoral Pain Syndrome – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/patellofemoral-pain-syndrome/

  Patellofemoral pain syndrome (PFPS) is a broad term used to describe pain in the front of the knee and around the patella, or kneecap. It is sometimes called „runner’s knee” or „jumper’s knee” because it is common in people who participate in sports especially females and young adults but PFPS can occur in nonathletes, as well. […] The pain and stiffness caused by PFPS can make it difficult to climb stairs, kneel down, and perform other everyday activities. […] Symptoms are often relieved with conservative treatment, such as changes in activity levels or a therapeutic exercise program. […] In many cases, patellofemoral pain will improve with simple home treatment. […] Stop doing the activities that make your knee hurt until your pain goes away. This may mean: Changing your training routine, Switching to low-impact activities such as riding a stationary bike, using an elliptical machine, or swimming that will place less stress on your knee joint, If you are overweight, losing weight, which will also help to reduce pressure on your knee.

• #4 Patellofemoral Pain Syndrome Symptoms & Treatment | UPMC

  https://www.upmc.com/services/orthopaedics/conditions/patellofemoral-pain

  Runner’s knee, also known as patellofemoral pain syndrome, causes pain around the kneecap due to overuse or misalignment. […] Diagnosis involves physical examination and imaging tests, while treatment includes rest, ice, strengthening exercises, and sometimes surgery for severe cases. […] The best way to treat patellofemoral pain syndrome is to rest and avoid activities that cause pain. Ice and anti-inflammatory drugs such as ibuprofen can be used to treat any swelling or pain that may occur. […] Targeted physical therapy and strengthening exercises will also facilitate recovery. […] Shoe inserts, knee braces or sleeves also can be used to provide the knee with more support and help prevent the knee from buckling. […] Bracing the knee stabilizes the kneecap and can help prevent symptoms from worsening. […] If conservative treatments of your runner’s knee are not effective and your symptoms continue to worsen, surgery may be needed to correct malalignment of the patella.

• #5 Patellofemoral pain syndrome – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/patellofemoral-pain-syndrome/symptoms-causes/syc-20350792

  Patellofemoral pain syndrome is pain at the front of the knee, around the kneecap. […] The knee pain often increases when running, walking up or down stairs, sitting for long periods, or squatting. Simple treatments, such as rest and ice, often help. But sometimes patellofemoral pain needs physical therapy. […] If the knee pain doesn’t improve within a few days or it gets harder to move the knee, call your health care provider. […] Patellofemoral pain syndrome can have several causes. It’s been linked with: Overuse. Running or jumping sports put repeated stress on the knee joint, which can cause irritation under the kneecap. […] Muscle imbalances or weaknesses. Patellofemoral pain can occur when the muscles around the hip and knee don’t keep the kneecap in line. Moving the knee inward during a squat has been linked to patellofemoral pain.

• #6 Patellofemoral Pain Syndrome – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/patellofemoral-pain-syndrome/

  Patellofemoral pain syndrome (PFPS) is a broad term used to describe pain in the front of the knee and around the patella, or kneecap. It is sometimes called „runner’s knee” or „jumper’s knee” because it is common in people who participate in sports especially females and young adults but PFPS can occur in nonathletes, as well. […] The pain and stiffness caused by PFPS can make it difficult to climb stairs, kneel down, and perform other everyday activities. […] Symptoms are often relieved with conservative treatment, such as changes in activity levels or a therapeutic exercise program. […] In many cases, patellofemoral pain will improve with simple home treatment. […] Stop doing the activities that make your knee hurt until your pain goes away. This may mean: Changing your training routine, Switching to low-impact activities such as riding a stationary bike, using an elliptical machine, or swimming that will place less stress on your knee joint, If you are overweight, losing weight, which will also help to reduce pressure on your knee.

• #7 Patellofemoral pain syndrome – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/patellofemoral-pain-syndrome/symptoms-causes/syc-20350792

  Patellofemoral pain syndrome is pain at the front of the knee, around the kneecap. […] The knee pain often increases when running, walking up or down stairs, sitting for long periods, or squatting. Simple treatments, such as rest and ice, often help. But sometimes patellofemoral pain needs physical therapy. […] If the knee pain doesn’t improve within a few days or it gets harder to move the knee, call your health care provider. […] Patellofemoral pain syndrome can have several causes. It’s been linked with: Overuse. Running or jumping sports put repeated stress on the knee joint, which can cause irritation under the kneecap. […] Muscle imbalances or weaknesses. Patellofemoral pain can occur when the muscles around the hip and knee don’t keep the kneecap in line. Moving the knee inward during a squat has been linked to patellofemoral pain.

• #8 Patellofemoral Pain Syndrome (PFPS) Treatment in NJ | Pain Management Doctor

  https://redefinehealthcare.com/patellofemoral-pain-syndrome/

  Common causes of patellofemoral pain syndrome include: Abusing your knees over a long period, in repetitive movements, or without properly warming up. While using the stairs instead of the elevator is healthier, you can injure your knees if you do too much too soon. This issue happens more frequently when your new physical demands are too much for your body. Wearing improper shoes, placing additional pressure on your knees. Wear supportive footwear appropriate for each activity whether youre walking, running, or riding a bicycle. Getting hit on the front of your knee. Blunt force trauma injures the kneecap. Training on a hard surface, such as cement or asphalt. Search for a softer surface. Using exercise equipment wrong. Dont set the treadmill to go too fast. Run at a comfortable pace. Suffering from patellar malalignment. With this condition, your legs arent aligned properly between the hips and the ankles. It causes your kneecap to shift out of place every time you bend or straighten your legs.

• #9 Patellofemoral pain syndrome – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/patellofemoral-pain-syndrome/diagnosis-treatment/drc-20350797

  Your health care provider might ask about your history of knee problems, press on your knee and move your leg into a variety of positions. […] Treatment of patellofemoral pain often begins with simple measures. Rest the knee as much as possible. Try not to do things that increase the pain, such as climbing stairs, kneeling or squatting. […] A physical therapist might suggest: […] If simple treatments don’t relieve pain, a health care provider might suggest: […] You might start by seeing your primary care provider. Or you might be referred to a physical medicine and rehabilitation specialist, also known as a physiatrist, a physical therapist, an orthopedic surgeon or a sports medicine specialist. […] For patellofemoral pain syndrome, questions to ask include: […] Be prepared to answer questions, such as:

• #10 Patellofemoral Pain Syndrome – Grand Ave Urgent Care

  https://grandaveurgentcare.com/patient-education/health-library/?DOCHWID=tp22235spec

  Patellofemoral pain syndrome is pain in the front of the knee. It frequently occurs in teenagers, manual laborers, and athletes. It sometimes is caused by wearing down, roughening, or softening of the cartilage under the kneecap. […] Patellofemoral pain syndrome may be caused by overuse, injury, excess weight, a kneecap that is not properly aligned (patellar tracking disorder), or changes under the kneecap. […] The main symptom of patellofemoral pain syndrome is knee pain, especially when you are sitting with bent knees, squatting, jumping, or using the stairs (especially going down stairs). You may also experience occasional knee buckling, in which the knee suddenly and unexpectedly gives way and does not support your body weight. It is also common to have a catching, popping, or grinding sensation when you are walking or when you are moving your knee.

• #11 Patellofemoral pain syndrome

  https://www.merseycare.nhs.uk/patellofemoral-pain-syndrome

  Patellofemoral pain syndrome is one of the most common causes of pain at the front of the knee. It is common in both men and women and can affect one or both knees. […] Common symptoms include: Pain at the front of the knee, around and behind your kneecap; Worsening pain during or after increased activity or exercise; Pain after prolonged sitting; Pain going up and down stairs. […] Painkillers such as paracetamol and ibuprofen or anti-inflammatory gels may be helpful to control the pain and allow you to continue exercising. […] Exercise has been shown to be key in managing patellofemoral pain effectively. Basic exercises in lying or sitting may be helpful at first to help build muscle strength and function without causing discomfort. […] If there is no response to the self-management information above within four to six weeks, seek further advice from your physiotherapist or GP.

• #12 Patellofemoral Pain Syndrome Symptoms & Treatment | UPMC

  https://www.upmc.com/services/orthopaedics/conditions/patellofemoral-pain

  Runner’s knee, also known as patellofemoral pain syndrome, causes pain around the kneecap due to overuse or misalignment. […] Diagnosis involves physical examination and imaging tests, while treatment includes rest, ice, strengthening exercises, and sometimes surgery for severe cases. […] The best way to treat patellofemoral pain syndrome is to rest and avoid activities that cause pain. Ice and anti-inflammatory drugs such as ibuprofen can be used to treat any swelling or pain that may occur. […] Targeted physical therapy and strengthening exercises will also facilitate recovery. […] Shoe inserts, knee braces or sleeves also can be used to provide the knee with more support and help prevent the knee from buckling. […] Bracing the knee stabilizes the kneecap and can help prevent symptoms from worsening. […] If conservative treatments of your runner’s knee are not effective and your symptoms continue to worsen, surgery may be needed to correct malalignment of the patella.

• #13

  https://www.nursingcenter.com/journalarticle?Article_ID=4897793&Journal_ID=403341&Issue_ID=4897345

  Patellofemoral (knee) pain is one of the most commonly reported conditions to sports medicine providers, with estimates of incidence varying between 8% and 33% of all knee-related injuries (Glaviano, Kew, Hart, Saliba, 2015). […] Nonpharmacological methods of treating pain are an important aspect of nursing care. The Lippincott Nursing Centre (2018) recommends the use of physical therapy, orthotics, taping, and the use of an elastic knee sleeve for the nonpharmacological management of patellofemoral pain syndrome (PFPS). […] The authors of this review found that there is a lack of evidence to inform the use of knee orthoses for PFPS, including the mode and duration of use. […] The lack of evidence for the use of knee orthoses in PFPS is conflicting for nursing practice. Nurses look to trusted sources for evidence-based information to guide their current practice; however, it has been found that knee orthoses are still being recommended for use in PFPS. […] Nurses may choose to recommend knee orthoses to patients based upon the individual assessment of that patient, but should keep in mind that the benefit from that intervention may be negligible.

• #14 Patellofemoral Syndrome – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557657/

  Therapy should be patient-specific and tailored to correct the dysfunction present. […] Physical therapy is important in the recovery phase of the condition and should be initiated as soon as the patient can tolerate activity. […] It is important to have a clear line of communication with the physical therapist, to improve patient outcomes better. […] Patients should receive education on the diagnosis, causes, and treatments. […] They should be given a list of exercises to do at home or prescribed physical therapy to teach the patient how to do the appropriate exercises.

• #15 Patellofemoral Pain Syndrome (PFPS) Treatment in NJ | Pain Management Doctor

  https://redefinehealthcare.com/patellofemoral-pain-syndrome/

  Your kneecap is a bone at the front of your knee that protects the knee joint. It also helps your muscles bend the knee joint farther because of the support it provides. When you suffer from patellofemoral pain syndrome, your kneecap becomes damaged, inflamed, or loosened. As a result, you can feel the pain on top of the knee or around the kneecap. If you are experiencing patellofemoral pain, it is recommended to contact a specialist, like those at Redefine Healthcare in New Jersey, for an evaluation and to develop a personalized patellofemoral pain treatment plan. […] Patellofemoral pain syndrome is a condition that produces pain around your kneecap. You may know the condition as runners knee or jumpers knee. It involves the kneecap or patella, as known in medical circles and the surrounding cartilage. Dull aching pain in the front of your knee, behind or around the kneecap, usually starts gradually. It can escalate if you participate in regular physical activity that relies on extensive knee involvement, such as tennis or stair-climbing.

• #16

  https://www.nursingcenter.com/journalarticle?Article_ID=4897793&Journal_ID=403341&Issue_ID=4897345

  Patellofemoral (knee) pain is one of the most commonly reported conditions to sports medicine providers, with estimates of incidence varying between 8% and 33% of all knee-related injuries (Glaviano, Kew, Hart, Saliba, 2015). […] Nonpharmacological methods of treating pain are an important aspect of nursing care. The Lippincott Nursing Centre (2018) recommends the use of physical therapy, orthotics, taping, and the use of an elastic knee sleeve for the nonpharmacological management of patellofemoral pain syndrome (PFPS). […] The authors of this review found that there is a lack of evidence to inform the use of knee orthoses for PFPS, including the mode and duration of use. […] The lack of evidence for the use of knee orthoses in PFPS is conflicting for nursing practice. Nurses look to trusted sources for evidence-based information to guide their current practice; however, it has been found that knee orthoses are still being recommended for use in PFPS. […] Nurses may choose to recommend knee orthoses to patients based upon the individual assessment of that patient, but should keep in mind that the benefit from that intervention may be negligible.

• #17 Patellofemoral Pain Syndrome (Runner’s Knee) | Mass General Brigham

  https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/sports-medicine/conditions/knee/patellofemoral-pain-syndrome

  Patellofemoral pain syndrome is an umbrella term for pain under or around the patella (kneecap). […] Treatment includes resting, icing, and managing discomfort. […] At-home treatments are most common for patellofemoral pain syndrome. The RICE method rest, ice, compression, and elevation can help ease pain. Resting the injury may be enough to diminish PFPS symptoms. Your provider may also advise you to reduce running, jumping, moving up and down stairs, and squatting. […] Physical therapy can help improve knee strength, alignment, and strength in the muscles around the knee. Some patients may benefit from orthotics to help with alignment and reduce stress on the knee. […] Providers typically suggest over-the-counter medications to help treat patellofemoral pain. […] Not treating patellofemoral pain syndrome can lead to increased pain and the potential for additional damage to the knee. Typically, at-home treatments provide relief for patellofemoral pain syndrome. Activities that cause pain should be avoided or modified.

• #18 Patellofemoral Pain Syndrome (PFPS) Treatment in NJ | Pain Management Doctor

  https://redefinehealthcare.com/patellofemoral-pain-syndrome/

  Over-the-counter medicine reduces the swelling and pain you feel, but this treatment is temporary. Your pain treatment specialist at Redefine Healthcare, with four locations in northern New Jersey, often recommends conservative treatments to begin unless your diagnosis confirms severe care of patellofemoral pain syndrome. A common patellofemoral pain syndrome treatment is R.I.C.E., which involves: Rest to avoid stressing your knees further. Ice to bring down the swelling. Place ice indirectly on your knee for 20 minutes several times a day. Compression to prevent further swelling. Wrap your knee in an elastic bandage that provides a snug fit. Elevation to reduce blood flow to the area. Place your knee on a pillow or raised surface to lift it higher than your heart. […] Your New Jersey patellofemoral doctor may suggest an investment in shoe inserts. These pads fit inside your footwear to help with a misalignment problem. Inserts also take the stress off the lower leg and ankle. In rare cases, you may need arthroscopic surgery to repair the knee.

• #19

  https://www.nursingcenter.com/journalarticle?Article_ID=4897793&Journal_ID=403341&Issue_ID=4897345

  Patellofemoral (knee) pain is one of the most commonly reported conditions to sports medicine providers, with estimates of incidence varying between 8% and 33% of all knee-related injuries (Glaviano, Kew, Hart, Saliba, 2015). […] Nonpharmacological methods of treating pain are an important aspect of nursing care. The Lippincott Nursing Centre (2018) recommends the use of physical therapy, orthotics, taping, and the use of an elastic knee sleeve for the nonpharmacological management of patellofemoral pain syndrome (PFPS). […] The authors of this review found that there is a lack of evidence to inform the use of knee orthoses for PFPS, including the mode and duration of use. […] The lack of evidence for the use of knee orthoses in PFPS is conflicting for nursing practice. Nurses look to trusted sources for evidence-based information to guide their current practice; however, it has been found that knee orthoses are still being recommended for use in PFPS. […] Nurses may choose to recommend knee orthoses to patients based upon the individual assessment of that patient, but should keep in mind that the benefit from that intervention may be negligible.

• #20 Patellofemoral Pain Syndrome (Runner’s Knee) | Mass General Brigham

  https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/sports-medicine/conditions/knee/patellofemoral-pain-syndrome

  You may not be able to prevent PFPS, but you can reduce the risk. Work with a trainer to ensure your body is properly aligned during activities. Training can also strengthen leg muscles to increase stability and prevent injury. […] Proper treatment can significantly reduce the symptoms associated with patellofemoral pain syndrome, if not entirely eliminate them. […] The first course of treatment for patellofemoral pain syndrome is rest, so modify your exercises to prevent stress on your knee joint that causes pain. […] A knee brace or support can help alleviate pain. A brace may provide additional support for the kneecap or help with the kneecap’s alignment.

• #21 Patellofemoral pain syndrome | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/patellofemoral-pain-syndrome?content_id=CON-20155271

  Knee braces or arch supports may help improve pain. […] Your physical therapist may show you how to tape your knee to reduce pain and make you better able to exercise. […] If simple treatments don’t relieve pain, a health care provider might suggest arthroscopy. […] In more-severe cases, a surgeon may need to operate on the knee to fix the angle of the kneecap or relieve pressure on the cartilage.

• #22

  https://www.singhealth.com.sg/patient-care/conditions-treatments/patellofemoral-pain-syndrome

  Your doctor may also recommend sports taping of the knee to help facilitate exercise without pain. […] Your doctor may also help to modify your usual activities to a level you can comfortable tolerate. […] If deemed necessary by your doctor, a podiatry consult for further assessment and orthotic (i.e. insoles) fitting may be scheduled.

• #23 Patellofemoral Syndrome – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557657/

  Therapy should be patient-specific and tailored to correct the dysfunction present. […] Physical therapy is important in the recovery phase of the condition and should be initiated as soon as the patient can tolerate activity. […] It is important to have a clear line of communication with the physical therapist, to improve patient outcomes better. […] Patients should receive education on the diagnosis, causes, and treatments. […] They should be given a list of exercises to do at home or prescribed physical therapy to teach the patient how to do the appropriate exercises.

• #24

  https://www.singhealth.com.sg/patient-care/conditions-treatments/patellofemoral-pain-syndrome

  Patellofemoral pain syndrome (PFPS) describes pain on and around the kneecap. […] Symptoms for Patellofemoral pain syndrome (PFPS) include aching and front of the knee pain that may be provoked by bending the knee, climbing stairs or sitting for long periods of time with the knee bent. […] You should seek medical attention if you have severe knee pain associated with inability to put weight on the affected leg, severe swelling, or onset of numbness or weakness of the lower leg. […] To prevent Patellofemoral pain syndrome (PFPS), avoid excessive training or sudden increases in physical activity level. […] Treatments that your doctor may recommend include: Strength, flexibility and conditioning exercises through physiotherapy. […] Physiotherapy exercise can help you regain the range of motion in your knee and correct muscle imbalances which affect kneecap movement.

• #25 Patellofemoral Pain Syndrome (PFPS): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17914-patellofemoral-pain-syndrome-pfps

  Patellofemoral pain syndrome (PFPS) is knee pain under or around your patella (kneecap). […] You can usually treat PFPS at home with the RICE method: Rest, Ice, Compression, and Elevation. […] A physical therapist will show you stretches and exercises that strengthen the muscles around your knees. […] Your healthcare provider might suggest medications to relieve PFPS. […] You might need to wear a knee brace or special shoe inserts (orthotics) to stabilize your knee, ankle or lower leg. […] Its very rare to need surgery to treat PFPS. […] You might be able to prevent PFPS, depending on what your provider thinks might have caused it. […] The best way to prevent PFPS (and any other type of knee pain) is to stay safe when youre physically active. […] Most people need a month or two to recover from patellofemoral pain syndrome. […] Visit a healthcare provider if youre having knee pain that doesnt get better on its own after a few weeks of rest and at-home treatments. […] Your healthcare provider or physical therapist will help you find ways to strengthen your muscles, increase your flexibility and manage the pain.

• #26 Patellofemoral Pain Syndrome – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/patellofemoral-pain-syndrome/

  Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen can help reduce swelling and relieve pain. […] Medical treatment for PFPS is designed to relieve pain and restore range of motion and strength. In most cases, patellofemoral pain can be treated nonsurgically. […] In addition to activity changes, the RICE method, and anti-inflammatory medication, your doctor may recommend the following: Physical therapy. Specific exercises will help you improve range of motion, strength, and endurance. […] It is especially important to focus on strengthening and stretching your quadriceps and strengthening your hip muscles, since these muscles work together to stabilize your kneecap. […] Patellofemoral pain syndrome is usually fully relieved with simple measures or physical therapy. It may come back, however, if you do not adjust your training routine or activity level.

• #27 Patellofemoral Pain Syndrome: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.patellofemoral-pain-syndrome-care-instructions.uf8911

  Patellofemoral pain syndrome is pain in the front of the knee. […] Your knee pain may get better with home care. Exercises to make your quadriceps stronger can also help. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. […] Rest and protect your knee. Take a break from activities that cause pain, such as long periods of sitting or kneeling. […] If your doctor recommends an elastic bandage, sleeve, or other type of support for your knee, wear it as directed. […] See a physical therapist to learn more exercises and stretches to make your legs stronger. […] Watch closely for changes in your health, and be sure to contact your doctor if your knee pain does not get better or gets worse.

• #28 Patellofemoral Pain Syndrome – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/patellofemoral-pain-syndrome/

  Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen can help reduce swelling and relieve pain. […] Medical treatment for PFPS is designed to relieve pain and restore range of motion and strength. In most cases, patellofemoral pain can be treated nonsurgically. […] In addition to activity changes, the RICE method, and anti-inflammatory medication, your doctor may recommend the following: Physical therapy. Specific exercises will help you improve range of motion, strength, and endurance. […] It is especially important to focus on strengthening and stretching your quadriceps and strengthening your hip muscles, since these muscles work together to stabilize your kneecap. […] Patellofemoral pain syndrome is usually fully relieved with simple measures or physical therapy. It may come back, however, if you do not adjust your training routine or activity level.

• #29 Patellofemoral Pain Syndrome – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/patellofemoral-pain-syndrome/

  Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen can help reduce swelling and relieve pain. […] Medical treatment for PFPS is designed to relieve pain and restore range of motion and strength. In most cases, patellofemoral pain can be treated nonsurgically. […] In addition to activity changes, the RICE method, and anti-inflammatory medication, your doctor may recommend the following: Physical therapy. Specific exercises will help you improve range of motion, strength, and endurance. […] It is especially important to focus on strengthening and stretching your quadriceps and strengthening your hip muscles, since these muscles work together to stabilize your kneecap. […] Patellofemoral pain syndrome is usually fully relieved with simple measures or physical therapy. It may come back, however, if you do not adjust your training routine or activity level.

• #30 Patellofemoral Pain Syndrome: Treatment | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/bones-joints-and-muscles/patellofemoral-pain-syndrome/treatment.html

  Patellofemoral pain syndrome can be relieved by avoiding activities that make symptoms worse. […] Avoid sitting, squatting, or kneeling in the bent-knee position for long periods of time. […] Adjust a bicycle or exercise bike so that the resistance is not too great and the seat is at an appropriate height. The rider should be able to spin the pedals of an exercise bike without shifting weight from side to side. And the rider’s legs should not be fully extended at the lowest part of the pedal stroke. […] Avoid bent-knee exercises, such as squats or deep knee bends. […] Other methods to relieve pain include: […] Taking nonprescription anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, to decrease swelling, stiffness, and pain. Be safe with medicines. Read and follow all instructions on the label.

• #31 Supervised exercise therapy versus usual care for patellofemoral pain syndrome: an open label randomised controlled trial | The BMJ

  https://www.bmj.com/content/339/bmj.b4074

  In patients with patellofemoral pain syndrome, exercise therapy produces better results regarding pain and function at 3 months and at 12 months than usual care. […] We therefore conclude that, although exercise therapy is effective for improving pain and function, these benefits are not clearly reflected in patients self reported recovery. […] This study provides evidence that supervised exercise therapy for patellofemoral pain syndrome in general practice is more effective than usual care for the outcome parameters pain at rest, pain on activity, and function at 3 and 12 months. However, supervised exercise therapy had no effect on perceived recovery.

• #32 Patellofemoral Pain Syndrome | NHS Lanarkshire

  https://www.nhslanarkshire.scot.nhs.uk/services/physiotherapy-msk/patellofemoral-pain-syndrome/

  Exercise improves function in the medium and short term. […] Combining hip and knee exercises (e.g. squats) is recommended for all patients. […] Orthotics are special shoe inserts which help to support your foot and ankle. If there is an issue with the alignment of your foot/ankle such as over pronation (flat feet) then this may also impact on your knee pain. Better alignment of the foot takes stress off your lower leg and knee. […] Patellar taping to improve the movement of the patella (knee cap) may be used by a physiotherapist to help reduce pain while you exercise/ move especially in the early stages. […] To ease the knee pain, it is recommended to pace yourself rather than stopping all forms of movement or exercise. Stopping all activity would result in muscles getting weaker which could lead to the knee pain getting worse.

• #33

  https://www.hingehealth.com/resources/articles/patellofemoral-pain-syndrome/

  Follow the P.E.A.C.E. L.O.V.E. method. This new pain relief approach offers a more comprehensive plan than the traditional R.I.C.E. (rest, ice, compression, and elevation) method. Instead of rest, PEACE LOVE encourages movement as you heal. […] Stretch and strengthen key muscles. When your glutes, quads, hamstrings, and calves are strong, flexible, and working effectively, they reduce stress on the knees. The exercises below will target these muscles. […] Physical therapy (PT) is for more than just recovering from surgery or injury. Its one of the top treatments for joint and muscle pain. It helps build strength, improve mobility, and reduce pain. And it doesn’t always need to be in person. […] Exercise therapy is one of the best ways to care for your knees. These exercises, recommended by Hinge Health physical therapists, strengthen and stretch the muscles that support the knee joint to reduce pain and improve mobility.

• #34 Patellofemoral Pain Syndrome | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0115/p88.html

  Patellofemoral pain syndrome (PFPS) is one of the most common causes of anterior knee pain encountered in the outpatient setting in adolescents and adults younger than 60 years. The cardinal feature of PFPS is pain in or around the anterior knee that intensifies when the knee is flexed during weight-bearing activities. The pain of PFPS often worsens with prolonged sitting or descending stairs. Treatment of PFPS includes rest, a short course of nonsteroidal anti-inflammatory drugs, and physical therapy directed at strengthening the hip flexor, trunk, and knee muscle groups. […] Treatment of PFPS should focus on early pain relief. Relative rest, ice, and analgesics are recommended to reduce pain, but physical therapy is the cornerstone of treatment. […] Because of the multiple contributing factors of PFPS, therapy should be individualized. Exacerbating movements or activities should be avoided, although the patient should otherwise remain as active as possible. A Cochrane review concluded that patients who exercise generally have improvement in short-term and long-term pain, both at rest and with activity, when compared with those who do not exercise. Exercise regimens should focus on the hip, trunk, and knee. Strengthening exercises and flexibility training of the associated muscle groups should be performed three times per week for six to eight weeks.

• #35

  https://alleviatetherapy.com/blogs/alleviate-blog/patellofemoral-pain-syndrome-self-care-how-to-treat-runners-knee-yourself-like-physical-therapist?srsltid=AfmBOopp8otRLOCKlakGHRL0wrCvIP99K0WtaJVITGdVlkYF67kvOKno

  With active treatment using the Alleviate Method, you will notice a significant difference within 10-14 days. Our Guided Recovery Program uses a test, intervention, retest model, allowing you to see noticeable pain reduction and function improvement from day one, which helps keep your mental game strong. […] By gradually increasing the load and your capacity to handle it, you can return to your favorite activities without knee pain from Patellofemoral Pain Syndrome. […] Start with Load Management: Avoid activities that exacerbate your symptoms, like running or jumping, until your pain subsides. Again we want you to be active but you will probably need to modify at first until we can get your pain under control. […] Incorporate Soft Tissue Mobilization: Use a massage tool on your thighs and calves to relieve tension and improve blood flow. Perform instrument-assisted soft tissue mobilization on the VMO muscle to activate it and support proper kneecap alignment.

• #36

  https://alleviatetherapy.com/blogs/alleviate-blog/patellofemoral-pain-syndrome-self-care-how-to-treat-runners-knee-yourself-like-physical-therapist?srsltid=AfmBOopp8otRLOCKlakGHRL0wrCvIP99K0WtaJVITGdVlkYF67kvOKno

  Lean into Progressive Strengthening: Begin with low-impact exercises to strengthen your quadriceps and VMO muscle. Gradually increase the load and complexity of your exercises as your knee becomes stronger and more stable. […] Manage Your Running Load: Gradually increase your running distance and intensity to avoid overloading your knees. Make sure to activate your VMO first, so your knee is ready for running and any other activities. […] Stay Consistent: Follow your knee self-care plan diligently, preferably on a daily basis. Keep a journal of your progress to stay motivated and track improvements in pain and function. […] Listen to Your Body: If an exercise or activity causes sharp pain, stop immediately and reassess your technique or intensity. Ensure adequate rest and recovery between sessions to prevent overuse injuries. […] Seek Guidance: While the Guided Recovery Program gives you plenty of tutorials, Runner’s Knee education, and exercise cues, don’t hesitate to contact us if you’re unsure about any part of the recovery process.

• #37 Patellofemoral Pain Syndrome: Treatment | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/bones-joints-and-muscles/patellofemoral-pain-syndrome/treatment.html

  Patellofemoral pain syndrome can be relieved by avoiding activities that make symptoms worse. […] Avoid sitting, squatting, or kneeling in the bent-knee position for long periods of time. […] Adjust a bicycle or exercise bike so that the resistance is not too great and the seat is at an appropriate height. The rider should be able to spin the pedals of an exercise bike without shifting weight from side to side. And the rider’s legs should not be fully extended at the lowest part of the pedal stroke. […] Avoid bent-knee exercises, such as squats or deep knee bends. […] Other methods to relieve pain include: […] Taking nonprescription anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, to decrease swelling, stiffness, and pain. Be safe with medicines. Read and follow all instructions on the label.

• #38 Patellofemoral Pain Syndrome – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/patellofemoral-pain-syndrome/

  Patellofemoral pain syndrome (PFPS) is a broad term used to describe pain in the front of the knee and around the patella, or kneecap. It is sometimes called „runner’s knee” or „jumper’s knee” because it is common in people who participate in sports especially females and young adults but PFPS can occur in nonathletes, as well. […] The pain and stiffness caused by PFPS can make it difficult to climb stairs, kneel down, and perform other everyday activities. […] Symptoms are often relieved with conservative treatment, such as changes in activity levels or a therapeutic exercise program. […] In many cases, patellofemoral pain will improve with simple home treatment. […] Stop doing the activities that make your knee hurt until your pain goes away. This may mean: Changing your training routine, Switching to low-impact activities such as riding a stationary bike, using an elliptical machine, or swimming that will place less stress on your knee joint, If you are overweight, losing weight, which will also help to reduce pressure on your knee.

• #39

  https://www.einsteinpeds.com/sports/Patellofemoral-Pain-Syndrome

  Patellofemoral pain syndrome is one of the most common causes of knee pain in young athletes. The condition is an overuse injury that results from activities that cause pressure or friction on the cartilage behind the kneecap. […] Treatment for patellofemoral pain syndrome involves limiting running, jumping, squatting, or other pain-causing activities. Ice and anti-inflammatory medications can help reduce pain. Cross-training activities, such as swimming or low-resistance cycling, may be continued to maintain fitness provided that these activities do not cause pain. […] The key to resolving patellofemoral pain syndrome is identifying and correcting the causes of the pain. The treatment for a particular individual with patellofemoral pain syndrome will depend on which of these causes seems to be contributory. Once the causes have been identified, the treatment requirements are usually obvious. Your doctor, a physical therapist, or a certified athletic trainer can help you identify causes and recommend specific treatments. They can also help monitor recovery and provide guidance for a gradual and safe return to sports activities.

• #40 Patellofemoral Pain Syndrome | Orthopedics | Mercy Health

  https://www.mercy.com/health-care-services/orthopedics-sports-medicine-spine/specialties/knee-leg/conditions/patellofemoral-pain-syndrome

  Patellofemoral pain syndrome is a knee condition that is used to describe pain in the front of the knee and around the patella or kneecap. […] Many patients can self-treat patellofemoral pain syndrome with rest, changes in the activities that cause symptoms and anti-inflammatory medications. […] During the recovery process, patients can change activities from high-impact activities, such as long-distance running, to low-impact activities, such as swimming and biking. […] Also, for patients who are overweight, a physician may recommend losing weight to reduce the pressure on the knee. […] Physical therapy rehabilitation your physician may recommend specific exercises to help you strengthen the knee as well as improve range of motion and endurance. […] Most people will fully recover from patellofemoral pain syndrome after treatment. […] During the recovery process, it is important to avoid the causes of the condition such as sitting too long, dramatically increasing activity levels too quickly and wearing improper footwear.

• #41 Patellofemoral pain syndrome – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/patellofemoral-pain-syndrome/symptoms-causes/syc-20350792

  Injury. Trauma to the kneecap, such as when the kneecap gets out of place or breaks, has been linked to patellofemoral pain syndrome. […] Surgery. Knee surgery can increase the risk of patellofemoral pain. This is especially true of repair to the anterior cruciate ligament using one’s own patellar tendon as a graft. […] Strong leg and hip muscles help keep the knee balanced during activity. Avoid deep squatting during weight training. […] Ask a physical therapist about exercises to help you jump, run and turn correctly. It’s especially important to strengthen outer hip muscles. This will help keep your knee from caving inward when you squat, land from a jump or step down from a step. […] If you’re overweight, losing weight relieves stress on the knees. […] Before running or doing other exercise, warm up with five minutes or so of light activity. […] Promote flexibility with gentle stretching exercises. […] Don’t suddenly increase your workouts. […] Wear shoes that fit well and are designed for the activity.

• #42 Patellofemoral Pain Syndrome (Runner’s Knee) | Cooper University Health Care

  https://www.cooperhealth.org/services/patellofemoral-pain-syndrome-runners-knee

  The key to managing runners knee and preventing it from happening again is to avoid overstressing your knees. Some ways to help: Lose weight, if needed, Ease into exercise warm up before exercise and stretch your muscles after you work out, Perform exercises to strengthen the muscles that help support the knee, including the hips and quadriceps, Vary your exercise routine to avoid overuse of specific muscles and joints, Increase your physical activities gradually, Wear good running shoes with adequate support, Lean forward with your knees bent when you run.

• #43 Patellofemoral Pain (PFP) – International Association for the Study of Pain (IASP)

  https://www.iasp-pain.org/resources/fact-sheets/patellofemoral-pain-pfp/

  Patellofemoral pain (PFP) is defined as pain around or behind the patella, which is aggravated by at least one activity that loads the patellofemoral joint during weight bearing on a flexed knee (e.g., squatting, stair ambulation, jogging/running, hopping/jumping). […] The treatment of PFP is moving from a biomedical approach with specific exercises to a more person-centered biopsychosocial approach similar to low back pain and other chronic musculoskeletal conditions. […] The evidence suggests a minimum of patient education at the first consultation and potentially adding a combination of exercise, orthoses, or patellar taping/mobilizations if the patient and clinician agree on the time requirements, cost, and benefit. […] Despite being offered evidence-based care, a substantial proportion of both adolescents and adults diagnosed with PFP continue to experience pain and functional limitations after 12 months.

• #44

  https://www.hingehealth.com/resources/articles/patellofemoral-pain-syndrome/

  Patellofemoral pain syndrome is a fancy medical term that just means you have pain in the front of your knee, says Samantha Stewart, PT, DPT, a physical therapist at Hinge Health. […] Pain is simply the body’s way of communicating with you. You just need to figure out what message its trying to send. Then, you can take steps to treat this common form of knee pain. […] Movement is the best way to take care of your knees and reduce pain. Anytime you’re moving your knees, you’re self-lubricating them, says Dr. Stewart. Movement teaches the body to send fluid to knee joints so that they move more easily and more comfortably. But its not just about the joints: When you’re moving, you’re activating muscles and making them stronger, which supports greater mobility. […] Exercise therapy is the treatment of choice for patellofemoral pain syndrome, according to the most recent consensus statement from the International Patellofemoral Research Network, which bases its recommendations on the latest evidence. And many of the treatment strategies below prioritize movement.

• #45 Patellofemoral Pain Syndrome (Runner’s Knee) (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/runners-knee.html

  Patellofemoral pain syndrome (PFP syndrome) is pain in and around the kneecap (patella). PFP syndrome is also called „runner’s knee.” […] Rest and exercises that stretch and strengthen the hips and legs can help PFP syndrome get better. […] A child or teen with patellofemoral pain syndrome needs to limit or completely avoid activities that cause pain. […] An important part of the treatment for PFP syndrome is improving the strength and flexibility of the legs, hips, and core muscles. Health care providers usually recommend going to a physical therapist to make an exercise plan that will help. […] Most people with PFP syndrome need to cut back or stop sports for some time. Follow the health care provider’s instructions on when it is safe for your child to go back to sports. […] It can take months to years for the symptoms from PFP syndrome to get better. Following an exercise plan given by the health care provider or physical therapist can help the knee heal.

• #46 Patellofemoral Pain Syndrome (Runner’s Knee) | Mass General Brigham

  https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/sports-medicine/conditions/knee/patellofemoral-pain-syndrome

  Patellofemoral pain syndrome is an umbrella term for pain under or around the patella (kneecap). […] Treatment includes resting, icing, and managing discomfort. […] At-home treatments are most common for patellofemoral pain syndrome. The RICE method rest, ice, compression, and elevation can help ease pain. Resting the injury may be enough to diminish PFPS symptoms. Your provider may also advise you to reduce running, jumping, moving up and down stairs, and squatting. […] Physical therapy can help improve knee strength, alignment, and strength in the muscles around the knee. Some patients may benefit from orthotics to help with alignment and reduce stress on the knee. […] Providers typically suggest over-the-counter medications to help treat patellofemoral pain. […] Not treating patellofemoral pain syndrome can lead to increased pain and the potential for additional damage to the knee. Typically, at-home treatments provide relief for patellofemoral pain syndrome. Activities that cause pain should be avoided or modified.

• #47 Patellofemoral Pain Syndrome (Runner’s Knee) (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/runners-knee.html

  Patellofemoral pain syndrome (PFP syndrome) is pain in and around the kneecap (patella). PFP syndrome is also called „runner’s knee.” […] Rest and exercises that stretch and strengthen the hips and legs can help PFP syndrome get better. […] A child or teen with patellofemoral pain syndrome needs to limit or completely avoid activities that cause pain. […] An important part of the treatment for PFP syndrome is improving the strength and flexibility of the legs, hips, and core muscles. Health care providers usually recommend going to a physical therapist to make an exercise plan that will help. […] Most people with PFP syndrome need to cut back or stop sports for some time. Follow the health care provider’s instructions on when it is safe for your child to go back to sports. […] It can take months to years for the symptoms from PFP syndrome to get better. Following an exercise plan given by the health care provider or physical therapist can help the knee heal.

• #48 Patellofemoral Syndrome – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557657/

  Patellofemoral syndrome (PFS) is one of the most common causes of anterior knee pain. […] This activity will highlight the role of the interprofessional team in the evaluation and management of patients with patellofemoral syndrome. […] The majority of patients with PFS experience a resolution of symptoms with conservative treatments, though in some rare cases may be resistant to therapies and be persistent for years. […] Patellofemoral syndrome treatment is usually conservative and targeted at pain reduction, improved patellar tracking, and return to their previous level of function. […] The acute phase involves activity modification, NSAID use, and other conservative modalities such as ice. […] After the acute phase of treatment, the patient enters the recovery phase, which tries to correct the issue that most likely led to the development of the condition.

• #49 Patellofemoral Pain Syndrome (PFPS): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17914-patellofemoral-pain-syndrome-pfps

  Patellofemoral pain syndrome (PFPS) is knee pain under or around your patella (kneecap). […] You can usually treat PFPS at home with the RICE method: Rest, Ice, Compression, and Elevation. […] A physical therapist will show you stretches and exercises that strengthen the muscles around your knees. […] Your healthcare provider might suggest medications to relieve PFPS. […] You might need to wear a knee brace or special shoe inserts (orthotics) to stabilize your knee, ankle or lower leg. […] Its very rare to need surgery to treat PFPS. […] You might be able to prevent PFPS, depending on what your provider thinks might have caused it. […] The best way to prevent PFPS (and any other type of knee pain) is to stay safe when youre physically active. […] Most people need a month or two to recover from patellofemoral pain syndrome. […] Visit a healthcare provider if youre having knee pain that doesnt get better on its own after a few weeks of rest and at-home treatments. […] Your healthcare provider or physical therapist will help you find ways to strengthen your muscles, increase your flexibility and manage the pain.

• #50 Patellofemoral Pain Syndrome: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.patellofemoral-pain-syndrome-care-instructions.uf8911

  Patellofemoral pain syndrome is pain in the front of the knee. […] Your knee pain may get better with home care. Exercises to make your quadriceps stronger can also help. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. […] Rest and protect your knee. Take a break from activities that cause pain, such as long periods of sitting or kneeling. […] If your doctor recommends an elastic bandage, sleeve, or other type of support for your knee, wear it as directed. […] See a physical therapist to learn more exercises and stretches to make your legs stronger. […] Watch closely for changes in your health, and be sure to contact your doctor if your knee pain does not get better or gets worse.

• #51 Sports Medicine: Patellofemoral Pain Syndrome (PFS)

  https://www.nationwidechildrens.org/conditions/sports-medicine-patellofemoral-pain-syndrome

  Patellofemoral Pain Syndrome (PFS) is pain in the knee due to increased pressure between the kneecap (patella) and the thigh bone (femur). […] Rehab exercises to improve strength and flexibility in the hip and leg are helpful to improve pain and function. These are often done under supervision of a physical therapist or athletic trainer. […] A brace may be recommended to help the kneecap track properly. […] Call your health care provider or the Sports Medicine team at 614-355-6000 if symptoms get worse or do not improve after 6 to 8 weeks despite treatment.

• #52

  https://www.singhealth.com.sg/patient-care/conditions-treatments/patellofemoral-pain-syndrome

  Patellofemoral pain syndrome (PFPS) describes pain on and around the kneecap. […] Symptoms for Patellofemoral pain syndrome (PFPS) include aching and front of the knee pain that may be provoked by bending the knee, climbing stairs or sitting for long periods of time with the knee bent. […] You should seek medical attention if you have severe knee pain associated with inability to put weight on the affected leg, severe swelling, or onset of numbness or weakness of the lower leg. […] To prevent Patellofemoral pain syndrome (PFPS), avoid excessive training or sudden increases in physical activity level. […] Treatments that your doctor may recommend include: Strength, flexibility and conditioning exercises through physiotherapy. […] Physiotherapy exercise can help you regain the range of motion in your knee and correct muscle imbalances which affect kneecap movement.

• #53 Patellofemoral Pain Syndrome Symptoms & Treatment | UPMC

  https://www.upmc.com/services/orthopaedics/conditions/patellofemoral-pain

  Runner’s knee, also known as patellofemoral pain syndrome, causes pain around the kneecap due to overuse or misalignment. […] Diagnosis involves physical examination and imaging tests, while treatment includes rest, ice, strengthening exercises, and sometimes surgery for severe cases. […] The best way to treat patellofemoral pain syndrome is to rest and avoid activities that cause pain. Ice and anti-inflammatory drugs such as ibuprofen can be used to treat any swelling or pain that may occur. […] Targeted physical therapy and strengthening exercises will also facilitate recovery. […] Shoe inserts, knee braces or sleeves also can be used to provide the knee with more support and help prevent the knee from buckling. […] Bracing the knee stabilizes the kneecap and can help prevent symptoms from worsening. […] If conservative treatments of your runner’s knee are not effective and your symptoms continue to worsen, surgery may be needed to correct malalignment of the patella.

• #54 Patellofemoral pain syndrome | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/patellofemoral-pain-syndrome?content_id=CON-20155271

  Knee braces or arch supports may help improve pain. […] Your physical therapist may show you how to tape your knee to reduce pain and make you better able to exercise. […] If simple treatments don’t relieve pain, a health care provider might suggest arthroscopy. […] In more-severe cases, a surgeon may need to operate on the knee to fix the angle of the kneecap or relieve pressure on the cartilage.

• #55 Patellofemoral Pain Syndrome (Runner’s Knee) | Mass General Brigham

  https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/sports-medicine/conditions/knee/patellofemoral-pain-syndrome

  You may not be able to prevent PFPS, but you can reduce the risk. Work with a trainer to ensure your body is properly aligned during activities. Training can also strengthen leg muscles to increase stability and prevent injury. […] Proper treatment can significantly reduce the symptoms associated with patellofemoral pain syndrome, if not entirely eliminate them. […] The first course of treatment for patellofemoral pain syndrome is rest, so modify your exercises to prevent stress on your knee joint that causes pain. […] A knee brace or support can help alleviate pain. A brace may provide additional support for the kneecap or help with the kneecap’s alignment.

• #56 Patellofemoral pain syndrome – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/patellofemoral-pain-syndrome/symptoms-causes/syc-20350792

  Injury. Trauma to the kneecap, such as when the kneecap gets out of place or breaks, has been linked to patellofemoral pain syndrome. […] Surgery. Knee surgery can increase the risk of patellofemoral pain. This is especially true of repair to the anterior cruciate ligament using one’s own patellar tendon as a graft. […] Strong leg and hip muscles help keep the knee balanced during activity. Avoid deep squatting during weight training. […] Ask a physical therapist about exercises to help you jump, run and turn correctly. It’s especially important to strengthen outer hip muscles. This will help keep your knee from caving inward when you squat, land from a jump or step down from a step. […] If you’re overweight, losing weight relieves stress on the knees. […] Before running or doing other exercise, warm up with five minutes or so of light activity. […] Promote flexibility with gentle stretching exercises. […] Don’t suddenly increase your workouts. […] Wear shoes that fit well and are designed for the activity.

• #57 Patellofemoral Pain Syndrome – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/patellofemoral-pain-syndrome/

  Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen can help reduce swelling and relieve pain. […] Medical treatment for PFPS is designed to relieve pain and restore range of motion and strength. In most cases, patellofemoral pain can be treated nonsurgically. […] In addition to activity changes, the RICE method, and anti-inflammatory medication, your doctor may recommend the following: Physical therapy. Specific exercises will help you improve range of motion, strength, and endurance. […] It is especially important to focus on strengthening and stretching your quadriceps and strengthening your hip muscles, since these muscles work together to stabilize your kneecap. […] Patellofemoral pain syndrome is usually fully relieved with simple measures or physical therapy. It may come back, however, if you do not adjust your training routine or activity level.

• #58 Patellofemoral Syndrome – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557657/

  Patellofemoral syndrome (PFS) is one of the most common causes of anterior knee pain. […] This activity will highlight the role of the interprofessional team in the evaluation and management of patients with patellofemoral syndrome. […] The majority of patients with PFS experience a resolution of symptoms with conservative treatments, though in some rare cases may be resistant to therapies and be persistent for years. […] Patellofemoral syndrome treatment is usually conservative and targeted at pain reduction, improved patellar tracking, and return to their previous level of function. […] The acute phase involves activity modification, NSAID use, and other conservative modalities such as ice. […] After the acute phase of treatment, the patient enters the recovery phase, which tries to correct the issue that most likely led to the development of the condition.

• #59 Patellofemoral pain syndrome – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/patellofemoral-pain-syndrome/diagnosis-treatment/drc-20350797

  Your health care provider might ask about your history of knee problems, press on your knee and move your leg into a variety of positions. […] Treatment of patellofemoral pain often begins with simple measures. Rest the knee as much as possible. Try not to do things that increase the pain, such as climbing stairs, kneeling or squatting. […] A physical therapist might suggest: […] If simple treatments don’t relieve pain, a health care provider might suggest: […] You might start by seeing your primary care provider. Or you might be referred to a physical medicine and rehabilitation specialist, also known as a physiatrist, a physical therapist, an orthopedic surgeon or a sports medicine specialist. […] For patellofemoral pain syndrome, questions to ask include: […] Be prepared to answer questions, such as:

• #60 Patellofemoral Syndrome – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557657/

  Therapy should be patient-specific and tailored to correct the dysfunction present. […] Physical therapy is important in the recovery phase of the condition and should be initiated as soon as the patient can tolerate activity. […] It is important to have a clear line of communication with the physical therapist, to improve patient outcomes better. […] Patients should receive education on the diagnosis, causes, and treatments. […] They should be given a list of exercises to do at home or prescribed physical therapy to teach the patient how to do the appropriate exercises.

• #61

  https://www.einsteinpeds.com/sports/Patellofemoral-Pain-Syndrome

  Patellofemoral pain syndrome is one of the most common causes of knee pain in young athletes. The condition is an overuse injury that results from activities that cause pressure or friction on the cartilage behind the kneecap. […] Treatment for patellofemoral pain syndrome involves limiting running, jumping, squatting, or other pain-causing activities. Ice and anti-inflammatory medications can help reduce pain. Cross-training activities, such as swimming or low-resistance cycling, may be continued to maintain fitness provided that these activities do not cause pain. […] The key to resolving patellofemoral pain syndrome is identifying and correcting the causes of the pain. The treatment for a particular individual with patellofemoral pain syndrome will depend on which of these causes seems to be contributory. Once the causes have been identified, the treatment requirements are usually obvious. Your doctor, a physical therapist, or a certified athletic trainer can help you identify causes and recommend specific treatments. They can also help monitor recovery and provide guidance for a gradual and safe return to sports activities.

• #62

  https://www.einsteinpeds.com/sports/Patellofemoral-Pain-Syndrome

  Patellofemoral pain syndrome is one of the most common causes of knee pain in young athletes. The condition is an overuse injury that results from activities that cause pressure or friction on the cartilage behind the kneecap. […] Treatment for patellofemoral pain syndrome involves limiting running, jumping, squatting, or other pain-causing activities. Ice and anti-inflammatory medications can help reduce pain. Cross-training activities, such as swimming or low-resistance cycling, may be continued to maintain fitness provided that these activities do not cause pain. […] The key to resolving patellofemoral pain syndrome is identifying and correcting the causes of the pain. The treatment for a particular individual with patellofemoral pain syndrome will depend on which of these causes seems to be contributory. Once the causes have been identified, the treatment requirements are usually obvious. Your doctor, a physical therapist, or a certified athletic trainer can help you identify causes and recommend specific treatments. They can also help monitor recovery and provide guidance for a gradual and safe return to sports activities.

• #63 Patellofemoral Pain Syndrome | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0115/p88.html

  Patellofemoral pain syndrome (PFPS) is one of the most common causes of anterior knee pain encountered in the outpatient setting in adolescents and adults younger than 60 years. The cardinal feature of PFPS is pain in or around the anterior knee that intensifies when the knee is flexed during weight-bearing activities. The pain of PFPS often worsens with prolonged sitting or descending stairs. Treatment of PFPS includes rest, a short course of nonsteroidal anti-inflammatory drugs, and physical therapy directed at strengthening the hip flexor, trunk, and knee muscle groups. […] Treatment of PFPS should focus on early pain relief. Relative rest, ice, and analgesics are recommended to reduce pain, but physical therapy is the cornerstone of treatment. […] Because of the multiple contributing factors of PFPS, therapy should be individualized. Exacerbating movements or activities should be avoided, although the patient should otherwise remain as active as possible. A Cochrane review concluded that patients who exercise generally have improvement in short-term and long-term pain, both at rest and with activity, when compared with those who do not exercise. Exercise regimens should focus on the hip, trunk, and knee. Strengthening exercises and flexibility training of the associated muscle groups should be performed three times per week for six to eight weeks.

• #64 Patellofemoral Pain (PFP) – International Association for the Study of Pain (IASP)

  https://www.iasp-pain.org/resources/fact-sheets/patellofemoral-pain-pfp/

  Patellofemoral pain (PFP) is defined as pain around or behind the patella, which is aggravated by at least one activity that loads the patellofemoral joint during weight bearing on a flexed knee (e.g., squatting, stair ambulation, jogging/running, hopping/jumping). […] The treatment of PFP is moving from a biomedical approach with specific exercises to a more person-centered biopsychosocial approach similar to low back pain and other chronic musculoskeletal conditions. […] The evidence suggests a minimum of patient education at the first consultation and potentially adding a combination of exercise, orthoses, or patellar taping/mobilizations if the patient and clinician agree on the time requirements, cost, and benefit. […] Despite being offered evidence-based care, a substantial proportion of both adolescents and adults diagnosed with PFP continue to experience pain and functional limitations after 12 months.

• #65

  https://www.hingehealth.com/resources/articles/patellofemoral-pain-syndrome/

  Patellofemoral pain syndrome is a fancy medical term that just means you have pain in the front of your knee, says Samantha Stewart, PT, DPT, a physical therapist at Hinge Health. […] Pain is simply the body’s way of communicating with you. You just need to figure out what message its trying to send. Then, you can take steps to treat this common form of knee pain. […] Movement is the best way to take care of your knees and reduce pain. Anytime you’re moving your knees, you’re self-lubricating them, says Dr. Stewart. Movement teaches the body to send fluid to knee joints so that they move more easily and more comfortably. But its not just about the joints: When you’re moving, you’re activating muscles and making them stronger, which supports greater mobility. […] Exercise therapy is the treatment of choice for patellofemoral pain syndrome, according to the most recent consensus statement from the International Patellofemoral Research Network, which bases its recommendations on the latest evidence. And many of the treatment strategies below prioritize movement.

• #66 Patellofemoral Pain (PFP) – International Association for the Study of Pain (IASP)

  https://www.iasp-pain.org/resources/fact-sheets/patellofemoral-pain-pfp/

  Patellofemoral pain (PFP) is defined as pain around or behind the patella, which is aggravated by at least one activity that loads the patellofemoral joint during weight bearing on a flexed knee (e.g., squatting, stair ambulation, jogging/running, hopping/jumping). […] The treatment of PFP is moving from a biomedical approach with specific exercises to a more person-centered biopsychosocial approach similar to low back pain and other chronic musculoskeletal conditions. […] The evidence suggests a minimum of patient education at the first consultation and potentially adding a combination of exercise, orthoses, or patellar taping/mobilizations if the patient and clinician agree on the time requirements, cost, and benefit. […] Despite being offered evidence-based care, a substantial proportion of both adolescents and adults diagnosed with PFP continue to experience pain and functional limitations after 12 months.

• #67

  https://www.hingehealth.com/resources/articles/patellofemoral-pain-syndrome/

  Follow the P.E.A.C.E. L.O.V.E. method. This new pain relief approach offers a more comprehensive plan than the traditional R.I.C.E. (rest, ice, compression, and elevation) method. Instead of rest, PEACE LOVE encourages movement as you heal. […] Stretch and strengthen key muscles. When your glutes, quads, hamstrings, and calves are strong, flexible, and working effectively, they reduce stress on the knees. The exercises below will target these muscles. […] Physical therapy (PT) is for more than just recovering from surgery or injury. Its one of the top treatments for joint and muscle pain. It helps build strength, improve mobility, and reduce pain. And it doesn’t always need to be in person. […] Exercise therapy is one of the best ways to care for your knees. These exercises, recommended by Hinge Health physical therapists, strengthen and stretch the muscles that support the knee joint to reduce pain and improve mobility.

• #68 Patellofemoral Pain Syndrome (Runner’s Knee) | Mass General Brigham

  https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/sports-medicine/conditions/knee/patellofemoral-pain-syndrome

  Patellofemoral pain syndrome is an umbrella term for pain under or around the patella (kneecap). […] Treatment includes resting, icing, and managing discomfort. […] At-home treatments are most common for patellofemoral pain syndrome. The RICE method rest, ice, compression, and elevation can help ease pain. Resting the injury may be enough to diminish PFPS symptoms. Your provider may also advise you to reduce running, jumping, moving up and down stairs, and squatting. […] Physical therapy can help improve knee strength, alignment, and strength in the muscles around the knee. Some patients may benefit from orthotics to help with alignment and reduce stress on the knee. […] Providers typically suggest over-the-counter medications to help treat patellofemoral pain. […] Not treating patellofemoral pain syndrome can lead to increased pain and the potential for additional damage to the knee. Typically, at-home treatments provide relief for patellofemoral pain syndrome. Activities that cause pain should be avoided or modified.

• #69 Patellofemoral Pain Syndrome (PFPS): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17914-patellofemoral-pain-syndrome-pfps

  Patellofemoral pain syndrome (PFPS) is knee pain under or around your patella (kneecap). […] You can usually treat PFPS at home with the RICE method: Rest, Ice, Compression, and Elevation. […] A physical therapist will show you stretches and exercises that strengthen the muscles around your knees. […] Your healthcare provider might suggest medications to relieve PFPS. […] You might need to wear a knee brace or special shoe inserts (orthotics) to stabilize your knee, ankle or lower leg. […] Its very rare to need surgery to treat PFPS. […] You might be able to prevent PFPS, depending on what your provider thinks might have caused it. […] The best way to prevent PFPS (and any other type of knee pain) is to stay safe when youre physically active. […] Most people need a month or two to recover from patellofemoral pain syndrome. […] Visit a healthcare provider if youre having knee pain that doesnt get better on its own after a few weeks of rest and at-home treatments. […] Your healthcare provider or physical therapist will help you find ways to strengthen your muscles, increase your flexibility and manage the pain.

• #70 Patellofemoral Pain Syndrome – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/patellofemoral-pain-syndrome/

  Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen can help reduce swelling and relieve pain. […] Medical treatment for PFPS is designed to relieve pain and restore range of motion and strength. In most cases, patellofemoral pain can be treated nonsurgically. […] In addition to activity changes, the RICE method, and anti-inflammatory medication, your doctor may recommend the following: Physical therapy. Specific exercises will help you improve range of motion, strength, and endurance. […] It is especially important to focus on strengthening and stretching your quadriceps and strengthening your hip muscles, since these muscles work together to stabilize your kneecap. […] Patellofemoral pain syndrome is usually fully relieved with simple measures or physical therapy. It may come back, however, if you do not adjust your training routine or activity level.

• #71 Patellofemoral Pain Syndrome | Conditions | UCSF Health

  https://www.ucsfhealth.org/conditions/patellofemoral-pain-syndrome

  Patellofemoral pain syndrome occurs when the patella cartilage is stressed by overuse or poor alignment. […] This condition responds best to a team-based approach, with experts collaborating to ensure that each patient regains normal knee mechanics, strength and function. […] The vast majority of people as high as 90 percent recover fully from patellofemoral pain and are able to resume their previous activities. Most active people respond to nonsurgical treatments. […] If your kneecap isn’t tracking properly, your doctor will prescribe a well-supervised physical therapy program lasting six weeks to six months, depending on the degree of misalignment. You’ll learn specific movements for strengthening the knee, hamstring and calf muscles, and to prevent recurrence of the problem, you’ll probably need to continue doing these exercises for life.

• #72 Patellofemoral Pain Syndrome | Conditions | UCSF Health

  https://www.ucsfhealth.org/conditions/patellofemoral-pain-syndrome

  Patellofemoral pain syndrome occurs when the patella cartilage is stressed by overuse or poor alignment. […] This condition responds best to a team-based approach, with experts collaborating to ensure that each patient regains normal knee mechanics, strength and function. […] The vast majority of people as high as 90 percent recover fully from patellofemoral pain and are able to resume their previous activities. Most active people respond to nonsurgical treatments. […] If your kneecap isn’t tracking properly, your doctor will prescribe a well-supervised physical therapy program lasting six weeks to six months, depending on the degree of misalignment. You’ll learn specific movements for strengthening the knee, hamstring and calf muscles, and to prevent recurrence of the problem, you’ll probably need to continue doing these exercises for life.

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