Patellofemoral Pain Syndrome

If you’re experiencing knee pain, especially when climbing stairs or sitting with your knees bent for long periods, you may have patellofemoral pain syndrome, also known as runner’s knee. This condition can make everyday movements uncomfortable and interfere with an active lifestyle.

Benjamin W. Szerlip, DO, in Austin, Texas, specializes in diagnosing and treating knee conditions like patellofemoral pain syndrome. Schedule a consultation today to discuss your symptoms and explore personalized treatment options!

What Patients Are Saying

“Dr. Szerlip was very personable, knowledgeable, and took time for all my questions. He gave great explanations of my problem and potential solutions. I have full confidence in his recommendations for treatment and therapy.” — Pam G. 

What is Patellofemoral Pain Syndrome?

Patellofemoral pain syndrome (PFPS) refers to pain at the front of the knee, around or behind the kneecap (patella). It can occur when the patella does not track properly in the knee joint, causing irritation of the surrounding soft tissues. This condition is common among young adults, athletes, and individuals who engage in repetitive knee movements.

What Are Patellofemoral Pain Syndrome Symptoms?

The most common patellofemoral pain syndrome symptoms include:

  • Aching pain around or behind the kneecap
  • Pain is worse when squatting, climbing stairs, or sitting with knees bent for long periods
  • A feeling of instability or “giving out” in the knee
  • A grinding or popping sensation when moving the knee
 

If left untreated, PFPS can significantly affect daily activities and reduce mobility.

A man with knee pain while walking down stairs in Austin, Texas.

What Causes Patellofemoral Pain Syndrome?

Several factors contribute to runner’s knee, including:

  • Repeated stress from activities like running, jumping, or prolonged kneeling
  • Muscular imbalances in the quadriceps tendon, hip muscles, and hip abductors
  • Tight muscles that limit flexibility in the lower leg and thighs
  • Patella alta, where the kneecap sits too high in the knee joint
  • Lateral retinaculum tightness, which pulls the kneecap out of alignment
  • Chondromalacia patella, a condition where the cartilage under the kneecap softens and deteriorates
 

Identifying and addressing these factors can help prevent worsening symptoms.

What Are the Complications of Patellofemoral Pain Syndrome?

If untreated, PFPS can increase in pain. You also put yourself at risk of further injury. Even if you are not conscious of it, you may move differently to compensate for the pain, adding stress to other parts of your body.

Seeking treatment early can help prevent these complications and improve knee function.

How is Patellofemoral Pain Syndrome Diagnosed?

Diagnosis typically involves a physical examination where the surgeon evaluates knee movement, alignment, and pain levels. Additional imaging tests like magnetic resonance imaging (MRI) may be used to assess cartilage damage or rule out other knee conditions.

Dr. Szerlip carefully evaluates each patient’s condition to develop a targeted treatment plan.

What Are Patellofemoral Pain Syndrome Treatments?

The objective of PFPS treatments is to relieve pain and restore strength and mobility in the knee.

Non-Surgical Treatments

Most cases of PFPS respond well to conservative treatments. Non-surgical treatments include the following:

  • Physical therapy to strengthen hip muscles, hip abductors, and the quadriceps tendon
  • Stretching exercises to relieve tension in tight muscles
  • RICE method (Rest, Ice, Compression, Elevation)
  • Pain relievers like NSAIDs to reduce swelling and inflammation
  • Knee braces for added support and stability
  • Orthotics to take the stress off your lower leg
  • Activity modifications to decrease stress on the knee

Surgical Options

If conservative treatments fail, knee surgery may be recommended. Options include the following:

  • Debridement of the damaged articular cartilage through knee arthroscopy
  • Loosening of the lateral retinaculum through arthroscopy
  • Realignment surgery to correct patellar tracking issues, especially if there is a tibial tubercle abnormality
 

Dr. Szerlip will determine the best approach based on the severity of your condition.

Recovery from Patellofemoral Pain Syndrome

Recovery depends on the severity of the condition and treatment approach. With proper care, most patients experience significant pain relief within a few weeks. A physical therapist can help guide rehabilitation exercises to restore strength and flexibility.

For those undergoing surgery, recovery may take several months, with a gradual return to physical activity. Dr. Szerlip works closely with patients to ensure a smooth and successful recovery process.

Get Expert Patellofemoral Pain Syndrome Treatment

If one or both knees are causing persistent pain, don’t wait to seek treatment. Benjamin W. Szerlip, DO, offers comprehensive care for patellofemoral pain, from conservative therapies to advanced surgical solutions. Schedule an appointment at our office in Austin, TX, today and take the first step toward pain-free movement!