Runner’s Knee

Runner’s knee is a common issue among athletes and active individuals. It causes discomfort in the front of the knee, making activities like running, squatting, or even walking up stairs painful. If left untreated, it can interfere with daily movement and long-term knee health.

Benjamin W. Szerlip, DO, in Austin, Texas, specializes in diagnosing and treating sports injuries to help patients regain mobility and prevent future issues. If you’re experiencing persistent knee pain, contact us today to schedule a consultation!

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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 Runner’s Knee?

Runner’s knee is an umbrella term for knee problems that cause pain around the kneecap (patella). The medical term for this condition is patellofemoral pain syndrome (PFPS). It often occurs due to irritation in the knee joint, particularly where the kneecap meets the thigh bone (femur).

Though common among runners, it also affects cyclists, hikers, and individuals who frequently engage in activities that stress the knees. Dr. Szerlip offers expert treatment for runner’s knee and many other sports injuries.

What Are the Symptoms of Runner's Knee?

The primary symptom of runner’s knee is a dull, aching pain in the front of the knee, especially:

After prolonged sitting
When walking, running, or climbing stairs
While squatting or kneeling
After high-impact activities

Some people may also experience swelling, a grinding sensation in the knee, or a feeling that the knee is “giving out.”

What Causes Runner’s Knee?

Several factors contribute to the development of patellofemoral pain, including:

Overuse – Repetitive stress on the knee joint from running, jumping, or cycling can lead to irritation.
Muscle imbalances – Unbalanced thigh muscles may cause the kneecap to track improperly, increasing strain on the patella.
Poor biomechanics – Misalignment of the hips, knees, or feet can lead to increased pressure on the kneecap.
Weak core or hip muscles – A weak core can lead to poor running form, which increases stress on the knees.
Improper footwear – Wearing unsupportive shoes can alter weight distribution, contributing to patellofemoral pain syndrome.
Inadequate warm-up or recovery – Skipping stretching or strength training can make the knees more susceptible to injury.
Age and Gender – Women and younger people are more likely to develop patellofemoral pain syndrome.

How is Runner's Knee Diagnosed?

A proper diagnosis involves a physical examination by a healthcare provider. A physical therapist or sports medicine surgeon will assess your knee movement, strength, and flexibility. In some cases, imaging tests like X-rays or MRIs may be needed to rule out other conditions, such as arthritis or ligament damage.

How is Runner's Knee Treated?

Treatment for runner’s knee focuses on reducing pain, addressing underlying causes, and preventing recurrence. Common treatments include:

Rest and activity modification – Reducing high-impact activities gives the knee time to heal.
Ice therapy – Applying ice can help reduce swelling and discomfort.
Pain relief medications – NSAIDs like ibuprofen can help manage inflammation.
Physical therapy – A physical therapist can develop a rehabilitation plan with strengthening and stretching exercises.
Shoe inserts – Custom or over-the-counter shoe inserts can correct foot alignment and reduce knee stress.

Recovering from Runner's Knee

Recovery time varies based on the severity of the injury and adherence to treatment. Most individuals see improvement within four weeks with proper rest, therapy, and strengthening exercises. However, returning to activity too soon can worsen symptoms. Gradual reintroduction to exercise, guided by a sports medicine professional, is essential for a full recovery.

How Can I Prevent Runner’s Knee?

Preventing runner’s knee involves taking proactive steps to strengthen and protect your knees:

Strengthen the lower body – Exercises that target the quadriceps, hamstrings, and glutes improve knee stability.
Maintain flexibility – Regular stretching reduces strain on the knee joint.
Wear proper footwear – Supportive shoes or shoe inserts can prevent improper alignment.
Use correct form – Ensuring proper running and squat techniques reduces unnecessary stress on the knees.
Gradually increase activity – Avoid sudden increases in training intensity to minimize strain.
Cross-train – Engaging in low-impact activities like swimming or cycling reduces repetitive stress on the knees.

Find Relief for Runner’s Knee Today

If you’re struggling with patellofemoral pain syndrome, don’t let it keep you from staying active. Benjamin W. Szerlip, DO, a fellowship-trained sports medicine surgeon in Austin, TX, provides expert care to diagnose, treat, and prevent runner’s knee. Contact us today to schedule an appointment and take the first step toward pain-free movement!

Medically reviewed by Benjamin W. Szerlip DO

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