Anterior Knee Pain

Knee pain

Anterior Knee Pain

Anterior knee pain, or patellofemoral pain, is a common musculoskeletal condition affecting the patella and femoral condyle of the femur. It affects up to 25% of the population and is more common in females.

What causes anterior knee pain?

There are usually several factors involved which result in Anterior Knee Pain. Some of these factors include:

  • Tight hamstring muscles
  • Weak quadriceps muscles
  • Weak buttock muscles
  • Tightness on the outside of the thighs (including ITB)
  • Knock knees (genu valgum)
  • Flat feet (excessive pronation)
  • Previous trauma to the kneecap
  • Osteoarthritis

What are the signs and symptoms?

Anterior knee pain is characterised by pain at or around the knee cap and front of the knee. Pain can be either sharp or diffuse.

Pain is usually associated with two or more of the following:

  • Walking up or down stairs
  • Prolonged sitting
  • Squatting
  • Kneeling
  • Walking
  • Running

There may be associated crepitus, or crunching, felt behind the kneecap on movement.

What does physiotherapy involve?

Physiotherapy using the McConnell program may include the following elements depending on the assessment findings.

  1. Taping the knee cap to reduce load or pain
  2. Stretches to lengthen any tight muscles/fibres inserting into the knee
  3. Exercises to help retrain muscles to work more efficiently
  4. Exercises to strengthen any weak muscles
  5. Retrain walking patterns
  6. Retrain stair walking
  7. Foot orthotics for over-pronated feet

If you experience knee pain see your physiotherapist who can determine the causative factors and teach you what’s needed to get moving pain free once again.

Credit: BDG physiotherapist for the information

Noosa Sports & Spinal Physiotherapy: “Research and know the facts”

Peter Hogg

Have a question? Ask the guru...