What is Patellofemoral Pain Syndrome (PFPS)?
PFPS refers to pain arising from the
front of the knee around the kneecap (patella), often due to irritation of the cartilage, soft tissues, or faulty tracking of the patella over the femur. It’s common in active individuals, adolescents, and those with biomechanical imbalances.
Symptoms & What You May Experience
You may notice:
- Pain around or behind the kneecap
- Discomfort when climbing stairs, squatting, running, or sitting long periods
- Clicking or grinding sensation (crepitus)
- Knee stiffness or aching after activity
- Worse with kneeling or downhill walking
What causes Patellofemoral Pain Syndrome (PFPS)?
Typical contributing factors:
- Muscle imbalance (weak glutes/quads, tight calves or ITB)
- Poor patellar tracking or alignment
- Foot pronation or flat feet
- Sudden increase in training or load
- Previous knee injury
- Hip and pelvic instability
How We Help (At Victoria Park Osteopaths)
Treatment aims to reduce pain and improve alignment and strength:
- Manual therapy to the knee, hip, ankle, and lower back
- Soft tissue release for quads, ITB, calves, and hips
- Strengthening exercises (glutes, VMO, core)
- Taping or support for patellar alignment
- Gait and movement re-education
- Advice on footwear, training surfaces, and load management
Recovery Time & What to Expect
- Mild cases: 4–8 weeks
- Chronic cases: 2–4 months or longer with poor biomechanics
- Rehab exercises and load control are key to long-term success
When to Seek Medical Review / Red Flags
- Significant swelling, locking, or instability
- Pain after trauma
- No change after structured rehab
- Signs of arthritis or meniscal involvement
