Runner’s Knee: Patellofemoral Pain Syndrome in Runners

Patellofemoral pain syndrome (PFPS) is one of the most common causes of anterior knee pain in runners, athletes, and active individuals. It occurs when the kneecap (patella) does not glide smoothly in the femoral groove, leading to pain, discomfort, and sometimes clicking sensations during movement.

Common Symptoms

• Dull, aching pain in the front of the knee
• Pain worsening while climbing stairs or squatting
• Pain after sitting for long periods (theater sign)
• Occasional clicking or grinding sensations
• Knee pain during or after running

Why Does It Happen?

• Patellar maltracking or alignment problems
• Weakness of the vastus medialis oblique (VMO)
• Hip abductor weakness
• Sudden increase in running volume or intensity
• Flat feet or improper footwear

How Is It Diagnosed?

Diagnosis is usually made through physical examination, gait analysis, and when needed, MRI imaging. Most cases do not require surgery.

Treatment Options

1) Exercise & Strengthening

• VMO strengthening exercises
• Hip abductor and external rotator strengthening
• Quadriceps stretching
• IT band mobilization

2) Activity Modification

• Reducing activities that temporarily increase symptoms
• Reviewing and correcting running technique

3) Supportive Therapies

• Ice application to reduce anterior knee discomfort
• Use of proper running shoes or insoles
• Kinesiology taping techniques

4) Advanced Treatments

• PRP injections (for selected cases)
• Arthroscopic evaluation for persistent or structural problems

When Should You See a Doctor?

• Pain lasting longer than 3–4 weeks
• Swelling, locking, or giving-way sensation
• Persistent pain during running

Runner’s knee responds very well to targeted strengthening and biomechanical correction. Dr. Muhammed Duman provides individualized treatment plans for runners and athletes experiencing anterior knee pain.