Runner's Knee is also known as Patellofemoral Pain Syndrome or Chondromalacia Patella. The Patellofemoral joint is the articulation between the patella (kneecap) and the upper leg. The movement of the patella is largely determined by the combination of the forces that the quadriceps muscles exerts on it. If there is any imbalance in the forces the quadriceps exerts on the Patella the kneecap will start to track in an improper manner, usually laterally. This will create excessive pressure under the kneecap and on the femur in the direction of the deviation and this creates the pain and dysfunction associated with patellofemoral pain syndrome. Dislocation of the kneecap will often be associated with cases of significant tracking problems. Of interest is the fact that any injury that creates greater than 12 cc's of fluid or swelling in the knee will create a pain inhibition reflex of the vastus medialis muscle (the inner quadriceps muscle). When the swelling is relieved the VMO muscle does not always return to full strength right away. This is why rehabilitation is so important because after any injury in the knee that has associated swelling, inadequate rehab can often bring on patellofemoral pain syndrome.
Signs and Symptoms:
Someone suffering from patellofemoral pain syndrome will report knee pain that onsets gradually over the course of weeks to months. The pain is of an achy nature and is usually felt on the lateral aspect of the knee. Classically there is not an associated swelling, but if it is brought on by a dislocation, swelling will be present. In chronic cases the pain will usually come on after sitting for a long time and is relieved by moving the knee.
Patellofemoral pain syndrome has been show to respond well to conservative Chiropractic care which can relieve the initial pain and determine what brought it on in the first place. Once the cause is determined Chiropractic care is effective in correcting the offending activity to prevent the problem from becoming chronic.
If you or someone you know is needlessly suffering from knee pain due to patellofemoral pain syndrome come into Advanced Healthcare and have Dr. Pisarek develop a customized treatment protocol, without the use of drugs or surgery, that will have you on the road to living pain free today!