 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Anterior Knee Pain (Runner’s Knee)
Anterior knee pain is a common complaint of many runners. Pain is usually surrounding or underneath the kneecap, but
typically not localized to one specific area. The pain is usually associated with long runs. It worsens with sitting for long
periods with the knee bent (called “theater sign”) or walking up and down stairs. Occasionally, there is swelling about the
knee. It usually is gradual in onset but can begin after an acute injury to the knee. Symptoms resolve with rest and
decreased activities.
The cause of anterior knee pain is multi-factorial. The basis of the pain stems from biomechanical factors that cause
poor tracking of the patella (kneecap) in the femoral groove (thigh bone).
Contributing factors include:
1. Tight hamstring muscles.
2. Muscle imbalances.
3. Weak quadriceps muscles.
4. Ankle over-pronation.
5. Hill or stairs running.
6. Arthritis.
Initial management of anterior knee pain requires rest, applying ice and taking an anti-inflammatory medication. To
prevent the problem from recurring, an athlete needs to identify and correct the factors contributing to causing anterior
knee pain. This may require a careful evaluation by a sports medicine specialist to evaluate your gait, biomechanics and
leg structure to pinpoint the cause. Often several factors contribute to the symptoms. Easy corrections include regular
stretching, strengthening imbalanced muscles, using orthotics or limiting hill running. Gradually return back to running
when symptoms improve.
