A Doc’s Take on Preventing Runner’s Knee

Over forty percent of all overuse injuries affect the knee joint, and patellofemoral pain syndrome, known as “runner’s knee,” is the most common overuse injury among runners. It occurs when the kneecap doesn’t track appropriately up and down the trochlear groove on the end of the femur. 

In many cases, it can be difficult to pinpoint the exact cause of the pain. Often the problem is due to several different causes multifactorial. There can be a muscular imbalance between the muscles of the quadriceps and the hip muscles. There can be an atomic issue with the alignment of the knee, the depth of the groove, or the position of the kneecap. There can be an issue with the knee cap ligaments being too tight or too lax. 

Symptoms of runner’s knee can include pain behind or around the kneecap, pain when you bend the knee, pain that worsens when walking downstairs or downhill, and swelling. 

In order to prevent runner’s knee, it is important to constantly work towards improving and maintaining good flexibility. You should include strength training in your running program and always warm up and cool down before running. 

It is not uncommon for Patellofemoral pain to linger for weeks or even months, so do be cautious with this injury. In general, it is not a good idea to run through pain.

About the author

Adrian T. Baddar, MD, F.A.A.O.S.

Dr. Adrian Baddar was the first fellowship trained hip and knee replacement specialist on the Peninsula. He was one of the first in the area to offer hip resurfacing and custom-fit knee replacements. Dr. Baddar specializes in a variety of surgical techniques including anterior, posterior, and anterolateral approaches to the hip. His practice includes minimally invasive joint replacement surgery, complex joint revisions, sports medicine, arthroscopy, and general orthopaedics. He regularly talks on pertinent orthopaedic issues in the community.