Patellofemoral Pain Syndrome
Patellofemoral Pain Syndrome (PFPS), also known as “runner’s knee,” is a common cause of front-of-the-knee pain, especially in active individuals. It occurs when the kneecap (patella) doesn't move properly along the femoral groove, leading to irritation of the joint and surrounding tissues. PFPS can develop gradually and often worsens with activity, making everyday movements like squatting, climbing stairs, or sitting for long periods painful.
At Sparq Physical Therapy in Castle Rock, CO, we help patients with patellofemoral pain recover through a personalized, biomechanically focused rehab plan. Whether you’re a runner, cyclist, weekend warrior, or someone dealing with chronic knee pain, we’ll help you restore proper movement and reduce discomfort.
Affected Area
PFPS affects the patellofemoral joint where the kneecap meets the thigh bone. Dysfunction may involve the quadriceps, hip stabilizers, and foot/ankle mechanics, all of which influence how the kneecap tracks during movement. Muscle imbalances or tightness in the hamstrings, IT band, or calves may also contribute.
Symptoms
Symptoms include dull, aching pain in the front of the knee, often aggravated by squatting, kneeling, climbing stairs, or sitting for long periods (the "movie theater sign"). You may also notice popping, grinding, or a feeling that the knee “gives way” during activity.
Treatments
Physical therapy is the first-line treatment for PFPS and can be highly effective in correcting faulty movement patterns and strengthening weak muscles. At Sparq PT, your rehab program may include:
Manual therapy to release soft tissue tension and improve patellar mobility
Targeted strengthening of the quadriceps, glutes, and hip abductors
Gait and movement analysis to correct biomechanical issues
Stretching and mobility work for the hips, hamstrings, calves, and IT band
Education on proper footwear, activity modification, and home exercises
With consistent treatment, most patients experience significant improvements in pain, stability, and function, often returning to full activity without limitations.