Domain: tiger-web1.srvr.media3.us Patellofemoral Pain Syndrome AKA Runners Knee | Health/Fitness
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Patellofemoral Pain Syndrome AKA Runners Knee

Posted on 2/22/26 at 6:40 pm
Posted by BadatBourre
Member since Jan 2019
1262 posts
Posted on 2/22/26 at 6:40 pm
Guys, I need some help. I had a personal goal to finish a 5k and pushed through some knee pain to make it happen for the Louisiana Marathon. Finished in 33 and some change, but at 260 lbs, I was moving. Knee pain is even worse now and I haven't run since. I took anti-inflammatory for a week which didn't help, and now I've just been resting it but it's not getting any better.

Any suggestions from the runners here? Could an injection help? Really enjoy running and to be honest with this pain I can't really do any cardio.
Posted by PrezCock
Florida
Member since Sep 2019
909 posts
Posted on 2/22/26 at 6:46 pm to
Where does your knee hurt, especially in relation to your patella? What movements cause it to hurt? Bending, straightening, pivoting, lateral movements. Does it hurt while squatting, going up or down the stairs?

These are the things that we need to know to offer any kind of advice.
Posted by h0ll@yaboy
Baton Rouge
Member since May 2013
189 posts
Posted on 2/22/26 at 7:33 pm to
Look up PEACE & LOVE vs RICE for a tire injuries.

It’s a lot more nuanced than the above, buts it’s a good start. From the rehab side of thing there is a lot I can help you with after a formal evaluation.

If you need want help what’s your email?
Posted by BadatBourre
Member since Jan 2019
1262 posts
Posted on 2/22/26 at 11:17 pm to
It's the front of the knee and behind the kneecap. It's absolutely patellofemoral because it only hurts when bending, squatting, going downstairs or sitting to long etc. I can do everything, including jumping, running, pivoting just with pain if I go past certain degrees of bend or lots of repetition like jogging.
Posted by grayson88
Tampa, FL
Member since Jan 2004
1784 posts
Posted on 2/23/26 at 4:26 am to
I would recommend PT. You need to work on quad strength and balance. If really inflamed Cortisone can be helpful.
Posted by PrezCock
Florida
Member since Sep 2019
909 posts
Posted on 2/23/26 at 6:00 am to
Thank you for the info. Get checked by a PT. It could be PPS or it could be a few other things. In the meantime, start strengthening your Vastus Medialis Oblique (VMO). Look up Terminal Knee Extensions (TKE). Start incorporating those into your training program. There's a little controversy about VMO strengthening exercises to fix PPS, but I've personally seen it work hundreds of times.

Hope this helps.
Posted by jose
Member since Feb 2009
29681 posts
Posted on 2/24/26 at 12:51 pm to
The biggest thing with PFPS is strengthening the VMO and hamstring flexibility. The best exercise for VMO strengthening is terminal knee extensions.

Yes a steroid shot can help as well. But this usually will respond to home exercises.


Posted by Anemone
New Orleans
Member since Feb 2016
127 posts
Posted on 2/24/26 at 5:19 pm to
Swim laps if possible. Ride a bike. Lift weights. Running injuries are part of the process. This will not be the last.
Posted by SwampBooty
Sulphur, LA
Member since Sep 2015
800 posts
Posted on 2/25/26 at 6:39 am to
Also glutes. Do not neglect glute strength to control femoral rotation and reduce lateral tracking/movement deficits promoting more valgus or rotation stress
Posted by XenScott
Pensacola
Member since Oct 2016
4093 posts
Posted on 2/25/26 at 9:31 am to
Cycling. It's great for your knees.
Posted by JasonDBlaha
Woodlands, Texas
Member since Apr 2023
3925 posts
Posted on 2/25/26 at 7:53 pm to
I basically can’t do any kind of squat movement due to the amount pain my left knee is constantly in. X-rays have showed that cartilage is still intact yet I can barely use it for rigorous exercise. Haven’t done barbell squats in 3 years because of it. It’s fricking frustrating and drives me crazy.

The only real solution when it comes to PPS is to stop doing whatever the movement is that’s aggravating it. It’s basically a throw away diagnosis for when the doctors can’t find anything wrong with your knee.
This post was edited on 2/25/26 at 7:57 pm
Posted by PrezCock
Florida
Member since Sep 2019
909 posts
Posted on 2/25/26 at 8:09 pm to
quote:

The only real solution when it comes to PPS is to stop doing whatever the movement is that’s aggravating it. It’s basically a throw away diagnosis for when the doctors can’t find anything wrong with your knee.


Not an attack, but this is not true. PFPS is caused by inadequate patella tracking during movement. This is usually caused by a weak VMO. I say that because muscles (for the most part) do not get tight unless a muscle in that kinetic chain is weakened. Strengthening the VMO will help the patella tracking and relieve PFPS pain. Lengthening the Vastus Lateralis and Hamstrings will also help.

quote:

X-rays have showed that cartilage is still intact


X-rays do not show this. X-rays can show joint spacing and bone alignment/health. MRIs show soft tissue health.

quote:

I basically can’t do any kind of squat movement due to the amount pain my left knee is constantly in.


What is happening with your knee? Perhaps we can help you, or at least point you in the right direction. Being as specific as possible can help us help you better.

I hope this helps.
Posted by JasonDBlaha
Woodlands, Texas
Member since Apr 2023
3925 posts
Posted on 2/26/26 at 4:32 pm to
quote:

What is happening with your knee?


When squatting, I get severe pain on the concentric part, which is the part when you push your legs back up from the squatting position. I’ve never understood why, but it’s always been happening. Other than that, I don’t really get any pain at all in my knees and I can still walk perfectly fine
Posted by PrezCock
Florida
Member since Sep 2019
909 posts
Posted on 2/26/26 at 4:38 pm to
Where is the pain located?
Posted by JasonDBlaha
Woodlands, Texas
Member since Apr 2023
3925 posts
Posted on 2/26/26 at 4:46 pm to
It’s in the patella
Posted by PrezCock
Florida
Member since Sep 2019
909 posts
Posted on 2/26/26 at 4:57 pm to
quote:

It’s in the patella


My best guess, without doing an examination, would be you are pinching the fat pad. It can be very painful and coincides with the location of the pain you are describing as well as only hurting on the concentric phase of your lift.

I would get it checked out. Most treatments will be strengthening your quads, as well as fixing muscle imbalances in your knees/hips.

Hope this helps.
Posted by JasonDBlaha
Woodlands, Texas
Member since Apr 2023
3925 posts
Posted on 2/26/26 at 6:08 pm to
Thanks for the advice. I’ll probably go to an orthopedist to get a further examination.

What exactly is the “fat pad”?
Posted by PrezCock
Florida
Member since Sep 2019
909 posts
Posted on 2/26/26 at 6:34 pm to
Hoffa's fat pad. Fatty tissue that acts as a shock absorber for your patella.
Posted by JasonDBlaha
Woodlands, Texas
Member since Apr 2023
3925 posts
Posted on 2/26/26 at 6:39 pm to
Are there any direct treatments for it other than the usual ice and rest?
Posted by PrezCock
Florida
Member since Sep 2019
909 posts
Posted on 2/26/26 at 6:54 pm to
Again, without an examination it is only a guess based on the information you gave.

Usual treatment would be strengthening the Quads and finding and fixing the muscle imbalances in your lower extremity. It's one of those things that I wouldn't be able to adequately give you advice without an examination to figure out those imbalances.

Rest and Ice will help with the inflammation, along with NSAIDs. Although I don't really like to use ice anymore for inflammation control except with acute injuries.
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