Patellofemoral Pain Syndrome (PFPS)
What Is Patellofemoral Pain Syndrome?
Patellofemoral Pain Syndrome (PFPS) refers to pain at the front of the knee, around or behind the kneecap (patella), often aggravated by movement. Sometimes called “runner’s knee,” PFPS is a common condition in young athletes, active adults, and individuals who perform repetitive knee movements.
This condition typically arises when there is irregular tracking of the patella within the groove of the femur, causing irritation to the surrounding cartilage and soft tissue.
Book A Consultation
Common Causes of PFPS
PFPS can develop from a combination of anatomical, biomechanical, and activity-related factors:
- Overuse from running, squatting, climbing, or prolonged sitting
- Muscle imbalances or weakness, especially in the quadriceps and hips
- Improper alignment of the lower limb (knock-knees, flat feet, or overpronation)
- Previous patellar dislocation or trauma
- Tight hamstrings or IT band
Signs and Symptoms
Patients with PFPS often report:
- Dull, aching pain at the front of the knee
-
Pain that worsens with:
- Going up or down stairs
- Squatting or kneeling
- Sitting for long periods (“movie theater sign”)
- Popping or grinding sensations under the kneecap
- Occasional knee instability or giving way
Diagnosing PFPS
Diagnosis is primarily clinical and includes:
-
A thorough physical examination to assess:
- Patellar tracking
- Quadriceps strength and flexibility
- Alignment of the hips, knees, and feet
- Imaging (X-rays or MRI) may be used to rule out structural problems, cartilage damage, or early arthritis
Treatment Options
Most cases of PFPS can be treated without surgery.
Non-Surgical Treatment
- Activity modification to reduce stress on the knee
- Physical therapy focused on:
- Strengthening the quadriceps and gluteal muscles
- Improving patellar tracking
- Enhancing flexibility (hamstrings, IT band)
- Taping or patellar tracking braces
- Foot orthotics for flat feet or abnormal gait mechanics
- NSAIDs or topical pain relievers
Surgical Options (for rare, severe, or unresponsive cases)
- Lateral release to reduce tightness on the outer knee
- Medial patellofemoral ligament (MPFL) reconstruction if instability is present
- Realignment procedures to adjust patellar tracking
Return to Activity
Most patients improve significantly with proper rehab and can return to:
Recreational sports within 4–8 weeks
Competitive athletics in 2–3 months
Long-term prevention with continued strength and flexibility maintenance
Expert Care at Kerlan Jobe Institute
The orthopedic specialists at Kerlan Jobe Institute take a comprehensive approach to diagnosing and treating patellofemoral conditions. We focus on conservative care first, and tailor each recovery plan to the patient’s sport, lifestyle, and long-term goals.
Getting You Back in Motion
Surgery is just the beginning. How do you heal, move, and feel when all is said and done?
From NHL and NBA players to weekend warriors, our goal is the same: getting you back to doing what you love.
Patient Testimonials
highly skilled surgeon
“Dr. Kvitne operated on my shoulder 3 years ago and I had a perfect recovery and no problems since and I do not see a scar. He is kind with a great bedside manor and a highly skilled surgeon.”
Dr. Kharrazi truly got me back on my feet—literally.
One year ago, I tore several ligaments in my knee, and now I’m able to do the things I enjoy again.
His expertise, knowledge, and confidence are what made me choose him as my surgeon, and I will always be grateful to him and his entire team. Rudy, his assistant; Norma, who was always so prompt with all of my emails; and Blanca, who helped with forms—each of them made a difference. I can’t thank them enough for being there with me every step of the way.
I can’t say enough good things about Dr. Kvitne
“My experience with Dr Kvitne was amazing he is a outstanding Doctor what a talented man he is my knee was in such bad shape he did not have much to work with but he got in there and fixed me up there was so much that had to be repaired Dr Kvitne with his knowledge and experience repaired my knee so nicely done I have had knee surgery before but never like this I can’t say enough good things about Dr Kvitne awesome human being as well as a awesome excellent Doctor!!”
Dr. Kharrazi gave me my mobility back
After 2 knee surgeries with other Orthopedics I must say that Dr. Kharrazi is a miracle worker. I have my mobility back and my pain level is so greatly improved. Thanks Dr. K!
Schedule a Consultation
Kerlan-Jobe provides comprehensive orthopaedic care for patients seeking expert treatment for sports injuries, joint pain, and mobility limitations. We offers specialized experience and a patient-first approach designed to support lasting results.
Contact the office to schedule a consultation and learn more about your treatment options.