Happy New Year!
The most common New Year’s resolution is probably starting an exercise routine or exercising more.
Have you recently started an exercise routine? Or are you the one that increased their exercise? Have you begun to notice that your knees are now bothering you?
If you are having pain with exercises like squats, lunges, stairs, or running you may be experiencing patellofemoral pain. Patellofemoral pain is commonly called “runners knee”.
At your knee joint, the knee cap (patella) normally moves along the thigh bone (femur) when you bend and straighten your knee. With patellofemoral pain, the normal movement can be overloaded, like when starting a new workout that your body is not used to. Or the movement can be disrupted, causing your knee cap to not glide properly. Either scenario can lead to irritation and pain.
Patellofemoral pain presents as pain along the inside and front of your kneecap.
How can you tell if it’s Patello-Femoral Pain?
The most common symptom of patello-femoral pain occurs when the knee is bending or in a bent position for an extended period of time. The pain can also cause complaints of buckling of the knee or feeling unstable.
If these describe what you have been feeling, here is a little test you can try.
Stand in front of a mirror and watch how you squat. Do your knees collapse inward? This is a common presentation with patellofemoral pain.
But hold on there…this is not due to your knee alone, as the knee tends to be at the mercy of the hip and the foot. Notice that your knee mostly moves straight forward and backward, and does very little rotation. Rotation is the job of your foot/ankle and hip
Do you have flat feet? Being flat footed allows your lower leg to rotate inward, which causes a rotation at your knee, which can lead to patello-femoral pain.
Tightness or weakness at your hip can also cause your thigh bone to rotate inwards, again leading to rotation through the knee.
Good News: Your knees can be improved.
Here are a couple of quick changes that pay off big.
First, make sure you are in the correct shoes. Go to a reputable store (the local running stores are a good example) and get fitted for the correct shoe for your foot type. I won’t go into all of that detail here, as that could be a doctoral dissertation.
Second,