This term is often used synonymously with ‘anterior knee pain’ which simply refers to pain at the front of the knee. There are a number of causes of pain in this area and patellofemoral pain is quite common. This diagnosis simply refers to pain behind or around the patella (knee- cap) in relation to its interaction with the femur (thigh bone).

Symptoms are often gradual in onset and intermittent in nature. They can start as a dull achy sensation at the front of the knee which is aggravated by going up and downstairs, squatting or luging, prolonged sitting e.g. when driving and running. Pain commonly worsens over time and can cause occasional sharp, stabbing sensations. A feeling of clicking or grinding can also be reported. Pain can ease with movement only to worsen afterwards.

Causative factors include poor movement control through the lower limb, weakness, reduce mobility or range of movement and training overload. Treatment will initially focus on settling pain with techniques such as soft tissue massage, acupuncture, taping and joint mobilisations. Load management, a progressive exercise programme, running re-education and technique then target the causative factors.