Presentation of symptoms

The patient often described gradual onset of pain. The pain is aggravated with activity and eases with rest. Patients generally do not complain of catching, walking, or feelings of instability. Even lower level weight-bearing activity can increase pain and it may progress to the point where sport board and otherwise active lifestyle has to stop or be greatly reduced. Symptoms are common in teenagers as well as a population with varying degrees of arthritis.

Possible Causes:

Hip and core weakness

Poor movement patterns of the legs during activity

Diminished body control during activity

Anatomic variations such as flat feet and knock knees can predispose a person to knee pain

Limited flexibility of hips, hamstrings, and calf

Physical Therapy Treatment

Strengthening of the hips and core

Proper stretching based on the evaluation

Instruction in proper movement patterns during dynamic activity

Possibly dry needling of certain him muscles that can influence patella position

Modalities to help decrease pain

Recommend arch supports if flat feet are present