Runner's Knee Health Video

Video Transcript

CAROLYN COOPER, MD: I'm Dr. Carolyn Cooper and I'm going to be talking about runner's knee which is also known as patellofemoral pain syndrome and people complain of pain under and around the kneecap which is often worse with repetitive activity or indeed prolonged inactivity. The kneecap or patella normally tracks along the groove in the end of the femur and it can move up and down, side to side; it can also rotate depending on whether the leg is bent or straight. There are therefore many points of contact with the underside of the kneecap with the femur. An individual with runner's knee will complain of anterior knee pain especially after repetitive activity such as running, particularly running downhill, going up and down the stairs, even hiking or in people with prolonged inactivity which is also known as moviegoer's knee. The diagnosis is made by history and examination. No other x-rays or imaging studies are usually required to make the diagnosis. The treatment initially comprises of reducing pain, therefore, rest and avoidance of activities that cause symptoms, ice, and nonsteroidal antiinflammatory agents such as Advil or Motrin; and then physical therapy should be instituted to strengthen the quadriceps muscles, the hip muscles, and also the iliotibial band which is a thick fibrous tissue that runs down the outer side of the thigh. Also, calf stretching is important and maintaining good footwear.