Patellofemoral Pain Syndrome (Runner's Knee)enteenshttps://kidshealth.org/EN/images/headers/KH_generic_header_09_2.jpgPatellofemoral pain syndrome (or runner's knee) is the most common overuse injury among runners, but it can also happen to other athletes who do activities that require a lot of knee bending.run, running, knees, ache, knee hurts, knee hurting, knee pain, knee tender, swelling, tenderness, jump, jumping, tennis, skiing, biking, patella, kneecaps, femur, muscle, muscles, knee bend, bending, workout, exercise, rest, rice, foot, feet, arch, align, knee alignment, nees, nee innjuries, nee pain, knee caps, runns=ers knee, runner's knee, rsi, repetitive stress injuries, sports innjuries10/18/201003/20/201909/02/2019Alvin Su, MD01/04/20194589da1f-0851-45ac-a408-8ce20ef2c72bhttps://kidshealth.org/ws/RadyChildrens/en/teens/runners-knee.html/<h3>What Is Patellofemoral Pain Syndrome?</h3> <p>Patellofemoral pain syndrome (PFP syndrome) is pain in and around the kneecap (patella). PFP syndrome is also called "runner's knee."</p> <p>Rest and exercises that stretch and strengthen the hips and legs can help PFP syndrome get better.</p> <h3>What Causes PFP Syndrome?</h3> <p>Patellofemoral (pronounced: peh-tel-oh-FEM-er-ul) pain syndrome is an <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/repetitive-stress-sports.html/">overuse disorder</a>. These happen when someone does the same movements that stress the knee over and over again.</p> <p>In PFP syndrome, repeated bending and straightening the knee stresses the kneecap. It's most common in athletes.</p> <p>Some people with PFP syndrome have a <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/bones-muscles-joints.html/">kneecap</a> that is out of line with the thighbone (femur). The kneecap can get out of line, or wiggle as it moves along the thighbone, because of muscle weakness, trauma, or another problem. If this happens, the kneecap doesn't glide smoothly over the thighbone when the knee bends and straightens. The kneecap gets injured and this causes the pain of PFP syndrome.</p> <h3>Who Gets PFP Syndrome?</h3> <p>Patellofemoral pain syndrome usually happens in people who do sports that involve a lot of knee bending and straightening, such as <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/safety-running.html/">running</a>, <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/bike-safety.html/">biking</a>, and <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/safety-skiing.html/">skiing</a>. It also can&nbsp;<span style="font-size: 1em;">happen to people, particularly young women, who do not do a lot of sports. </span></p> <p><span style="font-size: 1em;">PFP syndrome is more common in women and happens most often to teens and young adults.</span></p> <p>Tight or weak leg muscles or flat feet can make someone more likely to get PFP syndrome.</p> <h3>What Are the Signs &amp; Symptoms of PFP Syndrome?</h3> <p>Patellofemoral pain syndrome causes pain under and around the knee. The pain often gets worse with walking, kneeling, squatting, going up or down stairs, or running. It may also hurt after sitting with a bent knee for a long time, such as in a long car ride or in a movie theater.</p> <p>Some people with PFP syndrome feel a "popping" or creaking after getting up from sitting or when going up or down stairs.</p> <h3>How Is PFP Syndrome Diagnosed?</h3> <p>To diagnose patellofemoral pain syndrome, health care providers:</p> <ul> <li>ask about physical activities</li> <li>do an exam</li> </ul> <p>Usually no testing is needed. Sometimes the health care provider orders an X-ray or other imaging study to check for other <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/knee-injuries.html/">knee problems</a>.</p> <h3>How Is PFP Syndrome Treated?</h3> <p>Someone with patellofemoral pain syndrome&nbsp;needs to limit or completely avoid activities that cause pain. Sometimes a change in training is all that's needed. For example, someone who usually runs hills to train can try running on a flat, soft surface instead.&nbsp;</p> <p>A person who has severe pain or pain that interferes with activity (for example, if it causes a limp) needs to rest the knee until the pain is better.</p> <p><strong>For pain:</strong></p> <ul class="kh_longline_list"> <li>Put ice or a cold pack on the knee every 1&ndash;2 hours for 15 minutes at a time. Put a thin towel between the ice and your skin to protect it from the cold.</li> <li>You can take ibuprofen (Advil, Motrin, or store brand) or naproxen (Aleve, Naprosyn, or store brand). Follow the directions that come with the medicine for how much to take and how often. Do not take this medicine for longer than about 2&ndash;3 weeks.</li> </ul> <p>An important part of the treatment for PFP syndrome is improving the strength and flexibility of the legs, hips, and core muscles. Health care providers usually recommend going to a <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/pt.html/">physical therapist</a> to make an exercise plan that will help. The plan may include <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/stretching.html/">stretching</a>, squats, planks, lunges, and other exercises that improve strength and flexibility of the legs and hips.</p> <p>The health care provider might also recommend:</p> <ul> <li>a knee brace</li> <li>taping of the knee</li> <li>special shoe inserts</li> </ul> <p>It doesn't happen very often, but sometimes surgery is needed for PFP syndrome.</p> <h3>Can Someone With PFP Syndrome Play Sports?</h3> <p>Most people with PFP syndrome need to cut back or stop sports for some time. Follow the health care provider's instructions on when it's safe for you to go back to sports. This usually is when:</p> <ul class="kh_longline_list"> <li>Hip, leg, and core strength is near normal.</li> <li>Flexibility, especially in the hamstring muscle, has improved.</li> <li>There's no pain with everyday activities, such as walking and going up/down stairs.</li> <li>Any pain with activity is very mild and goes away within a few minutes of starting the activity.</li> </ul> <h3>Looking Ahead</h3> <p>It can take months to years for the symptoms from PFP syndrome to get better. Following an exercise plan given by the health care provider or physical therapist can help the knee heal.</p> <p>To lower the stress on their knees after healing, athletes should:</p> <ul class="kh_longline_list"> <li>Warm up and stretch before running or other sports.</li> <li>Keep a <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/healthy-weight.html/">healthy weight</a>.</li> <li>Wear supportive running shoes and replace them often.</li> <li>Run on soft, flat surfaces (such as grass, dirt, or a synthetic track with a softer surface).</li> <li>Increase the intensity of workouts slowly.</li> <li>Use shoe inserts or a knee brace, if the health care provider recommends it.</li> </ul>Síndrome de dolor patelofemoral (rodilla del corredor)El síndrome de dolor patelofemoral es un trastorno por sobrecarga. Estos trastornos ocurren cuando una persona hace repetidamente los mismos movimientos que acaban por sobrecargarle la rodilla. https://kidshealth.org/ws/RadyChildrens/es/teens/runners-knee-esp.html/660bcddf-7588-47d8-b8ad-d4f1b3611ccb
Achilles TendonitisIf the tendon just above your heel becomes swollen or irritated due to overuse, it can lead to a painful condition called Achilles tendonitis. Find out how to treat it - and prevent it.https://kidshealth.org/ws/RadyChildrens/en/teens/achilles.html/b76164e9-b222-48bb-8113-4e1df39b9672
Anterior Cruciate Ligament (ACL) TearsACL injuries can happen in active and athletic kids when excessive pressure is put on the knee joint, resulting in a torn ligament.https://kidshealth.org/ws/RadyChildrens/en/teens/acl-injuries.html/8c642a43-5cbd-42c2-b5a2-1387d91a6f3c
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Dealing With Sports InjuriesYou practiced hard and made sure you wore protective gear, but you still got hurt. Read this article to find out how to take care of sports injuries - and how to avoid getting them.https://kidshealth.org/ws/RadyChildrens/en/teens/sports-injuries.html/e49f63c7-6ae0-446e-a953-4b458a82eaeb
Jumper's KneeJumper's knee is an overuse injury that happens when frequent jumping, running, and changing direction damages the patellar tendon.https://kidshealth.org/ws/RadyChildrens/en/teens/jumpers-knee.html/16b92a66-48a6-4473-ba2e-87bbe0566229
Knee InjuriesHealthy knees are needed for many activities and sports and getting hurt can mean some time sitting on the sidelines.https://kidshealth.org/ws/RadyChildrens/en/teens/knee-injuries.html/0e348562-5958-4a91-96ad-c8affb5fff4f
Medial Collateral Ligament (MCL) InjuriesMCL injuries happen when excessive pressure is put on the knee joint, causing a torn ligament.https://kidshealth.org/ws/RadyChildrens/en/teens/mcl-injuries.html/644d3430-58bf-4fa4-a27d-a379712896fe
Overuse InjuriesOveruse (or repetitive stress) injuries happen when too much stress is placed on a part of the body, causing problems like swelling, pain, muscle strain, and tissue damage.https://kidshealth.org/ws/RadyChildrens/en/teens/rsi.html/810a10d4-1576-46e7-847b-f6bf8fcd9cdf
Repetitive Stress Injuries in SportsRepetitive stress injuries (RSIs) happen when movements are repeated over and over, damaging a bone, tendon, or joint. https://kidshealth.org/ws/RadyChildrens/en/teens/repetitive-stress-sports.html/b3ae50d0-7719-4266-a8c8-6b3c19102540
Safety Tips: RunningInjuries can be common, and runners should always be aware of their surroundings. To keep things safe while running, follow these tips.https://kidshealth.org/ws/RadyChildrens/en/teens/safety-running.html/450ddc50-a087-4be1-8192-bca537b6a0a0
Sports and Exercise SafetyPlaying hard doesn't have to mean getting hurt. The best way to ensure a long and injury-free athletic career is to play it safe from the start. Find out how.https://kidshealth.org/ws/RadyChildrens/en/teens/sport-safety.html/cbffad82-3814-4cbc-8758-dd3aac78c363
kh:age-teenThirteenToNineteenkh:age-youngAdultEighteenPluskh:clinicalDesignation-orthopedicsNonSportsMedkh:clinicalDesignation-orthopedicsSportsMedkh:genre-articlekh:primaryClinicalDesignation-orthopedicsSportsMedSports Injuries for Teenshttps://kidshealth.org/ws/RadyChildrens/en/teens/sports-center/injuries/18720942-0829-4420-9a67-f8b644bb00b4Problems With Food & Exercisehttps://kidshealth.org/ws/RadyChildrens/en/teens/food-fitness/problems/151c4788-e3c7-484d-853b-71c9437c5f72Bones, Muscles & Joints (for Teens)https://kidshealth.org/ws/RadyChildrens/en/teens/diseases-conditions/bones/7860c047-e722-4a4c-b1f8-2fd11271b697