One of the most common joint problems associated with exercise is pain in the front of the knee (patella). It is commonly labelled runners knee or jumper’s knee but often just walking on slopes or stairs can be the source of the pain. If we exclude degeneration of the cartilage under the patella (which is diagnosed with MRI scans), this type of knee pain can be effectively managed.
The greatest external load on the front of the knee is due to poor movement pattern, where the knee goes inwards towards the other leg rather than straight ahead in line with the middle of the foot. This is termed valgus collapse.
Valgus collapse is a strength and movement problem which can be corrected with specific exercises targeting the right muscles. A thorough physiotherapy assessment should consider:
• Muscle length (especially the outer thigh)
• Muscle strength (particularly at the hip)
• Foot mechanics / posture
• And the way you move (muscle control or coordination)
The treatment is a series of pain free exercises that address the cause of the problem. Taping the knee is a short term option for reducing pain. Sometimes changes in footwear and / or orthotics can also assist with pain reduction, but neither replaces getting stronger and moving better. If you have persistent pain in the front of the knee, have it assessed and get a prescribed exercise plan.