Patellofemoral Pain Syndrome (Runner’s Knee) Series
Part 2 Patellofemoral Pain Syndrome (Runner’s Knee) Case Study
Let’s look at Patellofemoral Pain Syndrome (Runner’s Knee) Case Study!
A 30-year-old female presented with anterior knee pain during stair climbing and after going on runs for the past three months. She also reported occasional discomfort in the hips and ankles.
Clinical Background
The patient is a teacher, spending long periods standing and walking. After work she goes for a run most days of the week. Examination revealed mild overpronation of the feet and weakness in the quadriceps. No history of trauma.
Symptoms
– Aching around kneecaps
– Discomfort during stairs and prolonged sitting
– Mild hip and ankle discomfort
– Symptoms worsen with activity
– Relief with rest
Clinical Findings
Gait analysis showed excessive foot pronation contributing to misalignment of the knee. Quadriceps strength was slightly reduced. No joint restrictions.
Answers
Diagnosis
Patellofemoral Pain Syndrome with Overpronation of the foot (based on knee pain, gait mechanics, and quadriceps weakness).
Management Plan
– Custom Orthotics to correct pronation and support knee alignment
– Supportive footwear with firm heel counter
– Quadriceps and hip strengthening exercises
– Activity modification and pain management
– Follow-up to monitor symptoms and adjust orthotics
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