This refers to pain arising from under and around the kneecap (patella). The Patella is designed to move up and down within a special groove at the end of the thigh bone.

If the patella starts to track to the side (misaligned), pain develops. With this repeated movement the cartilage behind the knee cap can also become irritated.

The most common symptom experienced is pain worsening with running or when going up and down stairs.

Common causes can be poor foot mechanics, improper footwear and weakness or an imbalance of the quadriceps muscles. The knee is influenced by structures above such as your pelvic stability and what’s occurring below- your foot mechanics. So it is important to have an adequate gait assessment and review of footwear. A successful treatment program may combine strengthening of the affected musculature and orthotic therapy to improve overall biomechanics.