What is Patella Femoral Pain Syndrome?
Patella Femoral Pain Syndrome (PFPS) is a condition of the kneecap characterized by a rough or soft spot on its cartilage surface. In the past, it has been called chondromalacia patella, runner’s knee or dashboard knee.
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What are the symptoms?
It causes pain, giving way, stiffness and a feeling of catching or grinding. Going up and down stairs is a bit difficult, and sitting with your knees bent or squatting is very uncomfortable. It makes the knee “give out,” grind or pop loudly.
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Who gets it?
Many people may have PFPS, but only about 10 percent have long-lasting pain or disability because of it - a fact not clearly understood by the medical profession.
Over-activity, excess weight and injury sometimes initiate the symptoms. This condition is often seen in adolescents, manual laborers and athletes.
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How is it diagnosed?
Cartilage contains no calcium and, as a result, cannot be seen by ordinary x-rays. A patient’s history and a physical examination suggest the diagnosis. If there is any doubt, we will suggest arthroscopy to look behind the kneecap and check to see that there is no other injury or abnormality.
Arthroscopy is performed in the surgical suite of our Clearwater office. The time from check-in through a short wait in the recovery area is usually as little as two hours.
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How long does PFPS last?
It may last several months, but fortunately, is usually a self-limited problem. If you are born with an abnormal kneecap, it may last indefinitely. You may even need an operation to correct it, though this is unusual.
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What is the treatment?
Small doses of anti-inflammatory medicines can often decrease swelling, stiffness and pain.
Other treatments may include injections, ice, rest and physical therapy. Taping and a brace to stabilize the kneecap also can be helpful.
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Now for the good news...
The good news is that although PFPS can be uncomfortable, usually it is only a short term nuisance and inconvenience. It also generally does not lead to arthritis or any other joint condition.
When the knee is bent, there is more pressure on the sensitive area behind the kneecap.
• Do not sit with legs bent for long periods
• Do not use exercise bikes with tension raised or seat too low
• Do not do bent-knee exercise with weights
• Do not lift from a squat position
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