Tag Archive for: knee pain

Knee Physiotherapy: Why Ignoring Knee Pain is Foolish

Knee Physiotherapy: Why Ignoring Knee Pain is Foolish

Whether it’s an intermittent pain that flares up during certain activities, sudden pain with no apparent cause, or chronic discomfort that tells you something about your knee isn’t quite right; when it comes to knee pain, it would be foolish to ignore it. Here’s why.

Ignoring Knees Injuries Can Lead to Permanent Damage

It might be tempting to ignore a bit of pain and swelling and push on with the activities you enjoy, assuming your knee pain will work itself out. Athletes that tend to have a high tolerance for pain and discomfort can be guilty of doing just that until the pain and swelling interfere with their performance. There’s a difference between discomfort and fatigue that can be resolved with rest versus pain that indicates something is wrong. While it’s never a good idea to ignore pain, ignoring early indications of injury can lead to permanent damage when it comes to knee pain. For this reason, it’s pertinent to have knee pain checked out early so any issues can be addressed before more damage is done. 

To avoid compounding injuries, you need to know the difference between discomfort that can be safe to train through versus pain that indicates injury, warranting further investigation. 

Common Causes of Knee Pain

It helps to know the signs and symptoms to watch for that indicate it’s time to have your knee pain assessed by a professional health practitioner. Different types of knee pain can indicate different causes. Following is a list of the most common causes of knee pain, including Runner’s Knee and Bursitis, and the key signs & symptoms associated with each:

Runner’s Knee

Symptoms:

  • Aching, throbbing pain and tenderness surrounding the knee cap or the back of the knee
  • Pain that worsens during activities that involve repetitive flexion and extension of the knees
  • Knee pain after periods of sitting or kneeling
  • Pain in and around the knee when walking downstairs or downhill
  • Clicking or grinding sensation in knee joint
  • Swelling and tightness resulting in decreased range of motion

Causes:

  • Running on hard surfaces
  • Increased volume and duration of activity
  • Overuse from repetitive flexion, extension, and strain to the knee
  • Suboptimal body mechanics, muscle imbalances, or misalignment of bones
  • Gait issues and fallen arches
  • Physical trauma and injury

Osteoarthritis

Symptoms:

  • Chronic aching
  • Knee joint pain
  • Inflammation and swelling surrounding knee, especially in the morning
  • Reduced range of motion
  • Grinding or grating feeling in knee joint

Causes:

  • Overuse and injury
  • Wear and tear degeneration of cartilage inside knee joint

Rheumatoid Arthritis

Symptoms:

  • Chronic aching, tenderness, or throbbing pain in knee joint 
  • Symptoms can wane and flare-up
  • Moderate to severe inflammation
  • Symptoms tend to worsen over time
  • Reduced range of motion
  • When pronounced, difficulty walking or placing weight upon the knees
  • Crackling, grinding, or popping sound or sensation when bending and extending the knee

Causes:

  • Genetic disposition/Autoimmune inflammatory disease
  • The body’s immune system attacks the tissues surrounding joints, leading to damage and inflammation

Gout

Symptoms:

  • Symptoms tend to wane and flare-up suddenly
  • Pain may start in another joint before affecting the knees
  • Aching or burning knee pain and joint discomfort
  • Inflammation and swelling
  • Warmth and redness in the knee and other affected joints
  • Decreased range of motion
  • Pain and discomfort in other joints throughout the body, including the big toe

Causes:

  • Hyperuricemia resulting in the build-up of uric acid in the knee joints

Bursitis of The Knee (Prepatellar Bursitis)

Symptoms:

  • Symptoms can occur suddenly or progressively worsen over time
  • Discomfort typically affects the inner knee below the kneecap
  • Stiffness and pain when moving the knee and sometimes at rest
  • Tenderness, warmth, and swelling when palpating knee area
  • Decreased range of motion

Causes:

  • A Common overuse injury caused by repetitive strain to the knee joint
  • Inflammation to bursae (synovial fluid-filled sacs in knee join that prevent bone on bone friction and cushion joints)
  • Direct physical trauma to the knee
  • Repetitive motions and kneeling on hard surfaces
  • Bacterial infection or the results of autoimmune diseases including arthritis

Jumper’s Knee (Patellar Tendinitis)

Symptoms:

  • Knee pain that gradually worsens over time
  • Pain is typically felt in the front of the knee or between the kneecap and top of the shinbone.
  • Knee pain that may only be perceptible during or following activity.
  • Pain is often worse when walking or running on an incline, stair climbing, and jumping
  • Swelling, stiffness, and redness of the knee joint

Causes:

  • Inflammation of tendons
  • Activities that involve repetitive jumping, causing extreme contraction and extension wear to the tendon
  • Muscle imbalances and tightness in the quadriceps and hamstrings.
  • Autoimmune disorders or illnesses that affect circulation

Cartilage Degeneration (Chondromalacia Patellae)

Symptoms:

  • Chronic knee pain
  • Stiffness and inflammation of knee joint, resulting in a decrease in range of motion
  • Soreness and knee pain when palpating

Causes:

  • Overuse and wear and tear from repetitive motion and high impact activities
  • Kneecap misalignment
  • Physical trauma
  • Long periods of inactivity or limited range of motion

Baker’s Cyst

Symptoms:

  • Knee pain that can worsen during activity or when bending, extending or placing weight on the knee
  • Tightness and stiffness of knee joint, resulting in difficulty bending the knee
  • Visible bulge or swelling behind the knee

Causes:

  • Cyst formation from the build-up of synovial fluid inside knee joint
  • Inflammation of knee joining from overuse, autoimmune conditions, or injury

ACL Ligament Sprains or Tears (Anterior Cruciate Ligament)

Symptoms:

  • Acute knee pain
  • Difficulty bending, extending, or placing weight on the knee
  • Popping sound or sensation when bending and straightening the knee
  • Reduced range of motion and feeling of instability surrounding the knee
  • Sudden onset of swelling–sometimes extreme

Causes:

  • Strain to ligament during high-intensity activity
  • Sprains and tears to ACL ligament caused by activities that involve sudden stops, starts, bursts, jumps, and changes in direction

Torn Meniscus

Symptoms:

  • Knee pain, most notable when rotating knee
  • Swelling and stiffness of knee joint
  • Popping sound when bending or extending the knee
  • Difficulty placing weight on the knee
  • A feeling of instability in the knee joint
  • A sensation of something interfering with your ability to extend your knee
  • Reduced range of motion–especially when extending the knee

Causes:

  • Physical trauma caused by hyperflexion and forceful rotation or twisting of the knee.
  • High-intensity activity that involves sudden stops or changes in direction
  • Strain on the knee from heavy squatting and lifting

IT Band Syndrome (Iliotibial Band)

Symptoms:

  • Gradual onset of pain and discomfort that worsens with activity
  • Pain and inflammation following activity that doesn’t quickly resolve with rest and icing
  • Pain is typically concentrated to the outside of the knee or just above the outside of the knee
  • Pain can also be felt in the shin, thigh, glute, and hip areas.
  • Pain when bending knee via walking, climbing, squatting, or even bending the knee at rest
  • Warmth, redness, and swelling surrounding outside of the knee
  • Clicking, snapping, or popping sensation when bending and straightening the knee

Causes:

  • Inflammation of iliotibial band due to injury or overuse
  • Weakening or atrophy of surrounding muscles due to inactivity or injury
  • Muscle imbalances, muscle tightness, and suboptimal body mechanics resulting in undue strain to the iliotibial band
  • Repetitive activities that strain the IT band, such as frequent running on steep inclines and declines, squatting, and rowing.
  • Poor footwear or gait issues, causing suboptimal foot dynamics resulting in undue stress to knee joint and hips

Not all knee pain is serious, but ignoring knee pain can lead to severe complications. When adequate rest, ice, and elevation fail to resolve your aches, pains, and impeded range of motion, it’s time to have things checked out by a practitioner to determine the cause of your knee pain and recommend proper treatment. 

In most cases, unless injury warrants surgery, knee pain can be significantly improved with knee physiotherapy treatments, which may include a combination of physiotherapy, chiropractic care, kinesiology, and athletic therapy to directly address the injury, strengthen the muscles and ligaments surrounding the knee, and correct movement patterns to prevent recurrence and further damage. Depending on the root cause and contributing factors of your knee pain, an effective treatment plan may also include:

  • Deep Tissue Laser Therapy
  • Graston Technique
  • Therapeutic Ultrasound
  • Athletic Taping
  • TENS Therapy
  • Shockwave Therapy
  • Gait Analysis and Custom Orthotics
  • Massage Therapy
  • Acupuncture

Determining the best treatment for your knee pain starts with a thorough initial assessment to identify the injury’s extent, root cause, and other contributing factors. Diversified Health’s comprehensive approach to treating injuries allows our practitioners to custom-tailor a treatment plan to each patient’s specific needs. Our in-clinic team comprises chiropractors, physiotherapists, kinesiologists, athletic therapists, registered massage therapists, and acupuncturists, working together to offer the most effective natural treatments for pain and injury. 

Take the Next Step

Whether you are a seasoned athlete or a novice runner, when pain or injury slow you down, our practitioners at Diversified Health can help. Take the first step on your road to recovery by booking an appointment with one of our practitioners today. Call (250) 382-0018 or book an appointment online. We offer direct billing and weekday and weekend appointments. Please view our hours of operation and location details here.

Related

Runner’s Knee and Other Common Running Injuries: Know the Signs

Don’t Let Runner’s Knee Interfere With Fall Running Season

Joint Pain? Why It’s Important to Identify Bursitis Symptoms

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Joint Pain? Why It’s Important to Identify Bursitis Symptoms 

Joint Pain? Why It's Important to Identify Bursitis Symptoms 

Just about everyone experiences a bout of joint pain. While some mild aches and pains aren’t a cause for concern, joint pain caused by bursitis warrants inquiry with a physician or physiotherapist to rule out infection and prevent further injury. It’s easy to inadvertently make bursitis worse by treating it like you would a strained joint. For this reason, it’s important to familiarize yourself with these most common bursitis symptoms and what to do if you experience them. 

What Bursitis Is

By adulthood, our bodies house 360 joints and 150 bursae. Bursitis is a painful condition that occurs when the bursa (singular form of bursae) of one or more joints becomes either infected or inflamed. 

Bursae are small, synovial fluid-filled sacs that provide cushioning and lubrication between the bones in joints. Bursae also serve as a protective layer that helps facilitate ease of movement when surrounding muscles and tendons move around a joint. When the bursa of a joint becomes inflamed, the joint can feel stiff and painful to move.

Bursitis Causes and Contributing Factors

While bursitis can be a complication of weight, age, injury and other, pre-existing health conditions such as diabetes and arthritis, the most common causes of non-infected bursitis include:

  • Incorrect movement patterns and repetitive motions that place tension on the joint
  • Improper footwear and gait patterns
  • Postural issues
  • Sports, occupations, and activities that place repetitive pressure or strain on a joint (e.g., resting weight on elbows, kneeling on hard surfaces, cycling, tennis, etc.)
  • Lack of stretching and warm-up before athletic activities
  • Tight hamstrings 
  • Injury resulting in joint trauma

Common Bursitis Symptoms

Bursitis tends to affect the body’s major bursae, found in large joints, including the shoulders, elbows, hips, and knees but can also affect other parts of the body, including the heel (posterior to the Achilles tendon) and shins. There are different types of bursitis, based on which joint is affected. Following is a list of the most common bursitis signs and symptoms to watch out for:

  • Warmth and redness of the affected joint (red elbow)
  • Localized swelling of affected joint
  • Tingling, burning, or snapping pain, especially after activity or while attempting to move the affected joint
  • Joint stiffness that can worsen following activity
  • Unusual grinding or popping sensations when moving the joint

Signs and Symptoms of Infected Bursitis Which Warrant Immediate Medical Attention:

While non-infected bursitis is more common, infected bursitis can be serious and warrants prompt medical attention. Immediately contact your physician or a nearby emergency room if any of the above bursitis symptoms are accompanied by worsening pain, fever, chills, and malaise. Don’t hesitate–you should always take fever and pain seriously. 

How to Prevent Bursitis

There are things you can start doing to protect your joins and prevent bursitis, such as:

  • Adequate stretching and warm-up of muscles before activities
  • Investing in proper footwear and orthotics if needed to correct gait issues
  • Protecting joints from shock and hard surface strain by using knee and elbow pads or padded surfaces as needed
  • Correcting posture and incorrect movement patterns
  • When something hurts, don’t push it–rest and assess before resuming an activity
  • Be mindful of not placing undue strain on your body
  • Ensuring adequate rest, nutrition, and recovery between activities
  • Managing weight while easing into new activities slowly
  • Undergoing physiotherapy treatments for injury recovery and prevention

What Not to Do if You Suspect Bursitis

It’s easy to accidently make bursitis worse. A few of the ways bursitis is made worse is by assuming that all it needs for recovery is a little rest, stretching, movement, and wrapping. But, if you’re experiencing joint pain caused by bursitis, placing the joint under further tension via incorrect stretches, knee and elbow sleeves, or compression bandages can aggravate bursitis symptoms and prolong recovery, which brings us to our next point.

Why Promptly Treating Bursitis Is So Important

While most forms of non-infected bursitis are temporary and benefit from rest, icing, anti-inflammatories, and physiotherapy, bursitis caused by infection can be very serious and requires immediate medical attention. This is why it’s important to seek proper diagnosis and treatment of bursitis if suspected. Even when it comes to non-infected bursitis, appropriate treatment will help alleviate symptoms and prevent further aggravating the condition. The good news is that non-infected bursitis is typically easy to resolve without long-term complications. 

Bursitis Treatment Options in Victoria BC

Our multidisciplinary team of practitioners at Diversified Health Clinic in downtown Victoria offer a variety of options for treating and preventing bursitis, including:

The first step is to make an appointment with one of our physiotherapists who will properly assess your bursitis and customize a treatment plan that will help alleviate symptoms while also treating the source of your bursitis and helping you prevent further injury. 

Take the Next Step

Take the first step on your road to recovery by booking an appointment with one of our physiotherapists today at (250) 382-0018 or book an appointment online. We offer direct billing and weekday and weekend appointments. Please view our hours of operation and location details here.

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Don’t Let Runner’s Knee Interfere With Fall Running Season 

Don’t Let Runner’s Knee Interfere With Fall Running Season 

The cool, crisp climate of autumn in Victoria marks the start of another running season, including local running events and marathons. If you’re just getting back into running, as you increase your training frequency, it’s essential to prevent injury by paying attention to aches and pains and addressing them before they become more troublesome. For example, here are the typical signs and symptoms of Runner’s Knee, which is especially common amongst new and experienced runners. 

What Is Runner’s Knee? and What Causes It?

What Runner’s Knee Is and What Causes It

Runner’s Knee is an umbrella term used to describe patellofemoral pain syndrome: a variety of conditions that contribute to pain surrounding the knee cap (technically referred to as your patella). The patella is prone to overuse injuries caused by activities that place repetitive pressure and strain on the knee joint and surrounding muscles and tendons.

Examples of activities that put stress on the knee are sports that involve lots of running and directional changes (such as soccer, lacrosse, skiing, and rugby), and activities that result in repeated knee flexion and extension (such as cycling, swimming, and weightlifting).

Runner’s knee can also be caused by direct injury, obesity, misalignment of the knee joint, arthritis and inflammation, muscle and tendon strain, high-arches, fallen-arches (flat feet), or over-pronation of the feet. Regardless of the cause of Runner’s Knee, prompt treatment can help relieve pain and prevent further damage to the complex biomechanics of your knee joint. 

Signs & Symptoms

The most common symptom of Runner’s Knee is a dull, aching, or throbbing pain that radiates around the knee cap. The pain can also be felt in the back of the knee where the thigh connects to the patella. Pain can come on suddenly or worsen during repetitive movements that flex the knees such as running, cycling, climbing stairs, squatting, or kneeling. 

Summary of Contributing Factors

  • Obesity
  • Incorrect form during exercise
  • Repetitive strain on knee cap/patella
  • Direct trauma or injury to the knee
  • Fallen-arches, high-arches, over-pronation, and other gait issues
  • Occupational injury and overuse of the knee joint
  • Arthritis and inflammation of the joints
  • Overstretching of the tendons and muscles surrounding the knee
  • Knee joint alignment issues

Things You Can Do to Help Prevent Runner’s Knee

How to Prevent Runner’s Knee

  • Weight management and regular exercise
  • Adequate stretching before and after sports and exercise
  • Icing knees and elevating legs after repetitive strain from cycling or squatting sessions to help reduce inflammation
  • Wrapping knees with compression bandages or knee sleeves for added support during sports, leg-pressing, and heavy squatting
  • Gait assessment and correction if needed for flat feet or fallen arches
  • Adequate rest and recovery following training
  • Focus on proper form and hip, knee, and ankle alignment during sports and squatting
  • Nutrition that incorporates anti-inflammatory foods including healthy proteins and fats
  • Proper footwear to prevent excess shortening and tightening of thigh muscles
  • Core conditioning to support proper body dynamics
  • Investing in proper footwear for each activity—replace worn out training shoes and address gait issues with orthotics
  • Running on low-impact surfaces such as turf and soft chip trails

And finally, two other important things you can do to prevent Runner’s Knee and other injuries:

  • Ease into new activities and training frequencies. Avoid pushing your body too far too soon. Instead, give your body a chance to adapt to the new stimulus. Previously underactive muscles such as glutes and stabilizer muscles need time and deliberate focus to properly fire according to the new movement patterns and stressors.
  • Book a professional assessment with your kinesiologist, chiropractor, or physiotherapist to identify and correct any joint alignment issues and chronic muscle tension. 

Here Are a Few Local Running Groups and Clinics to Consider Joining

While many running and racing events are subject to last minute cancellations, some are being substituted with virtual runs. The RunGuides website offers regular updates on local running events, and the AllTrails website displays reviews, photos, directions, and maps of Victoria’s best outdoor walking, hiking running trails.

Island Road Racers: The Facebook Group of a Victoria running club that welcomes running enthusiasts of all ages and abilities. 

BDHQ Run Clinic: Ironman Triathlete, Jason Ball, offers seasonal running clinics and workouts for beginner to advanced runners.

Prairie Inn Harriers Running Club: Official website for Victoria’s longest-standing running club. Established in 1978, PIH is a running community that welcomes runners of all ages and abilities to partake in their running clinics, workouts, weekend, morning, and evening runs and youth programs. 

Greater Victoria Trail Running: The Facebook Group of a local running club that welcomes participants to their outdoor trail runs within the Greater Victoria area. 

Effective Treatments for Relieving Runner’s Knee in Victoria, B.C.

Runner’s Knee Treatment in Victoria BC

As we’ve mentioned before in other articles: pain indicates that it’s time to seek treatment. When it comes to knee pain, the sooner you have things checked out, the better. A damaged knee joint is difficult to repair, and so prompt treatment when pain arises is crucial. 

Because Runner’s Knee can be caused by a variety of contributing factors, at Diversified Health Clinic, we take a comprehensive approach to treating Runner’s Knee. Effective treatment often requires a combination of kinesiology, physiotherapy and chiropractic care, which may involve targeted treatments, including:

The first step in proper treatment is to book an appointment with our kinesiologist. When we meet with you, we’ll start with a thorough initial consultation before tailoring a treatment plan for you that relieves pain while specifically addressing your condition. Our goal is to help you return the activities you love and enjoy without the interference of pain or risk of injury. 

If You Suffer From the Symptoms of Runner’s Knee:

Give our team of practitioners a call at Diversified Health Clinic today at (250) 382-0018 or book an appointment online. We’re happy to help answer your questions, address the cause of your pain and discomfort, and get you on the road to recovery.

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IT Band Syndrome

Iliotibial Band Syndrome is one of the most common overuse injuries for runners. The IT band is a ligament that runs down the outside of the thigh, from the hip to the shin, helping to stabilize and mobilize the knee joint. If it becomes too tight or inflamed it can cause friction on the knee and discomfort. The condition can cause pain while moving the knee that become so severe it can sieline a runner for weeks or even months.

 

The main symptoms of IT band syndrome are:

 

  • Pain in the knee area, usually specific to the area on the outside of the knee joint; this is where the IT band will be rubbing and causing friction when the joint moves during running.
  • Tenderness of the area on the outside of the knee joint.
  • Tightness or a feeling of reduced flexibility in the thigh, hip or knee.
  • Pain while cycling. The motion of cycling can cause the IT band to become inflamed and painful as well.

 

Some contributing factors to IT band syndrome are:

 

  • An imbalance in the hip and thigh muscles. If the muscles that surround and support the hip structure and the Iliotibial band are weak or imbalanced, the IT band can become tight.
  • Increasing run distance or speed too quickly. A training schedule that is too aggressive with increases can place significant stress on joints, muscles and connective tissue.
  • Running on uneven or hard surfaces. Surfaces that are “banked” or consistently uneven can cause the angles of the joints to increase, causing excess stress on placement of the foot, knee and hip.
  • Footwear that is unsupportive or improperly fitted can contribute to biomechanical issues that can cause IT band syndrome.

 

Treatment and Prevention

 

Treatment of an acute flare up of IT band syndrome, and understanding how to prevent it, is important for recovery and to ensure that the runner can make a full recovery. IF IT band issues are left untreated, they can progress from being a concern only while running to being experienced in day to day activities such as walking and sitting.

 

Treatment options for Iliotibial Band Syndrome include:

 

  • Rest. Immediately reduce the mileage that you are running (or cycling). In many cases, completely stopping all running for a period of a few days or weeks may be necessary.
  • Massage. Either self massage with a foam roller or external massage by a Registered Massage Therapist or Physiotherapist can help to encourage the tight IT band to release.
    • Foam rollers are used by lying on your side with the foam roller positioned under your thigh (your thigh will be resting on top of the roller), perpendicular to your leg. Make sure the roller is a few inches below the top of your thigh area; using your arms as support, slowly roll your body forward, allowing the roller to move down your thigh. This may be quite uncomfortable at first as the IT band is tight. Move slowly, taking care to ensure proper form.
  • Stretching. Make sure that proper and adequate stretching for the hip, thigh and low back muscles is a part of your running routine can help alleviate, and prevent, IT band syndrome.
  • Have your running gait (biomechanics) assessed. A therapist will be able to assess your gait and help you correct any imbalances in technique or muscle strength and / or weakness. A foot analysis to see if orthotics would help can also be done.
  • Warm up. Warming up before running can help the muscles and connective tissues to be less tight and prone to injury.

 

With some care and attention, the Iliotibial Band can recover fully from an acute flare up of inflammation or tightness. Seek out therapeutic guidance if it does not resolve itself with these tips or if it is an ongoing concern for your lifestyle.

 

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Runner’s Knee

runners knee

‘Runner’s Knee’ is the nickname given to the condition Patellofemoral Pain Syndrome (PFPS). It is a common issue amongst runners, both recreational and competitive. Generally characterized by pain or discomfort where the kneecap (patella) rests on the thigh bone (femur), it can range from mild to severe in the level of pain that it presents with.

 

It afflicts almost twice as many women as men; this is thought to be due to the tendency of the female hip structure to be wider, resulting in more of an angle of the thigh bone from the hip to the knee. Younger runners also tend to be more affected although the reason for that is uncertain.

 

Biomechanical issues are often to blame but other likely cause are: tight hamstrings, poorly – or improperly – conditioned quadriceps, or other muscle imbalances.

Quadriceps that are too weak to support the patella can lead to improper alignment and tracking. Tight hamstrings can pull, placing pressure on the knee and causing pain and discomfort as well. Having a professional assessment, treatment and exercise prescription can help with these concerns. Adding stretching and strengthening exercises is a proven method to treat PFPS.

 

Symptoms

Some of the most common symptoms of PFPS are:

  • Soreness or tenderness behind or around the kneecap, often around the center of the kneecap.
  • Pain in the back of the knee.
  • A sense of weakness or instability; like your knee may “give out”.
  • Sharp pain in the kneecap when going up stairs or hills.
  • Dull, aching pain with movement.

 

Prevention and Treatment

  • Run on softer rather than harder surfaces if you can.
  • Reduce your mileage and intensity if you are experiencing pain.
  • Avoid downhill slopes and deep knee bending activity until the pain subsides
  • Ensure that you are stretching properly and enough. If you aren’t sure about how to stretch or what muscles to pay attention to, speak to a professional.
  • Strengthen your muscles and maintain the strength. Again, if you are uncertain where your imbalances are; talk to a sport medicine therapist, physiotherapist or certified personal trainer for assistance.
  • Check out your footwear: if your shoes are older or worn, some attention here may make all the difference to your PFPS. Runners who put a lot of miles of their shoes need to replace them more often – remember, it’s not just how long you’ve had your shoes but how much you use them. Specialty running shops are great for advice on different types of shoes for a variety of needs and foot types.
  • Consider orthotics and having a professional gait analysis done if new shoes don’t help.
  • Have your technique assessed for movement imbalances. Having a Physiotherapist or Sport Medicine professional assess your gait (while you are actively running) can help to spot issues that you may not be aware of.

 

While Patellofemoral Pain Syndrome is a common and disruptive issue for many runners, it can be effectively prevented, managed and treated.

Happy and healthy running!

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