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Patellofemoral Pain Syndrome (Runner's Knee)

Patellofemoral Pain Syndrome (Runner's Knee)

Normally the knee cap (patella) travels within a groove (femoral groove) when bending or straightening the knee.  Patellofemoral Pain Syndrome (PFPS) can occur when the knee cap shifts out of the femoral groove during movement.  

This tracking disorder can be caused by one or more problems:  

  • Shallow femoral groove
  • Weak quadriceps muscles (Vastus Medialis Oblique - medial side)
  • Imbalance of muscle contraction of quadriceps (poor motor control)
  • Trauma 
  • Laxity of ligaments around knee
  • Obesity/excess weight
  • Overuse
  • Increased Q angle (the angle from the tibial tuberosity and anterior superior illiac spine).  wide hips and knock knees can increase the Q angle and increase the knee cap pulling out of the groove with movement
  • Flat feet (pes planus) - causes rotation of tibia which can cause the knee cap to track incorrectly

Symptoms can include:

  • Anterior knee pain (over/under knee cap and around knee)
  • Pain gets worse when walking (especially on an incline), squatting, going up stairs, kneeling, getting up from a chair, running or even sitting for long periods of time
  • Swelling of the knee
  • Grinding or popping sensation in knee
  • Knee buckling
Over time if left untreated this condition may lead to osteoarthritis and chondromalacia of the knee.

Physiotherapy as a conservative treatment

  • Goals of physiotherapy include:
  • Reducing pain
  • Re-establishing proper motion of the knee cap
  • Strengthening  and stabilizing the knee joint.

Interventions from a Physiotherapist May Include:

  • Strengthening exercises - Quadriceps strengthening is the most recommended because they play a significant role in knee cap movement.
  • Stretching exercises - Hip, hamstring, and IT band stretching, calf stretching
  • Bracing (J brace)
  • Taping (McConnell taping, Kinesio taping)
  • Rest, Ice, compression, elevation (RICE)
What is McConnell Taping?

  • Introduced in 1984 by Jenny McConnell, a physiotherapist.
  • Primary goal is to pull the patella away from the painful area to reduce pain
  • Apply a underlying cover strip (Hypafix)
  • Apply leukotape from the outside of the knee to the inside


Brand: Bauerfeind Model: BF-110414030*Δ+0°
Bauerfeind GenuTrain P3 helps relieve pain caused by misalignment of the kneecap (patellar lateralization), anterior knee pain (patellofemoral pain syndrome) or pain associated with patellar tendonitis (jumper's knee). The Bauerfeind GenuTrain P3 Knee Support is an anatomically knitted support that..
$275.00 CAD
Brand: Elasto-Gel Model: SWT-KW6001/5
The Elasto-Gel Knee Wrap is a high quality ice pack/heating pad that custom fits around the knee.  It is a perfect tool to have on hand to aid in long-term therapy.  These are the wraps used in professional physiotherapy clinics.  This wrap is filled with non-toxic, latex-free Elasto-..
$60.00 CAD
Brand: DonJoy Model: DJO-82-0215
The DonJoy REACTION WEB is a responsive, webbed approach to knee pain that gives you a distinct alternative to the basic knee sleeve. Developed by world renown orthopedic surgeon, Dr. William Nordt, the REACTION WEB can help decrease knee pain and increase function to get you back to your active ..
$100.00 CAD
Brand: BioMedical Life Systems Model: BioStimNMS2
Neuromuscular Electrical Stimulation (NMES) is a non-invasive, non-addictive means of muscle rehabilitation after injury, surgery or disease. Patients with a wide range of orthopaedic and neurologic diagnoses can benefit from NMES, which applies customized electrical stimulus to cause a muscle to co..
$199.00 CAD
Brand: Breg Model: BG-14xxx
The Breg patellar tracking orthosis (PTO) is designed to align the knee for patients with maltracking or patella tracking conditions. The PTO adjusts the amount of compression applied from the lateral pressure plate by forming a soft tissue wall that controls patellar subluxation.Features and Be..
$279.00 CAD
Brand: DonJoy Model: DJO-81-0659X
The DonJoy Lateral J brace is designed to stabilize the kneecap to prevent dislocations and alleviate frontal knee pain. The DonJoy Lateral J knee brace is a very popular patella stabilizing brace. The brace is equipped with a tubular, lateral "J" buttress that runs alongside the knee and provides ..
$65.00 CAD
Brand: Franklin Method Model: OPTP-LE9004
Franklin Air Ball™ is a small 9" diameter soft ball that can be used for various exercises including The Franklin Method exercises. Blue and very light, with Franklin Method Logo. Can be used in Pilates. Can be used with exercises to help activate the Vastus Medialis Oblique muscles (inner quads - ..
$14.50 CAD
Brand: BSN Medical Model: BSN-Hypafix
The stretch and conformability of Hypafix® allows greater freedom of movement around the joints.Hypafix® is a self-adhesive, non-woven fabric sheet for secure and rapid fixation. It is made from white polyester material and coated with hypoallergenic adhesive on quick-release backing paper. Its exce..
$8.00 CAD
Brand: BSN Medical Model: LeukotapeK255
Leukotape® K is a high end kinesiology tape. It supports sensory functions. Wave pattern adhesive allows air to circulate and full mobility to be preserved.Extremely thin and skin-friendlyWave pattern adhesive can support the therapeutic effectStretchable, works ideally with the skin‘s natural elas..
$12.99 CAD
Brand: BSN Medical Model: LeukotapeK55
Leukotape® K is a high end kinesiology tape. It supports sensory functions. Wave pattern adhesive allows air to circulate and full mobility to be preserved.Extremely thin and skin-friendlyWave pattern adhesive can support the therapeutic effectStretchable, works ideally with the skin‘s natural elas..
$20.99 CAD
Leukotape® P Leukotape® P
$3.00 Off
Brand: BSN Medical Model: Leukotape® P
HIGH ADHESIVE RIGID STRAPPING TAPELeukotape® P is a high strength rigid strapping tape, with a strong zinc oxide adhesive. It is porous and hand-tearable,yet offers extra strong support for sprains and strains.This tape is commonly used by health care professionals such as physiotherapists and athle..
$9.99 CAD $12.99 CAD
Brand: MKO Model: LM4355
Pain relief and stability for the knee jointThe MKO Elite Genu-Tek Compression Knee Sleeve consists of an anatomically contoured knit and an integral, ring-shaped, functional silicone buttress. It relieves pain by providing the therapeutic pressure of the support from the kneecap to the soft ti..
$70.00 CAD
Brand: MKO Model: 4353
This patellar stabilizing brace is designed to provide tracking support of your kneecap. Features & Benefits This knee brace is an anatomically contoured knee brace designed to reduce slippage. The soft popliteal knit prevents bunching. This knee brace is perforated, breathable and ..
$59.99 CAD
Brand: MKO Model: LM7000
Features & Benefits Indicated for patella tracking Patella pull-panel with adjustable straps Medial & Lateral spiral stays Adjustable, 1/4" tubular, enclosed buttress Available in Left & Right Latex Free..
$59.99 CAD
Brand: MKO Model: LM1390
Features & Benefits Patella opening for comfort 1/4" tubular, unclosed U-pad buttress Upper and lower circumferential straps Medial & Lateral spiral stays Popliteal seam-seal tape to prevent irritation Fits left or right knee Latex free..
$59.99 CAD
Brand: Orliman Model: ORL-9104
The Orliman Rodisil Closed Patella Knee Brace is a high quality soft, closed elastic knee support with a patella doughnut pad and lateral stabilizers. Developed using three-dimensional woven fabric that provides greater transversal elasticity at the same time as it exerts the necessary compression ..
$107.00 CAD
Brand: Orliman Model: ORL-9106
The Orliman Rodisil Closed Patella Knee Brace is a high quality soft, closed elastic knee support with a patella doughnut pad and metal, polycentric hinges. Breathable elastic knee support with material made of up to 140 filaments, which provides active compression in 3 dimensions, with closed knee..
$195.00 CAD
Brand: McKenzie Institute Model: MKI-838
Reduce knee pain, stiffness and soreness using easy self-treatment techniques that anyone can perform at home.Treat Your Own Knee™ presents a mechanical background of knee pain, stiffness, and soreness, together with self-management guidelines and an exercise program using easy self treatment techni..
$18.50 CAD
Brand: BioMedical Life Systems Model: EMS2000
The EMS 2000® Neuromuscular Stimulator is a two channel analog device with three modes of operation; Cycled, Constant, and Reciprocal. The device has an adjustable On Ramp 0-2s, On Time 0-60s, Off Time 0-60s, and Pulse Rate 1-80Hz. The unit is powered by one 9-volt battery. This device is a real..
$135.00 CAD
Brand: Chattanooga Model: CHT-77717
The Intelect NMES Unit (77717) is a neuromuscular stimulator and is used for strengthening of smaller muscle groups, prevention of disuse atrophy as well as muscle re-education, increasing range of motion and circulation. Long known for innovative clinical electrotherapy devices, Chattanooga Group ..
$130.00 CAD
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