Pediatric Orthopedic Surgeons treating Patellofemoral Pain Syndrome

PATELLOFEMORAL PAIN SYNDROME

Patellofemoral pain syndrome is pain at the front of the knee, around the kneecap — the patella. Doctors refer to this condition as runner’s knee. It’s more common in people who run and who play sports that involve running and jumping

If your child needs surgery or casting, our Fracture Care Clinic opens every day and you do not need an appointment. Surgery rooms get scheduled every morning, so your child receives the care and attention they need right away.

Patellofemoral Pain Syndrome

Patellofemoral Pain Syndrome (PFPS) is a common condition that affects the knee joint, causing pain and discomfort in the front of the knee. It is also known as “runner’s knee” as it is often seen in athletes and active individuals who participate in sports that involve repetitive knee movements. However, PFPS can affect anyone regardless of their level of physical activity.

Causes of PFPS

Patellofemoral Pain SyndromePFPS occurs because of a variety of factors, including overuse, improper alignment of the kneecap, muscle imbalances, and injury. Overuse is a common cause of PFPS and can occur due to activities that involve repetitive knee movements such as running, jumping, and cycling. Improper alignment of the kneecap, also known as patellar malalignment, can cause the patella to rub against the femur, leading to pain and discomfort. Muscle imbalances, specifically weakness or tightness in the muscles around the knee, can also contribute to PFPS. Injuries such as a direct blow to the knee or a fall can also cause PFPS.

Patellofemoral Pain Syndrome Symptoms

PFPS is typically characterized by pain and discomfort in the front of the knee, especially when bending the knee, climbing stairs, or sitting for long periods. Other symptoms may include swelling, popping or cracking sounds in the knee, and difficulty straightening the knee.

Diagnosing PFPS

Diagnosing PFPS involves a thorough physical examination and a review of the patient’s medical history. The physician will look for signs of swelling, tenderness, and abnormalities in the alignment of the kneecap. They may also perform tests to assess the strength and flexibility of the muscles around the knee.

QUESTIONS AND ANSWERS

What is Patellofemoral Pain Syndrome (PFPS), and what causes it in my child?

Patellofemoral Pain Syndrome is a condition characterized by pain and discomfort around the patella (kneecap) and the surrounding area, often occurring during physical activities or when climbing stairs. PFPS can result from various factors, including overuse, muscle imbalances, abnormal patellar tracking, or biomechanical issues. The doctor will explain the condition and discuss potential causes specific to your child.

What can we do to manage and treat my child's PFPS effectively?

The treatment plan for PFPS typically involves a combination of strategies, which may include rest, physical therapy to strengthen the muscles around the knee, stretching exercises, and pain management techniques. Recovery time varies but may range from several weeks to a few months. The doctor will outline the specific treatment plan, the expected duration of healing, and any necessary lifestyle modifications.

Will my child be able to return to sports and physical activities, and what can we do to prevent future episodes of PFPS?

Many children with PFPS can continue to participate in sports and physical activities after appropriate treatment and rehabilitation. The doctor will provide guidance on a safe return to activity and recommend precautions to minimize the risk of PFPS recurrence. These precautions may include proper warm-up techniques, activity modification, and ongoing exercises to maintain knee health.

It’s important to note that the specific questions and concerns may vary based on the severity of PFPS, the child’s age, and their level of physical activity. The doctor will tailor their responses to address the unique needs and conditions of the child with Patellofemoral Pain Syndrome.

The Doctors at Medical City Children’s Orthopedics and Spine Specialists are experts in treating children and adolescents for knee pain including Patellofemoral Pain Syndrome.  See the Specialists for children.

Patellofemoral Pain Syndrome Treatment 

There are both surgical and non-surgical treatments available for PFPS. Non-surgical treatments typically involve a combination of physical therapy, rest, and pain management. Physical therapy focuses on improving the strength and flexibility of the muscles around the knee, as well as correcting any muscle imbalances or alignment issues. Resting the knee and avoiding activities that aggravate the pain can also help alleviate symptoms. Doctors will also suggest pain management techniques, such as ice therapy and over-the-counter pain medications.

In some cases, surgeons will also recommend surgery to correct the underlying issue causing PFPS. Surgery may involve realigning the kneecap or repairing damaged cartilage. However, doctors consider surgery for severe cases of PFPS that have not responded to non-surgical treatments.

PFPS Preventive Measures

Prevention measures for PFPS involve maintaining proper form and technique during physical activity, wearing appropriate footwear, and incorporating strength and flexibility exercises into a regular exercise routine. It is also important to gradually increase the intensity and duration of physical activity to avoid overuse injuries.

Recover Time for Patellofemoral Pain Syndrome

The recovery time for PFPS can vary depending on the severity of the condition and the treatment approach. Non-surgical treatments typically require several weeks to several months for recovery. However, surgical treatments may require several months of recovery and rehabilitation.

Conclusion

In conclusion, doctors consider PFPS as a common condition that can cause pain and discomfort in the front of the knee. It is caused by a variety of factors including overuse, improper alignment of the kneecap, muscle imbalances, and injury. Symptoms may include pain, swelling, and difficulty straightening the knee. Diagnosis is typically made through a physical examination and review of medical history. Non-surgical treatments such as physical therapy, rest, and pain management are often effective in treating PFPS. However, in severe cases, surgery may become necessary. Prevention measures include maintaining proper form and technique during physical activity, wearing appropriate footwear, and incorporating strength and flexibility exercises into a regular exercise routine. Recovery time varies depending on the severity of the condition and the treatment approach.

If your child is experiencing pain in the knee, we strongly suggest that you contact a pediatric Orthopedic doctor.  At the Medical City Children’s Orthopedics and Spine Specialists, we have several doctors that specialize in children and we invite you to give us a call and make an appointment.  For your convenience, we have four offices in Arlington, Dallas, Flower Mound, Frisco, and McKinney, TX.

____________________

Footnote:

American Academy of Orthopaedic Surgeons: Patellofemoral Pain Syndrome

 

Call 214-556-0590 to make an appointment.

Comprehensive services for children from birth through adolescence at five convenient locations: Arlington, Dallas, Frisco and McKinney.