Patellofemoral Pain Syndrome: Causes, Treatment & Physical Therapy Solutions

October 10, 2025

Person receiving physical therapy for knee pain, focusing on patellofemoral pain syndrome treatment, with hands applying pressure to the knee area.

What is Patellofemoral Pain Syndrome (PFPS)?

Patellofemoral Pain Syndrome (PFPS), commonly known as anterior knee pain, refers to discomfort around or under the kneecap. It is one of the most prevalent musculoskeletal conditions prompting individuals to seek medical attention. According to the Journal of Orthopaedic and Sports Physical Therapy, over 2.5 million runners are diagnosed with PFPS annually.

Common Symptoms of PFPS

PFPS typically develops gradually and is often described as a nagging ache or sharp pain in the knee. Symptoms are commonly triggered by activities such as climbing stairs, running, prolonged sitting, or squatting.

PFPS Causes: Local and Non-local Factors

The etiology of PFPS is multifactorial, involving both local and non-local contributors:

  • Local factors include quadriceps muscle weakness and improper kneecap mechanics.
  • Non-local factors involve other parts of the lower extremity, such as foot pronation and hip weakness, which affect knee joint function.

Effective Physical Therapy for PFPS

Physical therapy is a proven treatment for PFPS. A comprehensive rehabilitation program should include:

  • Quadriceps strengthening exercises
  • Hip strengthening to improve joint mechanics
  • Ankle and foot posture assessment and correction

Studies show that combining hip and quadriceps strengthening yields superior results compared to quadriceps exercises alone.

Holistic Rehab Approach at Aureum Physio

At Aureum Physio, our physical therapists conduct a full lower-body evaluation to identify the root causes of knee pain. Our personalized rehab plans include:

  • Targeted hip and quadriceps strengthening
  • Ankle and foot posture analysis
  • Exercises to improve strength and range of motion
  • Recommendations for shoe inserts or footwear modifications

Schedule Your PFPS Evaluation Today

If you’re experiencing anterior knee pain, contact Aureum Physio to schedule a comprehensive evaluation and begin your journey to pain-free movement.

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