Knee pain

ANTERIOR KNEE PAIN

Some of the old names for anterior knee pain are runner's knee or chondromalacia patella.

WHAT IS ANTERIOR KNEE PAIN?

Pain behind the kneecap or anterior knee pain occurs at the centre and front of the knee. It occurs when the kneecap does not move properly and rubs against the femur, if there is tightness in the thigh muscles, or if the kneecap is placed under stress from physical activity.

  • Patella tendinitis
    Patella tendinitis is a tendon injury that is caused by overuse and stress on the patella tendon. Micro tears in the tendons cause inflammation, weakness and pain.
  • Quadriceps tendinitis
    A common sports injury, quadriceps tendinitis causes knee pain during and after exercise. It occurs when the quadriceps tendon becomes inflamed.
  • Arthritis
    Osteoarthritis of the knee, also known as degenerative arthritis, causes the cartilage that surrounds the bone to wear away decreasing the protective space between the bones. This causes stiffness, swelling and pain.

Symptoms of anterior knee pain

The symptoms of anterior knee pain can vary in intensity and presentation but commonly include

  • Pain around the kneecap
  • Swelling may be present around the knee joint.
  • Pain worsens with activity, such as running, jumping, or prolonged sitting.
  • Crackling or popping sensation when moving the knee.

How do you treat anterior knee pain?

Treatment for anterior knee pain is aimed at reducing pain and inflammation, improving muscle strength and flexibility, and addressing any underlying factors contributing to the condition. Dr Gabriel Pirjol may recommend the following treatment options: avoiding activities that aggravate the knee pain and incorporating rest periods, which can help reduce symptoms.

Engaging in a well-organized physical therapy regimen that targets muscle strengthening around the knee joint, enhancing flexibility, and rectifying biomechanical problems can prove advantageous. Additionally, healthcare providers may recommend nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen to manage pain and reduce inflammation.

The orthopaedic surgeon might suggest using a knee brace or taping to provide support for the patella and enhance its alignment during physical activities. Corticosteroid injections, aimed at reducing inflammation and easing discomfort directly within the knee joint, could also be an option. In instances of severe conditions or when conventional therapies prove ineffective, surgical options like arthroscopic procedures to address damaged cartilage or realign the patella might be recommended.

FAQ


For some individuals, anterior knee pain may become a chronic or recurrent issue, especially if underlying factors such as biomechanical abnormalities or muscle imbalances are not addressed. However, with proper treatment and lifestyle modifications, many patients experience significant improvement in symptoms and function.

While it may not be entirely preventable, there are steps individuals can take to reduce the risk of developing anterior knee pain, such as maintaining strong and flexible muscles around the knee joint, using proper techniques during physical activities, wearing appropriate footwear, and gradually increasing the intensity and duration of exercise to avoid overuse injuries.

Recovery from anterior knee pain can vary depending on the severity of symptoms, underlying factors contributing to the condition and the effectiveness of treatment. With appropriate management, many individuals experience improvement in symptoms within a few weeks to months, although it may take longer for some patients to fully recover and return to their previous level of activity.

DR GABRIEL PIRJOL

Dr Gabriel Pirjol is an orthopaedic surgeon based in KwaZulu-Natal at St Augustine's Hospital in Durban. He also operates from Westville Hospital and Capital Haematology Hospital.


CONTACT

Telephone: +27 31 202 5463

Email: gpirjol@gmail.com / opaed001@gmail.com

Address : Chelmsford Medical Centre 2,
Ground Floor,
107 JB Marks Road,
Durban