{"id":23685,"date":"2022-11-10T13:19:00","date_gmt":"2022-11-10T18:19:00","guid":{"rendered":"https:\/\/www.zeel.com\/blog\/?p=23685"},"modified":"2022-11-13T11:32:40","modified_gmt":"2022-11-13T16:32:40","slug":"runners-knee-what-it-is-why-it-happens-and-how-to-treat-and-prevent-it","status":"publish","type":"post","link":"https:\/\/www.zeel.com\/blog\/chronic-pain\/runners-knee-what-it-is-why-it-happens-and-how-to-treat-and-prevent-it\/","title":{"rendered":"Pain in the Patella: What is Runner&#8217;s Knee and How to Treat (and Prevent) It"},"content":{"rendered":"\n<p>Whether you were inspired by last weekend\u2019s New York Marathon or you\u2019re a longtime streaker, you\u2019ve probably experienced at least some degree of what running can feel like for your knees. In a word: Ouch.<\/p>\n\n\n\n<p>In more clinical terms, the cumulative impact and repetitive motion in the knees inherent in running can result in Patellofemoral Pain Syndrome, also known as \u201c<strong>runner\u2019s knee<\/strong>.\u201d Characterized by pain behind and around the knee cap, runner\u2019s knee is one of the most common injuries runners (and other athletes) experience.<\/p>\n\n\n\n<p><strong>Dr. John Gallagher, PT, DPT, CEAS,<\/strong> is an expert in orthopedics and sports rehabilitation with such athletic credos as Certified Running Gait Analyst, TPI Level 1 Certification with Titleist Performance Institute, and former Official Physical Therapist for the New York Saints professional lacrosse team. As Zeel\u2019s National Director of Physical Therapy, he works with repetitive motion injuries and athletic strains every day, and runner\u2019s knee is a complaint he addresses regularly.<\/p>\n\n\n\n<p>As a generalized term for <strong>inflammation of the kneecap<\/strong>, Dr. Gallagher approaches runner\u2019s knee with patients by examining not just the knee itself, but root causes and triggers of pain around it. \u201cOftentimes, the cause of the problem is not the knee joint itself but deficiencies up and down the <a href=\"https:\/\/www.physio-pedia.com\/Kinetic_Chain\">kinetic chain<\/a>\u2014in the core, hips, and feet.\u201d<\/p>\n\n\n\n<p>\u201cIn its normal biomechanics, the knee is a <a href=\"https:\/\/www.medicalnewstoday.com\/articles\/326946\">hinge joint<\/a> with the patella, or knee cap sliding up and down every time we bend and extend the knee,\u201d Dr Gallagher explains. \u201cIf there are compressive forces due to tight muscles or shearing forces [misaligned forces pushing different parts of the body in different directions] due to weakness or instability, pain and inflammation can occur.\u201d<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>\u201cOftentimes, the cause of the problem is not the knee joint itself but deficiencies up and down the kinetic chain\u2014in the core, hips, and feet.\u201d<\/p><cite>Dr. John Gallagher, PT, DPT, CEAS<\/cite><\/blockquote>\n\n\n\n<p><strong>So is running bad for your knees?<\/strong> Dr. Gallagher says absolutely not, and that the dreaded runner\u2019s knee can be avoided in otherwise healthy knees by simply doing it <em>right<\/em>\u2014and listening to your body if it\u2019s telling you otherwise. \u201cRunning with poor mechanics or going out too hard or too fast without proper recovery can be bad for your knees as well as other joints.\u201d&nbsp;<\/p>\n\n\n\n<p>So what should you do if your knees are beset by run-induced pain? Dr. Gallagher advocates for continuing this otherwise healthy endeavor, but with extreme mindfulness and care: Slow your speed, run shorter distances, and increase your rest between runs until the pain recedes and you can comfortably ramp back up. \u201cI\u2019m not a fan of total rest unless it\u2019s absolutely necessary to recover from an injury. The worst thing I can do is tell a runner to stop running!\u201d&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-1 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-white-color has-text-color has-background\" href=\"https:\/\/www.zeel.com\/massage-on-demand\/services?utm_source=blog&amp;utm_medium=web&amp;utm_campaign=editorial\" style=\"border-radius:4px;background-color:#333333\" target=\"_blank\" rel=\"noreferrer noopener\">Book an In-Home Sports Massage<\/a><\/div>\n<\/div>\n\n\n\n<p>You may also reduce the strain of repetitive motion via cross-training\u2014introducing new movements to your exercise routine can foster strength and suppleness of the tissues that surround and support your knees, as well as the knees themselves.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>\u201cI\u2019m not a fan of total rest unless it\u2019s absolutely necessary to recover from an injury. <strong>The worst thing I can do is tell a runner to stop running!<\/strong>\u201d<\/p><\/blockquote>\n\n\n\n<p>As Dr. Gallagher points out, <a href=\"https:\/\/www.healthline.com\/health\/wolffs-law\">Wolff\u2019s law<\/a> states that tissues will adapt based on the demands placed on it. If you\u2019re starting up a running routine, ramp up gradually, and your joints, bones, and muscles will come along for the ride.&nbsp;<\/p>\n\n\n\n<p>And if you\u2019re an experienced runner, you surely know that proper rest and recovery time is essential to preventing injury and inflammation\u2014and recovering from it.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Runner\u2019s Knee Symptoms<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Dull pain around the front, sides, or behind the kneecap, typically with a gradual onset<\/li><li>Increased knee crepitus\u2014a cracking or popping sensation or sound when moving the knee<\/li><li>Pain arises with activities that place tension on the knees, such as running, squatting, or climbing stairs<\/li><li>Pain or stiffness in the knee after sitting for long periods of time<\/li><li>Stiffness and swelling (sometimes referred to as \u201cwater on the knee\u201d) when transitioning from from sitting to standing<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Causes of Runner\u2019s Knee<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Stress on knee tissues greater than what it has adapted to handle\u2014e.g. running too fast or too hard sooner than your body is prepared for<\/li><li>Tightness in neighboring muscles, such as the quadricep and IT band, causing compressive forces on the knee joint<\/li><li>Running or exercising in improper or unsupportive footwear<\/li><li>Excessive training, such as going out too hard, too fast, or too frequently with insufficient recovery practices<\/li><li>Muscle imbalance, which can allow uneven pressure on the knees and surrounding tissue<\/li><li>Weak hip and foot stabilizers, which can cause a valgus force, or inward bend, at the knee joint<\/li><li>High BMI: Carrying excess weight can place extreme force on the knees.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Treatment for Runner\u2019s Knee<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Rest and rehabilitation:<\/strong> For most people, proper down time\u2014both to recover from a bout of runner\u2019s knee <em>and<\/em> on an ongoing basis\u2014will do the trick on its own.<\/li><li><strong>RICE:<\/strong> Rest, to protect the injured or sore area; Ice, to reduce pain and swelling; Compress (i.e. wrapping the injured area with an elastic bandage like an Ace wrap), to help decrease swelling; and Elevate, to let gravity move fluids away from the injured area and ease inflammatory pressure.<\/li><li><strong>Dial it back:<\/strong> Run at a slower pace, and for shorter distances, until you\u2019ve recovered.<\/li><li><strong>Stretch:<\/strong> Stretching can\u2019t be emphasized enough for runners! Calves, quads, hamstrings, and IT bands should all be stretched amply before and after a run, to reduce force on the knees caused by stiff, shortened muscles.<\/li><li><strong>Strengthen:<\/strong> It may seem like <em>all cardio all the time<\/em>, but strength training\u2014particularly of the muscles around, above, and below the knee joint\u2014is vital to a pain-free running practice. Strength training should also include the core, hip stabilizers, knees, and feet. musculature.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Exercises to Prevent Runner\u2019s Knee<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li><a href=\"https:\/\/www.healthline.com\/health\/fitness-exercise\/proper-squat-form\" target=\"_blank\" rel=\"noreferrer noopener\">Squats<\/a>, to strengthen the quadriceps, hamstrings, and glutes (buttocks and hips)<\/li><li><a href=\"https:\/\/barbend.com\/romanian-deadlift\/\" target=\"_blank\" rel=\"noreferrer noopener\">Romanian Deadlifts<\/a> (RDL), to strengthen the hamstrings, glutes, lower, and middle back<\/li><li><a href=\"https:\/\/www.runnersworld.com\/training\/a33407663\/how-to-do-a-mountain-climber\/\" target=\"_blank\" rel=\"noreferrer noopener\">Mountain climbers<\/a>, to build core strength with less pressure on the low back and knees<\/li><li><a href=\"https:\/\/www.verywellfit.com\/lateral-band-walking-exercise-3120456\" target=\"_blank\" rel=\"noreferrer noopener\">Lateral band walks<\/a>, to increase hip and knee stability, and strengthen the hip abductors<\/li><li><a href=\"https:\/\/www.podiumrunner.com\/training\/build-your-foot-foundation-during-training-downtime\/\" target=\"_blank\" rel=\"noreferrer noopener\">Intrinsic foot exercises<\/a> and <a href=\"https:\/\/www.fixyourrun.com\/blog\/2012\/05\/toe-yoga-for-runners\" target=\"_blank\" rel=\"noreferrer noopener\">toe toga<\/a>, to foster strength and stability in your feet. You can blend your foot exercises into a broader stability training routine with a <a href=\"https:\/\/www.moboboard.com\/exercises\" target=\"_blank\" rel=\"noreferrer noopener\">Mobo Board<\/a>.<\/li><\/ul>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity is-style-wide\"\/>\n\n\n\n<p><em>Note that you should always consult your physician or physical therapist regarding any pain or injury you\u2019ve sustained. If your running-related pain is persistent or gets worse, Dr. Gallagher advises that you seek medical care from a practitioner who specializes in orthopedic or athletic-related injuries.<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity is-style-wide\"\/>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile headerHighlight\" style=\"grid-template-columns:15% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"859\" height=\"859\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-src=\"https:\/\/www.zeel.com\/blog\/wp-content\/uploads\/2022\/05\/john-gallagher-859x859-1.jpg\" alt=\"John Gallagher\" class=\"wp-image-24008 size-full lazyload\" data-sizes=\"auto\" data-srcset=\"https:\/\/www.zeel.com\/blog\/wp-content\/uploads\/2022\/05\/john-gallagher-859x859-1.jpg 859w, https:\/\/www.zeel.com\/blog\/wp-content\/uploads\/2022\/05\/john-gallagher-859x859-1-219x219.jpg 219w, https:\/\/www.zeel.com\/blog\/wp-content\/uploads\/2022\/05\/john-gallagher-859x859-1-438x438.jpg 438w, https:\/\/www.zeel.com\/blog\/wp-content\/uploads\/2022\/05\/john-gallagher-859x859-1-768x768.jpg 768w, https:\/\/www.zeel.com\/blog\/wp-content\/uploads\/2022\/05\/john-gallagher-859x859-1-180x180.jpg 180w, https:\/\/www.zeel.com\/blog\/wp-content\/uploads\/2022\/05\/john-gallagher-859x859-1-90x90.jpg 90w, https:\/\/www.zeel.com\/blog\/wp-content\/uploads\/2022\/05\/john-gallagher-859x859-1-370x370.jpg 370w, https:\/\/www.zeel.com\/blog\/wp-content\/uploads\/2022\/05\/john-gallagher-859x859-1-800x800.jpg 800w, https:\/\/www.zeel.com\/blog\/wp-content\/uploads\/2022\/05\/john-gallagher-859x859-1-20x20.jpg 20w, https:\/\/www.zeel.com\/blog\/wp-content\/uploads\/2022\/05\/john-gallagher-859x859-1-185x185.jpg 185w, https:\/\/www.zeel.com\/blog\/wp-content\/uploads\/2022\/05\/john-gallagher-859x859-1-740x740.jpg 740w, https:\/\/www.zeel.com\/blog\/wp-content\/uploads\/2022\/05\/john-gallagher-859x859-1-400x400.jpg 400w, https:\/\/www.zeel.com\/blog\/wp-content\/uploads\/2022\/05\/john-gallagher-859x859-1-24x24.jpg 24w, https:\/\/www.zeel.com\/blog\/wp-content\/uploads\/2022\/05\/john-gallagher-859x859-1-48x48.jpg 48w, https:\/\/www.zeel.com\/blog\/wp-content\/uploads\/2022\/05\/john-gallagher-859x859-1-96x96.jpg 96w, https:\/\/www.zeel.com\/blog\/wp-content\/uploads\/2022\/05\/john-gallagher-859x859-1-150x150.jpg 150w, https:\/\/www.zeel.com\/blog\/wp-content\/uploads\/2022\/05\/john-gallagher-859x859-1-300x300.jpg 300w\" sizes=\"auto, (max-width: 859px) 100vw, 859px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p style=\"font-size:15px\"><em><strong>Reviewed by John Gallagher, PT, DPT, CEAS.<\/strong> Dr. Gallagher is a licensed physical therapist with over two decades of experience focusing on orthopedics, ergonomics, and sports rehabilitation. Meet our <a href=\"https:\/\/www.zeel.com\/blog\/editorial-review-board\/\">Editorial Review Board<\/a>.<\/em><\/p>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Whether you were inspired by last weekend\u2019s New York Marathon or you\u2019re a longtime streaker, you\u2019ve probably experienced at least some degree of what running can feel like for your knees. In a word: Ouch. In more clinical terms, the cumulative impact and repetitive motion in the knees inherent in running can result in Patellofemoral&hellip;<\/p>\n","protected":false},"author":41,"featured_media":23686,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1512],"tags":[533,1781,1711,1709,1712,996,1710],"thb-sponsors":[],"class_list":["post-23685","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chronic-pain","tag-knee-pain","tag-knee-pain-treatment-near-me","tag-rice","tag-runners-knee","tag-runners-knee-treatment","tag-running","tag-running-injuries"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Pain in the Patella: What is Runner&#039;s Knee and How to Treat (and Prevent) It - Zeel<\/title>\n<meta name=\"description\" content=\"Characterized by pain behind and around the knee cap, runner\u2019s knee is one of the most common injuries runners (and other athletes) experience.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zeel.com\/blog\/chronic-pain\/runners-knee-what-it-is-why-it-happens-and-how-to-treat-and-prevent-it\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pain in the Patella: What is Runner&#039;s Knee and How to Treat (and Prevent) It - 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