Symptoms of PFPS (runner’s knee) include a dull pain behind the kneecap that is worse with certain activities, such as walking, running, squatting, climbing stairs, or arising from a chair. Longstanding misalignment can cause damage to the cartilage, resulting in grinding or popping sensations. 

One of the most common causes of PFPS is an imbalance between the muscles that guide your kneecap in its V-shaped groove at the end of your thigh bone. Repetitive running or jumping may also make symptoms worse.

PFPS (runner’s knee) can be successfully treated with hands-on therapy plus hip and foot exercises to help realign your kneecap. Initially, you may need to modify activities that cause significant pain, such as running or jumping, followed by a slow “ramp-up” period to return to activity.