Sign Up For Our Monthly Newsletter and Receive A Free Massage Oil On Your Next Visit

Physiotherapy &
Sports Injury Clinic

Request Information Book Consultation

Patellofemoral Syndrome (Patellofemoral Tracking Disorder)

tibiaPatellofemoral syndrome describes various painful degenerative changes to the articular cartilage at the underside of the patella. The patella is a bone that covers the front of the knee and is surrounded by tendons to stabilize it to the knee. The patella cartilage is the thickest cartilage in the human body. Designed to be almost frictionless, it would be somewhat close to the resistance of being on ice. Cartilage tends to be self-renewing and self-lubricating.

Patellofemoral syndrome shows up as changes under the patella (kneecap) and symptoms are:
  • pain in the knee especially when sitting and knees bent, squatting, jumping up or using the stairs (especially going down stairs).
  • The knee could possibly buckle or unexpectedly give way and won’t support the body weight.

Patellofemoral syndrome or injuries frequently occur in teenagers, manual labourers and athletes. It can also occur due to the wearing down, roughening or softening of the cartilage under the knee.

Treatment of patellofemoral syndrome
  • Treatment would initially focus on reducing pain, inflammation and swelling that may have occurred in and around the patella (kneecap).
  • Specific exercises to strengthen the quadricep muscles and restoring balance in the muscles surrounding the knee.
  • Improve range of motion of knee and to restrict any offending activity.
  • Proper footwear is also very important for individuals with patellofemoral syndrome. The physiotherapist can evaluate your biomechanics and gait and recommend custom made foot orthotics with a good supportive shoe. Custom made foot orthotics benefit often by returning the subtalar joint (ankle joint) to nearly neutral position, thereby reducing foot pronation (flat foot) and decreasing the rotational forces in the tibia that affect tracking of the patella during movement.
  • A soft knee brace may be recommended to control the tracking position of the patella and restrict full knee flexion or bending.


book consultation

Please fill out the contact form below and a representative will contact you.

Please select the Star and click the Submit button.


Are you as healthy
as you think you're


Are services covered by OHIP?

No. Both our locations are private, however most of our services are often covered by an extended health care plan (some of which we can directly bill). We also offer fee-for-service for those without benefit plans.

View All