June 9, 2026

Runner’s Knee: Causes, Symptoms, and Effective Treatment Options

Runner’s knee, also known as patellofemoral pain syndrome (PFPS), is one of the most common overuse injuries among runners and active individuals. It occurs when the kneecap (patella) does not move properly within its groove, leading to irritation and pain around the front of the knee.

Common Causes

Runner’s knee can develop from repetitive stress, muscle imbalances, poor running mechanics, overtraining, or weakness in the hips and core. Tight muscles, flat feet, and sudden increases in training intensity may also contribute to the condition.

Symptoms

The most common symptom is a dull, aching pain around or behind the kneecap. Discomfort often worsens with running, squatting, climbing stairs, prolonged sitting, or activities that place repeated stress on the knee. Some individuals may also experience clicking or grinding sensations.

Best Treatment Options

Early treatment focuses on reducing pain and addressing the underlying cause. Physical therapy is often the most effective approach, helping improve strength, flexibility, balance, and movement patterns. Targeted exercises for the hips, quadriceps, and core can help reduce stress on the knee and prevent future flare-ups.

Dry needling may also be beneficial when muscle tightness and trigger points contribute to abnormal knee mechanics. By targeting tight muscles in the hips, thighs, and calves, dry needling can help reduce pain, improve mobility, and support recovery.

Additional treatments may include activity modification, manual therapy, supportive taping, custom orthotics, and Class IV laser therapy to help reduce pain and promote healing. We also offer running consultations to evaluate and improve your running technique, helping reduce injury risk, improve efficiency, and keep you running strong for years to come.

If knee pain is limiting your running or daily activities, a physical therapy evaluation can help identify the root cause and create a personalized treatment plan. With proper treatment and guidance, most individuals can return to running safely and confidently.

Dr. Dana
Keeping You Active, Healthy, and Moving Forward