Patella (Knee Cap) Joint Pain

Physiotherapy for PFJ (Patellofemoral Joint) Kneecap Pain

Effective Treatment for PFJ Kneecap Pain

Patellofemoral pain—often called PFJ pain, runner’s knee or patella tracking dysfunction—is one of the most common knee conditions we treat. It typically develops from overload, poor movement control, muscle imbalance or increased knee compression during bending activities.

Whether your pain is triggered by running, stairs, kneeling, squatting, gym training or prolonged sitting, targeted physiotherapy can significantly improve your symptoms and restore normal knee function.

We create personalised treatment plans focusing on strength, stability, biomechanics and load management to give you long-lasting results.

Common Symptoms of PFJ Pain

  • Pain at the front of the knee or behind the kneecap

  • Discomfort with running, squats, stairs or hills

  • Pain after sitting for long periods (“theatre sign”)

  • Clicking, grinding or a feeling of pressure under the kneecap

  • Weakness during single-leg tasks

  • Difficulty kneeling or lunging

Expert physiotherapy for PFJ kneecap pain—helping you reduce pain, improve patella tracking, build knee strength, and return to running, stairs, squatting and sport with confidence.

Areas We Treat

1. Patella Tracking & Biomechanics

We assess how the kneecap moves during bending and loading tasks. Treatment includes:

  • Patella mobility techniques

  • Correcting knee valgus / hip collapse

  • Improving foot and hip mechanics

  • Technique coaching for squats, lunges and running

2. Strengthening for Long-Term Knee Health

PFJ pain improves dramatically with the right strengthening program. We focus on:

  • Quadriceps (especially VMO) activation

  • Glute medius and glute maximus strengthening

  • Calf and hamstring balance

  • Core and pelvic stability

This creates better alignment and reduces pressure under the patella.

3. Gait, Running & Movement Retraining

For active individuals and runners, we assess:

  • Stride pattern and cadence

  • Knee loading mechanics

  • Single-leg control

  • Hip and trunk alignment

We then progress you through a structured return-to-running or return-to-sport plan.

4. Load Management & Activity Modification

We help you stay active while reducing irritation by adjusting:

  • Training volume

  • Exercise selection

  • Intensity and frequency

  • Rest and recovery strategies

Small changes can drastically reduce pain.

5. Manual Therapy & Pain Reduction

To reduce short-term symptoms, we may use:

  • Soft tissue release

  • Joint mobilisation

  • Patella taping

  • Dry needling (if appropriate)

These techniques support your strengthening program.

Why PFJ Pain Happens

Patellofemoral pain rarely comes from “damage.” Instead, it is usually caused by:

  • Overuse or rapid increases in activity

  • Muscle weakness around the hip or knee

  • Poor knee tracking or alignment

  • Poor footwear or foot mechanics

  • Reduced tissue tolerance

The great news is that PFJ pain responds extremely well to the right rehabilitation plan, often without needing scans or invasive treatment.

Get Ahead of Kneecap Pain Today

If PFJ pain is stopping you from running, training or enjoying daily activities, our tailored physiotherapy programs can help you recover quickly and prevent future flare-ups.

Book your assessment today and take your first step toward pain-free, confident knee movement.

 

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