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✅ Book your appointment London’s most trusted physiotherapy company: 👉 https://rdar.li/4Y3K8Dr What is patellofemoral joint (PFJ) pain (pain behind the knee cap)? Patellofemoral joint (PFJ) pain cause pain at the front of the knee. The pain is often hard to pinpoint and feels deep in the joint or ‘behind the knee cap’. It is more common in females then males and is often aggravated by prolonged walking particularly downstairs and/or down hill’s, squatting, lunging and running. It can be worse after sitting still for a while and the pain is often associated with clicking. Patellofemoral joint pain can cause intermittent swelling but not always. The initial diagnosis can be made by clinical assessment alone, and no formal imaging is required. However, if your pain is not improving imaging can help to confirm the diagnosis and assess for any structural changes especially to the cartilage on the back of knee cap. Imaging can also the assess the contribution of surrounding structures such as patella tendinopathy (Jumper’s knee), ITB friction syndrome (Runner’s knee), pes anseurine bursitis and fat pad inflammation. There is no quick fix for patellofemoral joint pain. Most patellofemoral joint pain resolves with a comprehensive course of physiotherapy. Physiotherapy may involve hands on treatment, taping techniques to reduce your pain and a progressive loading programme to improve the strength and mechanics of your leg. Ultrasound guided steroid injections do have a role to play in the treatment of some patellofemoral joint pain. A steroid injection may be indicated if: your pain is not improving you are waking you up at night if you are not improving despite a comprehensive course of physiotherapy you cannot engage in a course of physiotherapy due to high levels of pain Injections should always be followed up with a course of physiotherapy. Hyaluronic acid, are a drug-free alternative to steroid injections and can also provide pain relief. What are the symptoms of patellofemoral joint (PFJ) pain? The symptoms of osteoarthritis of the knee are: Pain on the front of the knee, which often comes on for no obvious reason Pain is aggravated by walking downhill particularly but also squatting, lunging and running Pain that does not respond to rest Need help with pain, injury recovery, or a diagnosis? Book an appointment with one of London’s top physios today! 🌐 www.complete-physio.co.uk 📞 020 7482 3875 📧 [email protected] The information provided in this video is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider, such as your GP or a registered medical professional, before beginning any new exercise programme, making significant changes to your diet, or taking any new medication or supplements. Never disregard medical advice or delay seeking it because of something you have seen or heard in this content.