Snapping of the Knee - Pursuit Physical Therapy
Select Page

Snapping of the Knee

  • No painful injections
  • No unnecessary surgery
  • No expensive medications
Book Your Evaluation

Snapping of the Knee

  • No painful injections
  • No unnecessary surgery
  • No expensive medications
Book Your Evaluation
PATELLOFEMORAL PAIN Patellofemoral pain syndrome (PFPS) is 1 of the most common types of knee pain, particularly among athletes, active teenagers, older adults, and people who do physical labor. Patellofemoral pain affects more women than men and accounts for 20%-25% of all reported knee pain.

What is Patellofemoral Pain or Anterior Knee Pain?

Patellofemoral pain syndrome refers to pain at the front of the knee, in and around the kneecap. (The kneecap, or patella, is the triangle-shaped bone at the front of the knee joint. The pain usually is accompanied by tenderness along the edges of the patella.Current research indicates that PFPS is an “overuse syndrome,” which means that it may result from repetitive or excessive use of the knee. Other contributing causes may include:
  • Weakness, tightness, or stiffness in the muscles around the knee
  • An abnormality in the way the lower leg lines up with the hip, knee, and foot
These conditions can interfere with the ability of the patella to glide smoothly on the femur (the bone that connects the knee to the thigh) during movement. The friction between the under-surface of the patella and the femur causes the pain and irritation commonly seen in PFPS. PFPS often occurs in people who are physically active or who have suddenly increased their level of activity, especially when that activity involves repeated knee motion, running, stair climbing, squatting, or repeated carrying of heavy loads. If you are older, you might have age-related changes that cause the cartilage on the under-surface of the patella to wear out. The result is pain and difficulty completing even the simplest daily tasks without pain. Usually, patellofemoral pain is worse when you walk up or down hills or stairs and on uneven surfaces. This pain tends to increase with activity and improve with rest. You also may:
    • Feel pain after sitting for long periods of time with the knee bent
      • Occasionally hear or feel a “cracking” or “popping” when you bend or straighten your kne

How Is Patellofemoral Knee Pain Diagnosed?

Your physical therapist will review your health history, perform a thorough examination, and conduct a series of tests to evaluate the knee. Physical therapists use tests such as the patellar apprehension test, the Q-angle test, the patella alta test, and Clarke’s sign (patellar grind test) to determine whether the patellofemoral joint is the source of pain. In addition, your therapist may observe the alignment of your feet, analyze your walking and running patterns, and test the strength of your hip and thigh muscles to find out whether there is a weakness or imbalance that might be contributing to your pain. Finally, your therapist will check the flexibility of the muscles in your leg, paying close attention to those that attach at the knee. Generally, x-rays are not needed to diagnose PFPS.

How Can a Physical Therapist Help Treat Patellofemoral Knee Pain or Anterior Knee Pain?

After a comprehensive evaluation, your therapist will analyze the findings and prescribe an exercise and rehabilitation program just for you. Your program may include:
  • Strengthening exercises targeted at the hip (specifically the abductor and rotator muscles of the buttock and thigh), the knee (specifically the quadriceps femoris muscle, which is located on the front of your thigh and straightens your knee), and the ankle
  • Stretching exercises for the muscles of the hip, knee, and ankle
  • Taping of the patella to reduce pain and retrain muscles to work efficiently
  • Exercises for improving your performance of activities that have become difficult for you
If the alignment and position of your foot and arch appear to be contributing to your knee pain, your physical therapist may fit you with a special shoe insert called an orthosis. The orthosis can decrease the stress to your knee caused by excessive rotation or impact during walking and running. If your pain is persistent, your physical therapist may:
  • Have you try a lightweight brace
  • Use pain-reducing treatments such as electrical stimulation
  • Recommend that you apply ice or heat at home for relief
Your physical therapist will work with you to help you stay active and maintain your fitness level. You may need to modify your activity level or change your training activities until you recover; your therapist will show you how to do activities and exercises that will not increase your pain. Most important, your therapist can make recommendations to help prevent PFPS from returning.

Can Patellafemoral Knee Pain be Prevented?

PFPS is much easier to treat if it is caught early. Report the first signs of knee pain to your physical therapist. Early treatment by a physical therapist may help stop the underlying problem before it gets worse. Your physical therapist also can help you adjust your daily activities and teach you exercises to do at home to strengthen your muscles and bones and help prevent PFPS from recurring.
References:
http://www.moveforwardpt.com/SymptomsConditionsDetail.aspx?cid=f6dfe597-2f7d-4f1e-9aff-67694dca085f#.VW87y8_Bz  

To Get A "Insider's Look" At Our Treatment Approach And How We Get Results...

Click Below To Watch Our Exclusive Webinar! It's Simple, Short, and It's Free!

Yes! I Want Access To The Free Webinar

To Get A Insider's Look
  • Learn The Essential First Step... So You Can Get Pain Free Again
  • See Why Treatment Needs To Be Individualized, Not Standardized...So You Get Faster Results!
  • Learn How You Can Save Money...So You Don't Have To Waste $1000's On Unnecessary Treatments

Solve the root cause of your pain

How Our Treatment is Different

We believe that working with a specific specialist for your care is the best way to solve the root cause of your pain. Work one-on-one with a Doctor of Physical Therapy every time your visit our office.

Book your evaluation

Exclusive one-on-one patient care

While most clinics will give you a limited amount of time with your Doctor, we believe that true results come from consistent one-on-one therapy.

Work with your specialist every visit

Stop being handed off to trainees or non-Doctors for your Physical Therapy. At Pursuit, you'll work exclusively with your Doctor of Physical Therapy that specializes in your specific needs.

24/7 messaging access to your specialist

Ever have an issue or questions? We're here to help. Get 24/7 access to your specialist while you're under our care. Physical Therapy doesn't just happen when you're in our clinic, so we're here for you when you need us.

No waiting periods

Get off that waiting list and get the treatment you need. We're always ready to accept new patients, so you can get better faster and get back to a pain-free life that you deserve.

Not limited by insurance

Don't let the insurance companies tell you how much treatment you need. Avoid the limitations of short sessions that insurance provides and work with our Doctors when you need it and for as long as you need it.

No painful injections, no expensive medications, no surgery

In order to truly solve your pain, we use a holistic approach to Physical Therapy, not relying on injections, medications, or surgery. Instead, we'll strengthen your body's weak points that are causing your pain.

MEET THE TEAM

Ron Miller

RON MILLER, DPT, OCS, Cert DN


Doctor of Physical Therapy | Board Certified Orthopaedic Physical Therapy Clinical Specialist | Post-Doctoral Orthopaedic Residency Trained | Certified in Dry Needling | Titleist Performance Institute Certified

Dr. Ron Miller is the owner and founder of Pursuit Physical Therapy. His core belief is that it is not about the physician, the physical therapist, or the insurance company: it is about what is truly best for the patient. Dr. Miller started...

Carey Rothschild

CAREY ROTHSCHILD, DPT, OCS, SCS, CSCS, CKTP


Doctor of Physical Therapy and Assistant Professor at the University of Central Florida | Board Certified Orthopaedic Clinical Specialist
| Board Certified Sport Clinical Specialist

Dr. Carey Rothschild is an Assistant Clinical Professor in the Doctor of Physical Therapy Program at the University of Central Florida.  Dr. Rothschild earned a Bachelor of Health Science in Physical Therapy in 1999 from the University of Florida and a Doctor of Physical Therapy from Boston University in 2005...

Carey Rothschild
Michael Fabrick

MICHAEL FABRICK, DPT, Cert. DN


Doctor of Physical Therapy | Certified in Dry Needling | Pursuit Sports Performance Specialist | Professional Tennis Tour Physical Therapist

Dr. Michael Fabrick was born and raised in Hanover, Pennsylvania and attended Slippery Rock University where he received his Bachelor’s degree in Exercise Science. He then went on to receive his Doctorate Degree in Physical Therapy in May of 2020. During his final tenure as a Doctoral intern, he trained underneath Todd Ellenbecker, who is one of the world’s leading experts on shoulder rehabilitation and is the Vice President of Medical Services for the ATP World Tour...

MARYANN DANIELS, PT, MCMT, IDN


Physical Therapist | Dry Needling Certified | Mastery Certified In Manual Therapy | Pelvic Floor And Post Partum Specialist

Maryann was originally born in Connecticut but moved to Florida with her family at the age of 9 and she grew up in Jupiter, Florida. She then went to college at the University of Central Florida...

To Get A "Insider's Look" At Our Treatment Approach And How We Get Results...

Click Below To Watch Our Exclusive Webinar!  It's Simple, Short, And It's Free!

Yes! I Want Access To The Free Webinar

To Get A Insider's Look
  • Learn The Essential First Step...So You Can Get Pain Free Again
  • See Why Treatment Needs To Be Individualized, Not Standardized...So You Get Faster Results
  • Learn How You Can Save Money...So You Don't Have To Waste $1000's On Unnecessary Treatments

BECOMING PAINFREE  IS EASIER THAN YOU THINK

step1

Step 1:

Call our expert team.

step 2

Step 2:

We’ll work with you to find and treat the root of your pain.

step 3

Step 3:

Get back to doing what you love.

Call us to schedule your appointment

(407) 494-8835
(407) 494-8835

Ask one of our Board Certified Specialists a question about your pain. Just fill out the form below.

    Name
    Email
    Phone
    How can we help?
    -

    SEND MESSAGE