pain in and around the knee cap (patellofemoral pain, patellar tendonitis)
The active athletic population contains a large number of people who suffer from pain in the front of the knee. It is often hard to really isolate the location of the pain, and in orthopaedic medicine, we commonly refer to this range of problems as anterior knee pain.
In some cases the tendon between the knee cap (patella) and the tibia is inflamed and painful. In other cases there is cartilage wear and tear contributing to the presentation, and in most cases, some underlying mechanical insufficiency can be identified.
The foot / ankle complex can directly affect the biomechanics of the knee by causing torsional forces, so it is important to asses this region when dealing with anterior knee pain. Some cases can be effectively helped with orthotics alone. Others need a more comprehensive approach involving consideration of the hips, back and general strength and flexibility. Hence, this is a problem that may also involve referral to the osteopath for manual therapy and rehabilitation.