Pain around or under the kneecap may sometimes include “grinding” or “popping” of the kneecap. Pain gets worse when going up or down stairs, squatting and after getting up from sitting for an extended period.
A variety of factors may cause poor tracking of the kneecap on the femur. This may be due to imbalance in the thigh muscles, poor foot biomechanics, or weakness of the gluteal muscles.
Physical Therapy treatment involves identifying contributing factors and addressing these through corrective exercises and manual therapy. Taping of the patella may help re-educate an improved tracking mechanism. Appropriate footwear or supportive orthotics may improve poor foot biomechanics. Rest from aggravating activities and sports may relieve inflammation to allow corrective therapy treatment.