Different shoes that could be potentially recommended to a person depending on the source
Different shoes that could be potentially recommended to a person depending on the source
Different shoes that could be potentially recommended to a person depending on the source

Say Goodbye to Knee Pain! Your Fun Guide to Tackling Patellofemoral Pain

Photo of Dr. Michael Maker

By

Dr. Michael Makher

Jun 10, 2025

Patellofemoral Pain (PFP), or that nagging ache in the front of your knee is more common than you think. Learn more on how to manage knee pain.

Disclaimer: This article is for educational purposes only. It should not be seen as medical advice. Every case and person is unique, so treatment and prevention should be customized by a licensed professional.

Patellofemoral Pain (PFP) 😖—that nagging ache in the front of your knee—is more common than you’d think. Whether you’re running 🏃, squatting 🏋️, or just taking the stairs 🌀, knee pain can seriously mess with your flow. But good news: there’s a powerful, research-backed approach to beating it! 🎯

Disclaimer: this is for educational purposes only and shouldn’t be viewed as medical advice


📌 What Is Patellofemoral Pain (PFP)?

PFP is a dull ache around or behind the kneecap 🦵 that tends to show up during movement like stairs, running, or prolonged sitting. It’s especially common in:

  • Active teens & adults 🧍‍♂️🏃‍♀️

  • Postpartum moms 🤰🧘‍♀️

  • People with past injuries or surgeries 🩼

And here’s the kicker: 50% of folks with PFP report symptoms years after diagnosis. 😵‍💫


The #1 Prescription: Exercise + Education

According to the 2024 Best Practice Guide (BPG) 📚, knee-targeted exercise is your best friend. Pair that with clear, empowering education, and you’re set up for a major comeback.


Best Moves:

  • Knee-targeted strength training (e.g., leg press, squats)

  • Hip & glute strengthening

  • Movement retraining (cadence, step width for runners)

  • Taping or foot orthotics (short-term helpers)

“Strengthening my quads helped overnight, quite literally!” – Patient D 🗣️


Why Education Matters So Much

Education isn’t just fluff—it’s a game-changer. It helps patients:

  • Understand their pain 😌

  • Build confidence 😤

  • Avoid fear-driven behavior 🚫😨

  • Stick with the plan 📅✅

“Education is in everything we do.” – Expert Clinician


What Not to Waste Time On

The research also found some treatments just aren’t worth it ❌:

  • ❌ Dry needling alone 🪡

  • ❌ Hyaluronic acid injections 💉

  • ❌ Vibration therapy 🙃

  • ❌ Unproven multi-treatment bundles 🧪

Stick to what works! 💪


Tailor It to YOU

Every knee is different. 🤷‍♂️ That’s why treatment should be personalized based on:

  • 🧬 Pain history

  • 🔍 Movement patterns

  • 🔩 Muscle strength

  • 🧠 Your goals

👣 For runners: look at foot mechanics + cadence
🎯 For moms: focus on strength, endurance & alignment
⚖️ For persistent pain: manage load + self-efficacy


Takeaways for Clinicians and Patients Alike

🩺 Clinicians: Use the new BPG framework to guide your evaluation + personalize interventions

🙋 Patients: Don’t settle—look for pros who offer exercise + education first

“We build a map with signposts to get people from where they are to where they want to go.” – Joe Hughley


Final Word: You’re Not Alone—And There Is a Plan!

This guide isn’t just expert-approved—it’s built on real patient voices, hard science, and years of clinical experience. 🧪🧑‍⚕️🗣️

Whether you’re limping from your run or struggling with daily stairs, there is a better way forward. Start with education. Keep moving smart. And always aim for long-term function—not just quick fixes.

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Patellofemoral Pain (PFP), or that nagging ache in the front of your knee is more common than you think. Learn more on how to manage knee pain.