Patellofemoral Pain Syndrome

What is Patellofemoral pain syndrome?

Patellar Tendinopathy diagram
Figure 1. Source: InjuryMap

Patellofemoral pain syndrome (PFPS) is an umbrella term used for pain arising from the area in Figure 1. It is a chronic condition that affects the surrounding joint and soft tissue and is usually aggravating with walking up and down stairs, squatting, and running.

 

How does it happen?

PFPS is multifactorial and will depend on each individual. Main causes include:

  • Overuse and overload
  • Anatomical and biomechanical abnormalities
  • Muscular weakness, imbalances, or weakness

A common cause of PFPS is patellar orientation and alignment. When this is observed this can cause the patella to glide to one side more than the other which can cause an overuse to the part of the knee joint that can result in pain, discomfort, or irritation.

What symptoms are associated with Patellofemoral Pain Syndrome?

Typically, you will feel pain and discomfort around the patella (kneecap) which gets worse during repetitive activity. These include:

  • Running
  • Squatting
  • Walking up and down stairs
  • Jumping and landing

What can I do to make my knee feel better?

Runners Knee, Jumpers Knee, Kneecap Pain, Patellofemoral Pain Syndrome, Patella Tracking DisorderA Physiotherapist can help you identify and muscular imbalances that may be pulling the patella into a different orientation causing pain and discomfort. Once these imbalances are identified the Physiotherapist will prescribe specific exercises to help assist with fixing these imbalances to protect and strengthen the knee joint.

Other treatment options can include, soft tissue treatment, and taping to assist with stabilisation of the patellofemoral joint.

How can a Physiotherapist help?

A Physiotherapist will provide a comprehensive assessment of the affected knee and will identify potential causes as to why the knee is presenting this way. The Physiotherapist will then provide treatment through various modalities to assist with recovery and long-term management.

Post by: Physiotherapist  Ray Palencia

Nerissa D'Mello​​

PHYSIOTHERAPIST

Nerissa’s interest in physiotherapy began after experiencing multiple injuries growing up. Being in and out of clinics sparked her curiosity about how the body heals and inspired her to help others return to what they love. Early hands-on experience with a Scottish rugby club strengthened her passion for musculoskeletal and orthopaedic rehabilitation.

Her treatment style combines hands-on techniques with exercise prescription, grounded in the latest research to prevent injury and promote lasting recovery.

Nerissa uses dry needling, VALD ForceDecks and Dynamo for data-driven rehab, taping, and shockwave therapy for stubborn tendon injuries.

She enjoys treating everyone, regardless of age, fitness, or background.

Patients can expect a thorough, personalised approach focused on understanding their goals, hands-on treatment, and education in a supportive environment.

Outside work, you can find Nerissa training for her first full marathon, playing tennis, smiling at your dog, and trying to keep up with all her downloaded podcasts.

Clinical interests include:

  • Shoulder injuries, including rotator cuff and instability
  • Ankle sprains
  • Tennis and racquet sports injuries
  • Neck and upper back pain
  • Rehab from postoperative hip and knee replacements

 

Languages spoken other than English: Conversational Hindi

Nerissa is available at Quay Health. Call (02) 9252 2825 to make an appointment or book online.

Riccardo Erba​

Senior Physiotherapist

Riccardo’s passion for physiotherapy started while working with patients recovering from strokes, multiple sclerosis, and brain injuries. Seeing how vital movement is inspired him to explore the connection between the brain and body. Over seven years, he developed a holistic approach combining manual therapy, education, and sport-focused rehab.

His treatment style is evidence-based and tailored, blending hands-on therapy with corrective exercises and advanced technologies. Riccardo believes every patient deserves a personalised plan that balances pain relief and long-term improvement.

He uses techniques including spinal manipulation, mobilization with movement, dry needling, Class IV lasers, shockwave therapy, and VALD ForceDecks.

Riccardo enjoys helping clients who want to understand their bodies, relieve pain, prevent injury, and improve performance.

Outside work, he loves hiking, climbing, and following ball sports of all kinds.

Clinical interests include:

  • Headaches and neck pain
  • Shoulder and elbow conditions
  • Hip and knee rehab
  • Shockwave and laser therapy

Languages spoken other than English: Italian

Riccardo is available at Quay Health. Call (02) 9252 2825 to make an appointment or book online.