Runner's knee (patellofemoral pain) & ITB syndrome
Runner's knee - patellofemoral pain - is one of the most common complaints in runners and gym-goers: an ache around or behind the kneecap that is often worse going downstairs, sitting for long periods, or running downhill. Iliotibial band (ITB) syndrome causes pain on the outer side of the knee, typically coming on at a consistent point into a run. Both are usually overuse problems rather than damage.
The good news is that they respond well to the right rehabilitation. Rather than just resting, treatment looks at load - how much and how quickly you have been training - alongside the strength and control of the hip, knee and foot. Melissa combines hands-on treatment with individualised strength work and training-load guidance, so you can keep moving and address the cause, not just the symptom.
Common questions
Why does the front of my knee hurt when I run or go downstairs?
That pattern - pain around or behind the kneecap, worse on stairs, hills or after sitting - is typical of patellofemoral pain, or runner's knee. It is usually an overload problem rather than damage: the load through the kneecap has outstripped what it is currently conditioned for. It tends to improve when training load is managed and the strength and control of the hip, knee and foot are addressed, which is what a rehab plan targets.
Can I keep running with runner's knee?
Usually yes, in a modified form. Complete rest often is not necessary or helpful; the aim is to train within a level the knee tolerates - adjusting distance, pace or hills - while building the strength that resolves the underlying cause. What is sensible depends on your symptoms, so you will get specific guidance on how much to do and what to change.