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Patello-Femoral Pain syndrome (PFPS)

Patello-Femoral Pain syndrome (PFPS)

Patello-Femoral Pain syndrome (PFPS)


  • Runners!!!
  • Elderly
  • Athletes in high impact sports (jumpers, sprinter….)
  • Basketball and netball players
  • Gym Junkies
  • Desk warriors



Patello-femoral pain syndrome, or PFPS, is the most common cause of pain at the knee joint. It normally presents as pain felt around, and behind the knee cap (patella). It is common in both the young and old, active and inactive.

When & How

PFPS is most commonly caused by mistracking or poor movement of the knee cap, as opposed to direct trauma to any specific structure within the knee. Poor movement can be caused by numerous variables but is most commonly caused by;

  • Muscle strength imbalances
  • Excess muscle tightness
  • Overactive or inhibited control of a muscle
  • Poor foot posture (eg. Flat feet)
  • Hip and lower back problems
  • Degenerative changes due to old age

The kneecap normally runs along a groove in the thigh bone known as the femoral groove. As a result of any of the above variables, this movement along the groove is changed, and the knee cap starts to mistrack. As a result there are excessive joint pressures put through the knee joint and knee cap. Overtime this will lead to irritation, swelling and pain which in turn further changes the way the kneecap tracks along the femoral groove.


Treatment and management of PFPS requires any underlying causes to be addressed whilst treating the pain and inflammation at the knee itself. Your physiotherapist at our Move Forward Kinross Physiotherapy clinic will assess the whole lower limb, as well as the hip and low back in order to determine the exact cause of your knee pain. Following this assessment, you will be provided with a detailed outline of your own individualized treatment management plan. Your treatment may include a combination of the following;
• Rest
• Ice/ Heat
• Brace/ off-load taping
• Soft tissue massage
• Mobilizations
• Dry needling
• Stretching & strengthening exercises, which can be performed within the gym located at Move Forward Hillarys Physiotherapy
• Activity and exercise modifications to improve lower limb mechanics and posture, which can be performed within our pilates studio at Move Forward Quinns Physiotherapy or Jindalee Physiotherapy

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Hip Pain

Hip Pain



• Women between 25 and 60
• Runners
• Cyclists
• Stair climbers


A bursa is a small sac of fluid that acts to cushion the joint. The bursa in the hip lies over the prominent bone on the side of your hip, the greater trochanter. It provides cushioning for the muscles of your thigh and bottom. People who suffer from bursitis have inflammation inside the bursa. People with bursitis generally experience a constant ache with occasional sharp pains over this region


If you have bursitis it is likely that you will feel pain when lying on the affected side at night, this can prove problematic because it begins to affect the sleeping patterns and your overall quality of life. As bursitis is an inflammatory condition it is common for the pain to be worse in the morning and especially worse in the cold weather.


A number of factors are involved in the development of bursitis. There are two different categories or causes of bursitis, traumatic and mechanical. Traumatic bursitis is caused by falling onto the affected hip, twisting rapidly or landing awkwardly. However mechanical causes of bursitis is more likely, this is because of a muscle imbalance (tightness vs weakness) in the muscles around the hip and lower back.

The Management

Your local Move Forward physiotherapist will assess your lower quadrant and hip pain in detail to determine the exact contributing factors for your presentation. From here they will advise you of the best path forward and prescribe you with an individualised treatment management plan in order to provide the most efficient and effective rehabilitation for you. It may include the following:
• Massage
• Dry needling
• Manipulation
• Mobilisations
• Stretches
• Hydrotherapy
• Heat / Ice packs
• Strengthening exercises
• Pilates or 1:1 exercise rehabilitation at our Hocking Physiotherapy or Quinns Physiotherapy
In the meantime, why don’t you have a look at our video titled lower body stretching in the education section of our fantastic website!

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