People are drawn outdoors when the weather warms, melting the snow and ice as it ushers in the newness of spring, and increased activity soon follows. Runners top the list, training for upcoming marathons and races or getting faster and increasing endurance.

While some runners won’t let anything stop them, be it rain, sleet, or snow, most will not venture outside or engage in more rigorous training until the environment is more pleasant. This increased activity, though, can increase a person’s risk of injury, especially if they have been mostly inactive during the winter months. The most prevalent injury is known as runner’s knee, an umbrella term used to describe a variety of knee injuries, including patellofemoral tracking syndrome.

What is Patellar Tracking Disorder?

It is called patellofemoral tracking syndrome when the patella, or kneecap, does not remain in place as the leg straightens or bends. Many believe that the kneecap moves only up and down, which is inaccurate. Actually, the kneecap is very mobile, rotating and tilting so that there are various contact points between the femur and patella. The most common way this disorder presents is the kneecap extending too far to the outside of the leg. Less common is when the kneecap shifts to the inside. The result is pain (sometimes severe) and limited mobility.

Understanding the syndrome means understanding the mechanics of the knee joint. The thighbone (femur) and lower leg (tibia and fibula) are joined by the knee, a large, complex hinge. A groove runs along the front of the joint, where the thighbone ends. The patella sits in the groove and is held in place by a network on the sides by ligaments and at the top and bottom by tendons. The kneecap’s underside is a cartilage layer that allows it to move easily, or glide, along the groove. When there is a problem with any of the parts that make up the knee, it can lead to patellofemoral tracking syndrome.

Causes of Patellofemoral Tracking Syndrome

While overuse of the knee is the blanket term that describes the cause of patellofemoral tracking syndrome, it is actually the result of a combination of several problems. These can include:

• Leg ligaments, tendons, or muscles that are too loose or too tight
• Structural problems with the knee bones
• Weak thigh muscles
• Continuous stress put on the knee, such as activities that use a twisting motion to the knee
• Repetitive, high-stress activities like running
• Repeated activities like squatting, knee bending, or jumping
• Improper alignment of the knee bones
• Trauma to the knee that forces the kneecap off track, usually to the outside area of the leg

People who are most likely to develop the syndrome are those who experience any of these problems in addition to playing sports or running. Obesity or being overweight, combined with the above problems, can also put a person at risk for the syndrome.

Chiropractic for Patellofemoral Tracking Syndrome

Many people have experienced relief from the pain of patellofemoral tracking syndrome by using chiropractic care. Chiropractic for patellofemoral tracking syndrome is a medication-free, non-invasive treatment that quickly and effectively treats the pain and helps to restore mobility. This is usually done by bringing the body back into alignment and performing specific manipulations depending on the patient’s unique needs. Treatment may involve the foot, ankle, spine, and hip in addition to the knee.

The patient may also be advised to make certain dietary adjustments, take special, targeted supplements, and do specific exercises in addition to chiropractic treatments. Stretching is often recommended, and Kinesio taping is a common therapy to aid healing. Chiropractic will not only return the body to its natural balance and alignment, but it will also get it to a state where it is able to begin healing itself.

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