Runner's Knee (Patellofemoral Pain)
Runner's Knee · Symptoms

Runner's Knee Symptoms: How to Tell If You Have It

Every symptom of runner's knee runners should recognize — from the earliest warning signs to when to stop and see a clinician.

What Runner's Knee Feels Like

Patellofemoral pain syndrome (PFPS) — 'runner's knee' — is pain around or behind the kneecap from poor tracking and load distribution at the patellofemoral joint. It accounts for roughly a quarter of all running injuries.

  • Dull ache around or behind the kneecap
  • Pain going down stairs
  • Pain after sitting with knees bent for a long time (the 'theater sign')
  • Crepitus (grinding) sometimes felt or heard with squats

Early Warning Signs

Catching runner's knee at this stage is the difference between a week of reduced training and a multi-week shutdown.

  • Dull ache around or behind the kneecap
  • Discomfort going down stairs
  • Stiffness after sitting

When to Stop and See a Clinician

  • Pain that stops you mid-run
  • Swelling
  • Pain on every step

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