Dr. Kiper offers Silicone Orthotics for arch support.

Runner's Knee
(Chondromalacia Patella)

Runners Knee refers to pain primarily on the inside of the knee, or beneath the kneecap can also occur.  It is more commonly seen in runners as opposed to walkers due to high level of activity, particularly mileage.  The key element in this injury is due to overpronation resulting in poor tracking of the patella causing a repeated stress of the bone moving abnormally from side to side over the groove of the thigh bone (femur), gradually softening the cartilage under the kneecap. The result is the surface of the joint can become rough.  Pain may be just a prelude to further destruction of the surface (traumatic arthritis). This injury can be confused with "Patella tendonitis" which is usually pain beneath the Chondromalacia Patella bone. In either case it is the "tracking"*  of either the bone or tendon which needs to be addressed.

Other causes of this injury can be:

  1. Weak quads
  2. Muscle imbalance
  3. Direct or repeated trauma
  4. An untreated ligament injury
  5. Running on a banked surface (similar to ITB Syndrome)
  6. History of trauma

To treat:

  1. Decrease activity
  2. Rest if pain and swelling
  3. Ice (for 15-20 minutes)
  4. Aspirin or Ibuprofen
  5. Physiotherapy

Silicone Dynamic Orthotics minimizes overpronation of the arch and lateral motion at the knee, allowing for more efficient tracking of the patella tendon in function.

 * Tracking is the most efficient line from origin to insertion that the muscle-tendon unit can travel under repeated action.

Talk to other patients with Runner's Knee.