Common knee concerns we treat
- Pain that limits walking, lifting, or sleep
- Stiffness, swelling, or reduced range of motion
- Sports injuries: acute or overuse
- Arthritis or post-traumatic joint changes
- Conditions other doctors couldn't resolve
Patellofemoral Pain (Runner's Knee)
Pain around or behind the kneecap
Patellofemoral pain syndrome (runner's knee) is pain at the front of the knee caused by how the kneecap tracks over the thighbone during movement. Same-day or next-week evaluations across eight LA-area offices.
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Board-certified surgeons and podiatrists across eight Los Angeles area neighborhoods.
Book a visitOr call (323) 264-7600
What sets LAOSS apart
- Same- or next-day appointments at eight Los Angeles-area offices
- On-site imaging; PT coordinated with your in-network provider
- Conservative-first care, surgery only when needed
- Board-certified specialists, not generalists
Key takeaways
- Patellofemoral pain is one of many knee conditions our specialists evaluate every day.
- Most patients improve without injections or surgery: physical therapy to strengthen the hip and thigh muscles, activity changes, and taping or bracing when helpful.
- When a procedure is the right call, we explain every option, recovery timeline, and return-to-activity milestone.
- On-site imaging at most offices and same-day appointments across eight Los Angeles-area locations.
What is patellofemoral pain?
Patellofemoral pain syndrome (runner's knee) is pain at the front of the knee caused by how the kneecap tracks over the thighbone during movement. Symptoms can develop gradually or after a specific injury, so early evaluation matters when function starts to decline.
Most patients with patellofemoral pain improve with conservative care: physical therapy to strengthen the quadriceps and hip muscles, a temporary cutback in running, stairs, and deep squatting, and taping, bracing, or shoe inserts when they help. Injections are not a standard treatment for this condition. Surgery is rarely needed and is considered only when a structural problem, such as significant kneecap maltracking or cartilage damage, is confirmed and symptoms persist despite months of therapy.
Below, we walk through the anatomy involved, the symptoms and causes we most often see, how we diagnose patellofemoral pain, and the full range of treatment options, from the simplest to the most involved.
Watch: Patellofemoral Pain Syndrome
This is a pain you feel in the front of your knee. It involves the patella. That's the bone we commonly call the "kneecap." The patella slides up and down in a groove on your femur as you bend and extend your knee. If you have this syndrome, you may have injured the soft tissues that support and cushion your kneecap. Or, you may have some damage to the cartilage on the underside of the kneecap.
Inside the knee.
The knee is the body's largest hinge joint: it bears your weight, absorbs impact, and lets you walk, run, and pivot. Cartilage and meniscus cushion the joint, while ligaments (ACL, PCL, MCL, LCL) keep it stable. Most knee problems come from wear of those cushioning surfaces or from twisting injuries that damage a ligament or meniscus.
Symptoms and causes of patellofemoral pain
Common symptoms
- Dull, aching pain around or behind the kneecap
- Pain that worsens going down stairs or hills
- Pain after long periods of sitting ("theater sign")
- Occasional grinding or popping sensation
Common causes
- Muscle imbalance between quads and hamstrings
- Overpronation or weak hip muscles
- Sudden increase in running mileage
- Direct trauma to the kneecap
How we diagnose patellofemoral pain
You want answers, fast, and we're built to give them. Most patients leave their first LAOSS visit with a clear diagnosis and a written plan, not another referral chain.
Here's what your initial visit for patellofemoral pain typically looks like:
- Detailed history: when it started, what makes it better or worse, what you've already tried
- Focused exam of the knee: range of motion, stability, strength, specific provocation tests
- On-site imaging at most offices: X-ray for bone, ultrasound or MRI when soft-tissue detail is needed
- A written plan with options ranging from conservative care to surgical procedures, in plain English
Schedule your evaluation at the LAOSS office nearest you.
How we treat patellofemoral pain at LAOSS
Once we've confirmed the diagnosis, the next step is matching the right treatment to your situation. We start with the least-invasive option that fits, and escalate only when it doesn't.
Conservative care
Step 1Conservative care first
Non-surgical options designed to relieve pain, restore movement, and avoid the OR when possible.
- Physical therapy to strengthen the quadriceps and hip muscles
- Activity modification: less running, stair climbing, and deep squatting for a while
- Stretching for tight hamstrings, quadriceps, and the iliotibial band
- Patellar taping or a kneecap-stabilizing brace
- Supportive shoes or orthotic inserts when foot mechanics contribute
- Ice and a short course of anti-inflammatory medication for flare-ups
Surgical care
When neededSurgery is rarely needed
Considered only when a structural problem is confirmed and symptoms persist despite months of physical therapy.
- Arthroscopy to treat damaged cartilage behind the kneecap
- Lateral release or lengthening for a tight, tilted kneecap in select cases
- Realignment surgery (tibial tubercle osteotomy) for significant maltracking
- Physical therapy after any procedure to restore strength and tracking
Why experience matters.
Why experience matters
Knee care is highly technique-dependent. Volume, training, and judgment together determine the outcome you actually feel six months later.
- Precise diagnosis from imaging and exam
- Conservative-first care that avoids unnecessary surgery
- Surgical technique refined over thousands of cases
- On-site imaging + coordinated PT through your in-network provider
The LAOSS approach
Our knee specialists move stepwise: start with the least-invasive option that fits your situation, escalate only when it doesn't.
- Same-day imaging at most offices
- PT coordinated in your insurance network
- Board-certified surgeons performing the procedures themselves
- Direct access to your specialist between visits
Am I a candidate?
If most of these match your situation, an evaluation with a knee specialist is the next step.
You may be a candidate if
These signs typically point toward an in-person evaluation with a knee specialist.
- Pain or stiffness in the knee that lasts more than a few days
- Swelling, instability, or noticeable change in function
- Symptoms that limit walking, lifting, sleep, or work
- Previous treatment that didn't fully resolve the problem
- Imaging or exam findings that suggest an underlying issue
What evaluation includes
Your first visit is built to give you an answer the same day, not just another referral.
- Detailed history: onset, mechanism, what makes it better or worse
- Hands-on exam focused on the affected joint or region
- On-site imaging at most offices (X-ray, ultrasound)
- Clear plan with options ranging from conservative to surgical
- Same-day or next-day scheduling for any follow-up tests
ImportantSeek urgent evaluation for sudden severe pain, numbness, progressive weakness, or any sign of infection (fever, increasing redness or swelling).
Your knee recovery roadmap.
Recovery is rarely a straight line, but a clear plan with measurable milestones makes the path predictable.
- Days 0 to 14
Right after care
In the first two weeks we focus on protecting the knee, calming inflammation, and restoring basic motion.
- Activity modification with clear do/don't guidance
- Ice, elevation, and pain control as needed
- Gentle range-of-motion within safe limits
- Follow-up scheduled to track healing
- Weeks 2 to 8
Rehabilitation
Targeted physical therapy rebuilds strength, mobility, and confidence in the knee.
- Progressive strengthening and neuromuscular work
- Manual therapy and soft-tissue treatment
- Sport- or job-specific movement re-training
- Coordinated PT through your in-network provider
- Months 2+
Long-term care
Once function is restored, the focus shifts to keeping you there, and catching any recurrence early.
- Return-to-activity plan with measured benchmarks
- Home program tailored to your sport or job
- Maintenance visits or imaging if symptoms change
- Direct line back to your specialist if needed
Risks & considerations
What to weigh before you decide.
We talk through the risks and benefits with every patient. Informed consent is a conversation, not a form.
General considerations
Every orthopedic intervention carries a small set of standard risks. We screen, prepare, and monitor for these on every patient.
- Infection (rare with modern technique and prophylaxis)
- Bleeding or bruising at the treatment site
- Reaction to anesthesia or medications
- Need for additional procedures in some cases
Knee considerations
Some risks are tied to the structures we're treating in the knee. We discuss these in detail at your visit so you can weigh them against the benefits.
- Temporary stiffness or weakness during recovery
- Incomplete pain relief in a small percentage of cases
- Nerve or vessel irritation near the treatment area
- Need for follow-up therapy to fully restore function
Meet our knee doctors in the Greater Los Angeles area
At LAOSS, our knee specialists are board-certified and treat these problems every day. From minimally invasive arthroscopic techniques to joint replacement and arthritis management, our physicians bring decades of experience to every case. We have cared for Los Angeles patients since 2007, with one goal for each: less pain, better movement, and a return to the activities you love.
Meet your knee specialists.
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Accepting new patients
Hayk Stepanyan, MD
Total Joint & Sports Medicine
- Glendale
- Santa Fe Springs
- East Los Angeles
Care for patellofemoral pain starts here
Don't let patellofemoral pain be something you just power through. With same- or next-day appointments at multiple Los Angeles locations, you'll never wait weeks or months for answers. The same team handles your diagnosis, treatment, and recovery. Whether you need physical therapy, injections, or surgery, we plan it with you and coordinate each step.
Call or schedule online today to see a knee specialist in Los Angeles.
Common patellofemoral pain questions
- We start with a focused orthopedic exam and detailed history. X-rays are usually done in-office; MRI or ultrasound is ordered when soft-tissue detail is needed. Most patients leave the first visit with a clear diagnosis and a written plan.
Don't wait on pain.
Book a visit with a knee specialist at any of our eight Los Angeles-area offices.
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