Runners, Don't Let Knee Pain Slow You Down!

Runner’s knee, known medically as patellofemoral pain syndrome (PFPS), is a common issue among runners and athletes, characterised by discomfort around the kneecap. It often arises from overuse, biomechanical factors, or muscle imbalances. While managing it can be challenging, there are several treatment options available, including osteopathy, which offers a holistic approach to addressing the underlying causes of the condition.

Understanding Runner’s Knee:

Runner’s knee typically presents as a dull, persistent ache around or behind the kneecap, particularly during activities involving knee movement like running, squatting, or climbing stairs. Its causes can vary, including overuse, muscle imbalances, inadequate stretching, unsuitable footwear, or structural abnormalities in the knee joint.

Treatment Options:
  • Rest and Ice: Taking a break from activities that aggravate the pain and applying ice packs can help reduce inflammation and alleviate discomfort. It’s crucial to rest the affected knee and ice it for short intervals several times a day.

  • Footwear and Orthotics: Wearing appropriate footwear with sufficient support and cushioning can help lessen stress on the knees. Orthotic shoe inserts may also be recommended to provide additional support and alignment as needed.

  • Anti-inflammatory Medications: Over-the-counter or prescription anti-inflammatory drugs can aid in pain relief and reducing inflammation associated with runner’s knee. However, their use should be monitored under medical guidance.

  • Osteopathy adopts a holistic approach to healthcare, emphasising the interconnectedness of the body’s structure and function. In treating runner’s knee, osteopathy involves assessing and addressing imbalances in the musculoskeletal system to restore optimal function and alleviate pain.

How Osteopathy Can Help:
  1. Structural Assessment: Osteopathic practitioners conduct thorough assessments to identify any structural irregularities, biomechanical issues, or areas of muscle tension contributing to runner’s knee. This evaluation may include examining the spine, pelvis and hips as well as the knee itself.

  2. Manual Therapy Techniques: Osteopathic manual therapy techniques, such as soft tissue manipulation, joint mobilisation, and myofascial release, are employed to alleviate muscle tightness, enhance joint mobility, and improve circulation to the affected area. These techniques aid in reducing pain and inflammation while promoting tissue healing and repair.

  3. Muscle Balancing: Osteopathic treatment aims to rebalance the muscles surrounding the knee joint, addressing weaknesses or tightness that may exacerbate the pain. By enhancing muscle symmetry and alignment, osteopathy helps alleviate strain on the knee joint and supports optimal function during movement.

  4. Rehabilitation and Prevention: In addition to providing relief from acute symptoms, osteopathy emphasises rehabilitation and prevention strategies to mitigate the risk of recurrence. This may involve prescribing specific exercises, stretches, and lifestyle modifications to enhance strength, flexibility, and biomechanics, thereby fostering long-term knee health.


Runner’s knee can significantly impact one’s quality of life and athletic performance, but it doesn’t have to be a permanent setback. With a multifaceted approach to treatment, including rest, pain relief and osteopathy, individuals can effectively manage their symptoms and prevent future occurrences. Osteopathy offers a personalised and integrative approach to addressing the root causes of runner’s knee, promoting optimal musculoskeletal health and facilitating a return to pain-free movement. If you’re grappling with runner’s knee, consider consulting an osteopathic practitioner to explore how this holistic therapy can support your journey to recovery.

“I should stop running until that pain goes away” ― No Runner Ever!