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Washington State

Seattle | West Seattle

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(206) 946-1323

4755 Fauntleroy Way SW, Suite 120, Seattle, WA 98116

(206) 946-1323

4755 Fauntleroy Way SW, Suite 120, Seattle, WA 98116

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Seattle | Fremont

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(206) 547-0707

701 N 36th St, Suite 430, Seattle, WA 98103

(206) 547-0707

701 N 36th St, Suite 430, Seattle, WA 98103

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Seattle | Green Lake

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(206) 522-6240

7116 Woodlawn Ave NE, Seattle, WA 98115

(206) 522-6240

7116 Woodlawn Ave NE, Seattle, WA 98115

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Oregon State

Portland | Slabtown

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(503) 227-0503

2175 NW Raleigh Street, Suite 102, Portland, OR 97210

(503) 227-0503

2175 NW Raleigh Street, Suite 102, Portland, OR 97210

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Patellofemoral Pain Syndrome Treatment

What is Patellofemoral Pain Syndrome?

Patellofemoral Pain Syndrome (PFPS) is an umbrella term used to describe pain originating at the patellofemoral joint (where the kneecap and femur join) and/or the tissues that support it.

It’s sometimes referred to as runner’s knee or jumper’s knee, and is one of the more common forms of knee pain.

What causes Patellofemoral Pain Syndrome?

PFPS may be caused by overuse, muscle imbalances, and movement compensation patterns that overload the joint during repetitive flexion and extension of the knee. Sometimes muscle imbalances in the quadriceps may cause knee tracking issues, which lead to excessive wear of the joint and ultimately pain in front of the knee.

Other muscle imbalances, such as weak glutes, lateral hip stabilizers, and feet, cause the knee to trend inward during functional movements. In either case, excessive stress is placed on the knee, leading to knee pain.

Repetitive motions like running, jumping, and squatting may overload the tissues that support the knee, leading to tightness and pain around the kneecap. If left unaddressed, the condition may worsen with continued use and lead to patellofemoral pain.

What are Signs & Symptoms of Patellofemoral Pain Syndrome?

Patellofemoral Pain Syndrome (PFPS) is commonly associated with dull aches or sharp pain near the front of the kneecap. It’s often exacerbated by increased activity, such as squatting, ascending or descending stairs, kneeling, running downhill, or sitting with a bent knee for extended periods of time. It usually starts with mild discomfort or tightness near the kneecap, and may develop into more severe knee pain when left untreated.

Does Tangelo treat people with Patellofemoral Syndrome?

We see people with Patellofemoral Pain Syndrome all the time, and achieve excellent results through our unique approach of combining manual therapy and movement training to get you out of pain fast! By utilizing manual and instrument-assisted therapy techniques to address the tissues around the knee, we make sure the affected area is healing properly to get you out of pain as quick as possible. But, that’s only half of the equation.

After treatment, you’ll perform corrective exercises as part of your personalized rehab program. It’s these functional movements that unwind compensation patterns, correct movement dysfunction, and retrain your body (and brain) how to move properly to prevent further or future injury.

How can Tangelo Help Treat my Patellofemoral Pain Syndrome?

At Tangelo, we don’t just focus on the obvious symptoms. We work hard to figure out what caused the problem in the first place. Our process begins with a comprehensive movement assessment to evaluate your knee, hip, and ankle, as well as your gait patterns, balancing, and lifting mechanics.

Our doctors use leading-edge manual therapy techniques to address the tight tissues around the knee and hip, which are likely the root cause of tightness and ultimately pain. These manual therapy techniques alleviate pain and provide a window of opportunity to fix the root issue, which oftentimes relates to balance of strength and how you move.

Our rehab specialists instruct targeted corrective exercise and functional movements to enhance your ability to squat, lunge, jump, and run without discomfort. By improving the strength of your glutes, lateral hip stabilizers, and foot and ankle stability, we’ll teach you how to move in efficient ways to perform a variety of movements, so your knee tracks properly between the foot and hip. This comprehensive approach will make sure you get out of pain, stay out of pain, and go back to doing the sport or activities you love!

If you think you have Patellofemoral Pain Syndrome or any type of knee pain, we’d be happy to see you at any of our clinics in Seattle (Fremont, Green Lake, West Seattle) or Portland (Slabtown). You can schedule an appointment online or call the location most convenient for you! . You can schedule an appointment online or call the location most convenient for you!

Testimonials

What some of our clients have to say

I sprained my knee and went to another physical therapist and was unimpressed. Within a week of treatment at Tangelo the pain in my knee was going away and full range of movement was returning.

Their focus on building strength and teaching me the right exercises has enabled me to run and bike again. This is huge!! Thanks Sean, Geneva and Dr. Molina–it is great to have you part of my rehab team!!

Brian T.

I was experiencing knee and leg tightness that was causing numbness in a couple of my toes. I had gone to see a traditional chiropractor for a few sessions but my condition wasn't improving.
I then found out about Tangelo and the rest is history. Dr. Krysann was able to mix both traditional chiro adjustments with a lot of soft tissue work to loosen up my legs and knees.

Not only is Tangelo great for fixing ailments, the atmosphere truly sets it apart. You walk in and everyone greets you with a big smile. You truly feel like you have a team watching your back, working in harmony. They create an atmosphere that makes you want to stay and just hang out.

David P.

Other common conditions

Low-Back Pain

Lower back pain and low back issues can occur suddenly, or can develop slowly over time. Chronic pain in the low back can result from disc injuries such as herniations or ruptures, joint problems, and irritated or inflamed nerves.


Shoulder Pain

Shoulders conditions we treat include acute injuries such as rotator cuff tears and sprains, as well as chronic pain resulting from impingements, tendonitis and arthritis.


Knee Pain

Knee pain can result from acute injuries, muscle imbalance, and repetitive-use injuries. Common conditions include Patellofemoral Pain Syndrome, and IT band syndrome. Knee pain can be a symptom of related issues in the hips and ankles.


Foot & Ankle Pain

Conditions in the lower leg, foot and ankle include acute injuries such as sprains and strains, as well as chronic conditions such as plantar fasciitis and shin splints.


Neck Pain

The muscle and ligaments of the neck connect the head, shoulders and back. Neck pain can result from poor posture, muscle imbalance, and injury. Often, neck pain is related to other interconnected muscle groups.


Elbow Pain

Elbow pain can be related to a number of conditions. Elbow tendonitis, or Tennis Elbow, is a common condition caused by inflammation and injury to the tendons. Overuse injuries and repetitive hand, wrist, or arm movements often cause elbow pain.



Tangelo treats conditions involving the body’s muscular and skeletal systems. Our hybrid approach was created to treat muscle, soft tissue, bone and joint conditions.

We provide service for muscle sprains and strains, repetitive-stress injuries, athletic injuries, acute injuries and chronic conditions.