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Why is my knee cap rubbing?

Published in Knee Pain 3 mins read

Your knee cap (patella) is likely rubbing because it's not gliding smoothly over the lower femur bone. This can occur due to a couple of key reasons:

Reasons for Knee Cap Rubbing

The rubbing of your knee cap, also known as patellofemoral pain syndrome, is a common issue. Here's a more detailed breakdown of the potential causes:

  • Overuse:
    • As the provided reference notes, overuse of the knee, particularly in certain sports, can irritate the joint and lead to rubbing.
    • Repetitive motions or high-impact activities put extra stress on the knee joint. This increased stress can cause the patella to rub against the femur instead of gliding.
    • Examples include:
      • Running
      • Jumping
      • Squatting
  • Misalignment:
    • Some people have a slight misalignment of the knee where the patella doesn't track properly. Instead of gliding smoothly, it may rub against the lower femur.
    • This misalignment can result from:
      • Muscle imbalances around the knee
      • Structural issues with the bones or joints
      • Weak hip or core muscles affecting knee alignment

Identifying the Cause

To figure out exactly why your knee cap is rubbing, consider these points:

  • Activity Level: Do you participate in sports or activities that frequently use the knee?
  • Pain Location: Is the pain located under or around your kneecap?
  • Pain Severity: Is the pain mild or intense, consistent, or intermittent?
  • Swelling: Is there any swelling around the knee?

What You Can Do

Here are some steps you might consider:

  • Rest: Avoid activities that worsen your pain and allow your knee time to heal.
  • Ice: Apply ice to the affected area for 15-20 minutes several times a day to reduce swelling and inflammation.
  • Strengthening Exercises: Focus on strengthening the muscles surrounding the knee to improve patellar tracking and stability.
  • Stretching: Improving flexibility in your legs can assist with proper joint movement.
  • Medical Assessment: If the pain persists, it’s best to see a doctor or physical therapist for a thorough evaluation and personalized treatment plan.
Reason Description
Overuse Repetitive or high-impact activities that overstress the knee joint.
Misalignment Poor tracking of the patella on the femur due to muscle imbalances or structural issues.

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