Q I’ve had knee pain for a few months now. My GP has explained that the patella has moved out of line and that I am experiencing bone grinding on bone when I run. Now it’s got worse, but my GP is in no hurry to refer me to a specialist, saying

and front of the thigh bone respectively, and their size and position affects the angles the legs move at, and particularly the way that the patella (kneecap) moves. Your anatomy and the patterns of your muscle use determine many of the injuries you

UAN:224 Article type:--SymptomsJust because it is also known as ‘jumper’s knee’, runners are not immune from this sudden pain that strikes at the base of the patella (kneecap) because of a partial rupture of the ligament below it. SignsYou may

UAN:213 Article type:--SymptomsYou will tend to notice a tender swelling in the hollows normally found between the patella and the lower leg. As the discomfort may be worse after runs, it may limit training.SignsYour doctor will see exactly

/foot the most susceptible areas. PatelloFemoral Pain SyndromePatellofemoral pain syndrome (PFPS) is a term used to describe nonspecific pain around the patella (kneecap). There are many potential causes but one of the most popular theories links PFPS to faulty

UAN:228 Article type:--The quads and hams, to be colloquial, surround the knee in a tripod-like fashion, the quadriceps through the patella and its tendon acting to straighten the knee, while the hamstrings at the back of the thigh diverge

), they often learn as much from inspecting your running shoes, so be sure to bring them along to the appointment. Case study Bamsey recently treated a 31-year-old suffering from pain in the right knee, just below the patella. The patient managed to clock his

injuries treated at the centre (42 per cent) occurred at the knee, with PFPS making up 46 per cent of them. The next most common knee injuries were iliotibial band friction syndrome, meniscal injuries and patella tendinitis. Diagnostically, PFPS produces a

, be it blood or excess lubrication from the lining synovium must be considered in the differential diagnosis. The injury will limit movement of the knee, as may damage to the cartilages, the collateral ligaments that allow the joint to hinge, the patella

of the North Cheshire Sports Injury Clinic, recalls the recent case of an 18-year-old university student of international standard. “This lad came to see me about a year ago suffering from patella-tendinitis. He hadn’t been able to run effectively for about