Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
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Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Patella Tracking Disorder
What is patella tracking disorder?
Patella tracking disorder occurs when the kneecap (patella) does not move smoothly in its normal pathway, leading to pain and discomfort. Normally, the patella glides up and down within a groove at the end of the thigh bone (femur) as the knee bends and straightens. In this condition, the patella shifts out of its groove—most often drifting towards the outside of the leg, though sometimes it can move inward instead. This misalignment places stress on the knee joint and causes pain.
Patella tracking disorder is often referred to as patellofemoral pain syndrome or anterior knee pain. It can develop due to several factors, including muscle imbalance, overuse, or structural differences in the knee.
How does patella tracking disorder happen?
Patella tracking disorder can occur for several reasons, and often more than one factor is involved. Some of the most common causes include:
- Structural factors such as the shape of the patella or a shallow groove at the end of the thigh bone
- Weakness in the thigh muscles (quadriceps)
- Muscle, ligament, or tendon imbalances in the hip, leg, or foot that create biomechanical issues
- Overuse of the knee through high-impact activities such as running or jumping
- Damage to the cartilage behind the kneecap
- A direct blow to the kneecap, especially from the side
What are the symptoms of patella tracking disorder?
In most cases, symptoms develop gradually over time, although a sudden onset may occur if the kneecap has been hit directly. Common signs and symptoms include:
- The kneecap visibly moving out of its normal alignment
- Grinding, popping, or catching sensations when bending or straightening the knee
- Pain or discomfort during activities such as climbing stairs, standing from a seated position, squatting, or sitting for long periods
- A feeling of the knee giving way or being unstable
What should I do if I have patella tracking disorder?
If you suspect you have patella tracking disorder, it is important to seek help from a physiotherapist who can assess the knee and provide treatments to restore proper alignment. In the meantime, you can help manage pain by applying ice to the front of the knee for 15–20 minutes every 1–2 hours, using a bag of frozen peas or crushed ice wrapped in a damp cloth.
What shouldn’t I do if I have patella tracking disorder?
You should avoid activities that increase pain or place excessive stress on the knee, such as running, jumping, or other high-impact exercises. Continuing these activities can aggravate the condition, delay healing, and make rehabilitation more difficult.
Physiotherapy treatment for patella tracking disorder
Physiotherapy plays a key role in correcting kneecap misalignment and easing pain. Treatment may include:
- Strengthening exercises to support the quadriceps and surrounding muscles
- Stretching exercises to release tight tissues pulling the patella out of place
- Knee taping or bracing to improve alignment and stability
- Orthotics (insoles) if poor foot mechanics are contributing to the problem
- Education and activity guidance to prevent further irritation and promote safe return to exercise
Could there be any long-term effects from patella tracking disorder?
In most cases, physiotherapy successfully resolves patella tracking disorder, allowing you to return to your normal activity levels. However, in more severe cases of misalignment, ongoing management may be required. This might include regular exercises, activity modifications, or continued use of taping or bracing during sport or exercise to keep the knee stable and pain-free.
To arrange a physiotherapy assessment for fat pad impingement, please call Ace Physiotherapy & Sports on +65 8153 5374 or book online today.
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