What You Might Be Feeling

Common Ways People Describe It

Runner's knee is pain around or behind the kneecap, usually from how the kneecap tracks. People tend to say:

  • "A dull ache around or behind my kneecap"
  • "It hurts going down stairs or after sitting a long time"
  • "My knee feels like it isn't tracking right"
  • "It shows up a few miles in, or the morning after"

Common Causes

  • Weak hips and glutes
  • Overstriding
  • A sudden jump in weekly mileage
  • Worn-out shoes
  • A left-right asymmetry you can't see yourself

Read more in our guide, Why Does My Knee Hurt When I Run? →

What Shapes Your Timeline

No two cases follow the same schedule. Your timeline depends on how long the problem has been building, your hip strength, your stride, your training load, and how you respond as we make changes. We reassess along the way and adjust the plan as you change.

What Treatment Looks Like Here

You work 1-on-1 with Dr. Lovelace and have direct access to the doctor at every visit. We start with an exam, usually including a 3D gait analysis, so your plan comes from measurements instead of guesses. Which tools we use after that depends on what the exam finds and what you need. We reassess as we go so you can see what's changing.

Pain often shows up away from where it starts. Your 3D movement assessment gives us baseline measurements, and a gait analysis shows what your hips, knees, ankles and feet do while you walk or run, so the plan targets the root cause. See how gait analysis works →

Common Approaches

  • Rest, ice and anti-inflammatory medicine calm the pain without answering why it started. Talk with your MD about what fits you.
  • Braces and taping can help in the short term.
  • Our approach finds your specific compensation pattern and builds your plan around it.

When It Might Be Something Else

Signs your pain may not be runner's knee:

  • Swelling
  • The knee locks, catches or gives way
  • A fall or direct blow
  • Pain at rest or at night
  • No improvement after several weeks

Most running pain follows a pattern. When yours doesn't, we want to know early. We can order imaging when it's warranted and share the results with your MD. We always recommend co-management with your MD to support your recovery, so everyone is working from the same information.

Frequently Asked Questions

Questions We Hear

Stairs, squatting and long periods of sitting all load the kneecap more than walking on flat ground does. If the kneecap isn't tracking well, those are often the first places it shows up.

Running itself isn't known to wear out healthy knees. Runner's knee usually points to a load or mechanics problem that can be addressed, not to damage that running caused.

Yes. Patellofemoral pain is the clinical name for pain around or behind the kneecap, and runner's knee is the common name for it.

Ready When You Are.

Schedule a discovery call and start with a 3D movement assessment. Questions about your first visit? Call us at (214) 536-2423.

Schedule a Discovery Call

Individual results vary. This page is educational and doesn't replace an exam or care from your physician.