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I felt some pain under the knee in front while doing squats, the pain is mild but its there when i do any physical activity. I do on average 2 hours of fitness/day and im using voltaren, any advice?
May 8, 2013
2nd opinion

Dr. Zakia Dimassi Pediatrics
This type of pain is known as patellofemoral pain. The pain usually originates from the tissue around the kneecap including the tendons, bones and cartilage surfaces. These tissues are subject to excessive wear and stress especially during sports. Running, jumping, hiking, and squatting can place up to six times an individual's body weight through these tissues. With repetitive high loading, there will be eventual tissue breakdown and subsequent pain. Women are more susceptible to these problems because their kneecaps are smaller and often "track" abnormally.
The pain is dull, aching, located under or around the front of the kneecap (patella) where it connects with the lower end of the thighbone (femur). It can occur when walking up or down stairs, kneeling, squatting, and sitting with a bent knee for a long period of time.
Preventive measures include: keeping a lean weight (heavy weight puts strain on your knees), stretching/warming-up for 5 min before exercising (lessens the tendon and ligament irritation), increase training intensity gradually (don't go from mild to strenuous exercise at once), and doing exercises that strengthen the quadriceps muscles (these are the four main muscles on the front of the thigh) which will minimize the pressure on the knee cap cartilage and shift it into the muscle. It also helps the kneecap in tracking properly and distributing the load evenly.
Treatment: local anti-inflammatory creams are of little benefit, you need an oral anti-inflammatory like Advil for 5-7 days.
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