Chronic anterior knee pain

Frequency: Chronic anterior knee pain is one of the most common orthopaedic complaints in adolescents, especially in 12- to 18-year-olds.

Cause: There are many causes of this pain, but it is often caused by overloading the hamstrings, incorrect guidance of the patella (kneecap) or muscle weakness in the thigh. Incorrect loading and inadequate recovery periods after sporting activities can also lead to this problem.

Congenital or acquired: In most cases, this is an acquired problem caused by repeated strain and insufficient regeneration. However, anatomical misalignments can also increase the risk.

Typical symptoms include stabbing or pulling pain in the area of the kneecap, which can worsen after exercise or prolonged sitting. There may also be swelling or a feeling of instability.

Conservative: Treatment usually begins with conservative measures such as physiotherapy, painkillers and, if necessary, supports or orthoses. Targeted strengthening training of the thigh muscles is particularly important in order to better stabilise the kneecap.

Surgical: Surgery can only be considered in very severe cases or if conservative measures do not provide relief.