Anterolateral knee pain

[jtobias83]

I have a patient with similar complaints. HE is a runner who began experiencing pain in the anterolateral aspect of his L knee at around the 3 mi point of his run. He was diagnosed with ITB syndrome and sent to me for PT. I took him off his running program while we addressed his tight ITB and weak hip musculature. He had been symptom free with all daily activities so I had him try to return to running but the pain returned. The pain comes on suddenly at around mi 3 and will last 24 hr. The patient reports the knee will feel like it's going to buckle with weightbearing once the pain begins. I assessed the patient immediately post running but was not able to elicit the pain with palpation. Has anyone know what can be causing this pain and has anyone had any success in treating? Thanks!

[chen7389]

hi, haven't seen patients like this, but just get my some input here. Try slow motion of hopping, see if there is biomechanical control issue, especially knee adduction. that might build up lateral loading during running.