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Anterior (front) Knee Pain – Symptoms & Treatment in Bromley

Key Points

Front knee pain, also called anterior knee pain, is a common problem in both active individuals and those with everyday knee strain.

It often relates to patellofemoral pain syndrome (runner’s knee), patellar tendon issues, or cartilage irritation under the kneecap.

Symptoms include pain when bending the knee, climbing stairs, squatting, or sitting for long periods.

At Bromley Sports Injury Clinic, we provide osteopathic treatment, ultrasound imaging, blood tests, and tailored rehabilitation to identify the cause and help you return to activity pain-free.

What is Front Knee Pain?

The front (anterior) of the knee involves the:

  • Patella (kneecap) and surrounding cartilage

  • Quadriceps and patellar tendons (Tendon Injuries)

  • Joint capsule and fat pad under the kneecap

Pain occurs when these structures become irritated, often due to overuse, poor biomechanics, or injury.

Symptoms of Anterior Knee Pain

  • Pain at the front of the knee, behind or around the kneecap

  • Pain climbing stairs, running, squatting, or cycling

  • Stiffness after sitting (“theatre sign”)

  • Clicking, grinding, or popping under the kneecap

  • Swelling or puffiness around the kneecap in some cases

  • Weakness in quadriceps or difficulty fully extending the knee

Causes & Risk Factors

  • Patellofemoral pain syndrome (runner’s knee)

  • Patellar tendinopathy (jumper’s knee → see Tendon Injuries)

  • Chondromalacia patellae (cartilage irritation)

  • Quadriceps muscle imbalance (Muscle Strain)

  • Overuse or sudden load increase (running, jumping sports)

  • Poor biomechanics (flat feet, knock knees, weak hips → see IT Band Syndrome)

  • Arthritis or degenerative changes

  • Previous injury such as Ligament Sprain

Diagnosis of Front Knee Pain

At Bromley Sports Injury Clinic, diagnosis includes:

  • Osteopathic assessment – gait, muscle strength, joint alignment, functional testing

  • Ultrasound imaging – to visualise tendons, bursae, and soft tissue inflammation

  • Blood tests – in recurrent or chronic cases, to assess vitamin D, thyroid, or metabolic contributors

  • Referral – for MRI if cartilage or meniscus injury is suspected

Self-Help for Front Knee Pain

  • Rest or reduce aggravating activities temporarily

  • Ice the front of the knee after activity

  • Strengthen quadriceps, hips, and glutes to support patella tracking

  • Gentle stretching of quads, hamstrings, and calves

  • Avoid prolonged sitting with bent knees

  • Use supportive footwear and orthotics if flat feet are present

Treatment Options at Bromley Sports Injury Clinic

✅ Osteopathic treatment – mobilisation and soft tissue therapy to reduce tension and restore movement
✅ Exercise rehabilitation – tailored programme for quadriceps, hip, and glute strength
✅ Sports massage – deep tissue release for quads, IT band, and hamstrings
✅ Ultrasound imaging – confirms diagnosis and tracks healing
✅ Blood testing – identifies deficiencies slowing tissue recovery
✅ Technique & training advice – gait analysis, squat technique, and return-to-sport planning

Prevention

  • Warm up and stretch before activity

  • Strengthen hips and quadriceps to maintain patella alignment

  • Avoid sudden increases in running mileage or load

  • Use proper footwear with good support

  • Alternate training surfaces to reduce repetitive strain

  • Maintain healthy body weight to reduce joint load

FAQs – Front Knee Pain

Q: Is front knee pain the same as runner’s knee?
Yes, runner’s knee is a type of anterior knee pain, but not all front knee pain is runner’s knee.

Q: Do I need a scan?
Ultrasound can confirm tendon issues or bursitis. MRI is used if cartilage or meniscus injury is suspected.

Q: Can I keep exercising?
Often yes, with modified activity. Strengthening and proper technique are key.

Q: Why are blood tests relevant?
They can highlight systemic issues (e.g. vitamin D deficiency or Rheumatoid factor) that affect recovery.

Book Your Appointment

Don’t let front knee pain limit your lifestyle. Book your anterior knee pain assessment in Bromley today and get back to training and daily activity.

📍 Bromley Sports Injury Clinic | Same-week appointments available

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Reviewed by: Geoff Gardener, Registered Osteopath (GOsC 8289) — Director, Bromley Sports Injury Clinic
Credentials: Osteopath · ECG Technician · Advanced DSE Assessor · Manual Handling Trainer · Phlebotomist
Regulatory information: CQC Provider — Colmore Health Limited (ID: 1-18387136912)
Last medically reviewed: 03 October 2025
Next review due: 03 April 2026
About Geoff · Editorial Policy · Report an issue

Clinical content is written and peer-reviewed by our clinicians. Care pathways may include musculoskeletal ultrasound, rehabilitation, blood tests, or onward referral where appropriate.

Bromley Sports Injury Clinic is a trading name of Colmore Health Limited, a company registered in England and Wales (Company No.10522958), registered with the Care Quality Commission (CQC) and the Information Commissioner's Office (ICO).

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