This is the most common form of knee soreness. The soreness comes from the cartiliage under the knee-cap (patella) rubbing against the thigh bone (femur). This rubbing can occur due to increased activity in impact exercise or sports, i.e. running, or it can be caused due to excessive “twisting” with your leg. This “twisting”, or internal rotation, is part of the mechanics involved as a result of overpronation, or arch collapse. When the leg twists, it causes the knee-cap to be out of alignment, which means it will rub more on the thigh bone.
Treatments:
Orthotics are a common form of treatment, and prevention, for patellofemoral symptoms. Orthotics will prevent the excessive “twisting” with the leg by supporting the foot’s arch. Wearing quality footwear with good shock absorption and support will help also.
Physiotherapy should also be considered to strength the muscles around the knee to help stabilize proper alignment.