Patellofemoral arthritis is a type of osteoarthritis that affects the underside of the kneecap (patella) and the groove in the thigh bone (femur) where the kneecap rests. Over time, the cartilage that cushions these surfaces can wear away, leading to pain, stiffness, and difficulty with activities such as climbing stairs, squatting, or standing up from a seated position.

At Louisville Hip & Knee Institute, our highly experienced team, with advanced diagnostic tools and personalized treatment options, is here to help you manage patellofemoral arthritis and improve your quality of life. You can trust our expertise and commitment to your well-being.

Patellofemoral arthritis can develop due to several factors:

• Previous injuries: Dislocations, fractures, or ligament injuries can damage the cartilage around the kneecap.
• Overuse: Activities that involve frequent kneeling, squatting, or jumping can increase stress on the knee joint.
• Alignment problems: Improper movement of the kneecap over the thigh bone can lead to uneven cartilage wear.
• Aging and genetics: The natural wear and tear, combined with a genetic predisposition, can contribute to cartilage breakdown.

Common symptoms of patellofemoral arthritis include:

• Pain in the front of the knee, especially when using stairs, kneeling, or standing from a seated position
• Swelling or tenderness around the kneecap
• Grinding, clicking, or popping sensations during movement
• Stiffness after periods of inactivity
• Weakness or a feeling that the knee might give out

If you experience any of these symptoms, it’s important to seek evaluation to prevent further joint damage.

Rest assured, treatment for patellofemoral arthritis is effective and can significantly improve your symptoms and quality of life. The treatment plan will depend on the severity of your symptoms and your level of physical activity.

Non-Surgical Treatments

• Physical therapy: Strengthening the muscles around the knee to improve joint support and movement
• Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) help reduce pain and inflammation
• Activity modifications: Switch to low-impact activities, such as swimming or cycling.
• Knee bracing: Supporting proper kneecap alignment
• Joint injections: Corticosteroid injections may temporarily reduce inflammation and discomfort

Surgical Treatments

If non-surgical methods do not provide enough relief, surgical options may be considered:

• Arthroscopy: A minimally invasive procedure to smooth cartilage and remove debris
• Realignment procedures: Adjusting the position of the kneecap to distribute forces more evenly across the joint
• Partial or total knee replacement: In severe cases, replacing damaged surfaces to restore function and reduce pain

Your surgeon at Louisville Hip & Knee Institute will work closely with you to determine the most appropriate treatment option based on your specific needs, ensuring you receive personalized care.

Recovery depends on the severity of the arthritis and the type of treatment performed. For non-surgical care, a structured physical therapy program can help restore strength, flexibility, and range of motion within weeks to months.

If surgery is performed, recovery typically involves:

• Initial mobility support: Using assistive devices like crutches or a walker as needed
• Physical therapy: Starting shortly after surgery to promote healing and regain function
• While recovery timelines vary depending on the surgical approach, most patients can expect to return to normal activities within 3 to 6 months, offering hope for a full recovery.

Following your rehabilitation plan closely is key to a successful recovery.

While you can’t always prevent arthritis, you can lower your risk of worsening knee problems by:

• Maintaining a healthy weight reduces stress on your knees
• Strengthening the muscles around your knee to improve joint stability
• Avoiding high-impact activities that place excessive strain on the knees
• Wearing appropriate footwear to provide support and cushioning
• Addressing any knee injuries early to prevent long-term damage

You should schedule a visit with a specialist if you experience:

• Persistent or worsening knee pain
• Swelling, stiffness, or grinding sensations
• Difficulty climbing stairs or standing from a seated position
• Instability or a feeling of your knee “giving out”

Early diagnosis and treatment can help prevent further damage and improve your outcome.

At Louisville Hip & Knee Institute, we are dedicated to helping you find lasting relief from knee pain. Whether you need conservative treatment options or advanced surgical care, our team is here to guide you every step of the way.

Schedule a consultation today and take the first step toward better knee health.

Can patellofemoral arthritis be cured?
Patellofemoral arthritis cannot be fully cured, but treatment can manage symptoms and improve knee function. Many people find relief with physical therapy, medications, lifestyle changes, or surgery if needed.

Is patellofemoral arthritis the same as regular knee arthritis?
Patellofemoral arthritis is a type of osteoarthritis that affects the underside of the patella, commonly referred to as the kneecap. It differs from arthritis that affects the entire knee joint. A specialist can help determine which type of knee arthritis you have.

How long does it take to recover from patellofemoral arthritis treatment?
Recovery time depends on your treatment. Non-surgical treatments, such as therapy, may show results in a few weeks. If surgery is necessary, full recovery can take 3 to 6 months, accompanied by regular rehabilitation.

When should I consider surgery for patellofemoral arthritis?
You may need surgery if pain, swelling, or stiffness continue despite therapy and medications. If your daily activities are limited or your knee feels unstable, talk to an orthopaedic surgeon about your options. 

Can exercises help patellofemoral arthritis?
Strengthening exercises for the quadriceps, hamstrings, and hips can help support the knee and reduce pain. Low-impact activities, such as swimming, cycling, and walking, are also excellent choices for staying active without putting extra strain on your knees.