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Pain in front and below kneecap in both legs when walking in stairs or squatting. Suggest?

Jul 2013
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Answered by

Orthopaedic Surgeon, Joint Replacement
Practicing since : 1996
Answered : 2148 Questions
Pain in front of and below kneecap in both legs when walking in stairs or squatting. Also kind of prickly feet
Posted Thu, 10 Oct 2013 in Bones, Muscles and Joints
Answered by Dr. K. Naga Ravi Prasad 36 minutes later
Brief Answer:
It could be due to Patello-femoral arthritis.

Detailed Answer:
Hi, thanks for writing to XXXXXXX

Your symptoms typically suggests the possibility of Patello femoral arthritis (PF arthritis) which implies "wear and tear" in the patellofemoral articular surface. Your age also favours this diagnosis.

The common modalities of treatment for this condition involves -

• Stretching exercises for the hamstrings, quadriceps, calf muscles and iliotibial band
• Strengthening exercises for the quadriceps (especially the Vastus medialis muscle), hip abductor and hip external rotator muscles
• Patellar taping techniques
• Patellar tendon counterforce brace
Orthotics for the longitudinal arch of the feet
• Anti-inflammatory medication like Advil or Aleve will alleviate the pain
• Losing weight (if you are obese)
• Avoiding deep knee bending activities (like squatting & sitting cross legged)
• Patellar mobilization
• Corticosteroid injections into the joint may be helpful in providing good symptom relief for a few months to years.

If all the above measures fail to provide pain relief, then Patello-femoral arthroplasty may be indicated.

There are numerous causes for prickly feet. Some of the common causes are peripheral neuropathy, Diabetes, a pinched nerve in the Lumbar spine, Alcoholism, Vitamin deficiencies, Thyroid disorders, circulation disorders etc. So, a detailed clinical examination and appropriate investigations are necessary to establish the possible cause.

Hope I have addressed your query. Happy to help further


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