Weakened, deconditioned, tight or unbalanced thigh muscles.Malalignment of any of the bones from the hips to the ankles.Foot issues, such as hypermobile feet (the joints of the feet move more than normal), fallen arches (flat feet), or overpronation (down and inward foot roll when walking).Overuse of the knee (e.g., repetitive exercises, such as lunges or running).Trauma to the knee (e.g, a direct hit or blow).Grinding, crackling noise when using the kneeĪlthough the exact cause of patellofemoral pain syndrome is not known, it is associated with the following:.Increased pain when trying to stand up after sitting for an extended period.
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