Pain : Pain in the knee cap (patella) area when sitting, or especially when getting up after sitting, is called "movie goers sign." it is typical of patellofemoral syndrome, a common condition in young women. Pain is usually brought on with any load on a bent knee, such as taking stairs and squatting. Many people report going down stairs is worse than going up. Though most cases of patellofemoral syndrome have no specific cause, there are some anatomic risk factors. Some women have a shallow groove (trochlea) for the patella. Some people (men and women) have knee caps that pop out of joint (subluxate or dislocate). Some people have particularly weak muscles that stabilize the knee cap, especially one called the vastus medialis oblique (vmo) which is part of the quadriceps group. You should be evaluated by an orthopaedic surgeon experienced in sports medicine. He/she can determine if the pain is from the knee cap area and if there are contributing factors. Most patellofemoral syndrome can be treated with exercises, especially "straight leg raises". It is important to avoid "open chain" exercises, such as walking with heavy shoes or boots or doing quadriceps curls in the gym. Ice, anti-inflammatories, and methods of taping or bracing can also be very helpful. Rarely, there will be a deformity that requires surgery. X-rays can be helpful and should be done to look for other causes of knee pain. Again, though, most people do not need surgery. However, it can take some time to recondition the knee.
Answered 10/3/2016
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