Jason’s condition is known as a Patellar Tracking Syndrome. The patella (knee cap) is enveloped by the tendon of the quadriceps muscle, which inserts into the upper tibia. As the lower leg moves in flexion and extension, the patella tracks through a grove between the two condyles (rounded ends) of the femur. If the associated parts are in a neutral position and the forces acting through the tendon are symmetric, the patella slides through the groove unhindered. However, a common pattern can develop which throws this mechanism off. The lateral musculature is prone to shortening and tightening, while the medial musculature is prone to weakness. This trend, coupled with the abnormal alignment caused by flat feet, is a recipe for trouble.
Jason’s condition caused increased stresses to the knee and inflamed the soft tissues. Our team put together a plan for him which include wearing orthotics to correct the flat feet, adjusting the lower spine, and specific therapeutic exercises to rebalance the patellar tracking mechanism.