Pain going up stairs and pain going down stairs can make all the difference in the world when you are assessing a knee. One is caused by muscle imbalances and the is typically from a posterior tibia subluxation. But how do you know which is which, especially when the patient tells you their knee feels 'unstable'? So what about if pain is also present when the leg(s) is extended and then it's painful in the lower tight? Now what's going on?!?!

So what does this patient look like to you? Is it's an athlete? A young, non athletic female that is starting to go through puberty? Or maybe it's an older male that who cracked his patella in half getting into his daughter's car. 

Spoiler alert: cracking your knee cap in half is NOT directly related to Patellar Malalignment Syndrome. ...phew, glad we cleared that up!

Join Dr. David & Dr. Karen Hannah as they discuss PMS, how to recognize this patellar tracking problem, and what to do about it.