Dominic Richmond

Running Shouldn’t Hurt — But Flare-Ups Are Common You’ve built up your mileage, got your shoes dialled in, and you’re feeling fitter than ever — until that familiar niggle on the outside or front of your knee  starts to creep back in. Knee flare-ups are one of the most common complaints among runners I see at The Knee Physio  in Bury St Edmunds . The good news? Most aren’t caused by damage — they’re the result of training errors  that can be easily corrected. Here are the top five I see week...

What Is Patellar Tendinopathy? Patellar tendinopathy — often called “jumper’s knee”  — is a common overuse injury that affects the tendon connecting the kneecap (patella) to the shin bone (tibia). It typically develops in athletes who perform repeated jumping, sprinting, or cutting movements — such as runners, footballers, and court-sport athletes. Pain is usually localised just below the kneecap, described as sharp during activity and stiff afterward. Left untreated, it can limit training...

What Is Hoffa’s Fat Pad? Deep beneath the patellar tendon lies a small but important structure called the infrapatellar (Hoffa’s) fat pad . It acts as a shock absorber and lubricating cushion  between the kneecap tendon, the patella, and the femur. Often pinched by these structures through repeated hyperextension, trauma, or poor movement control  — it becomes inflamed and painful, a condition known as Hoffa’s fat pad impingement . Because it can mimic other knee conditions such as patellar...