Runners knee is most often associated with an improper patellofemoral tracking, leg length discrepancies, asymmetries of the foot, ankle or lower leg, and weakness or inhibition of the proximal hip musculature during activity (running) or other activities. These malalignments can cause a number of problems in the knee. Most often things like iliotibial band syndrome, patellar tendonitis and chondromalacia are common. The most important step is an assessment to determine what is causing the malalignment. We know this sounds complicated but a reputable sports medicine physician or certified athletic trainer can offer assistance in the assessment. Treatment can range from formal therapeutic interventions, corrective exercise and modalities to administration of anti-inflammatory medications (OTC or prescribed by your doctor). Again, assessment is the first step in determining treatment options.