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Patellofemoral pain syndrome (PFPS) is a common knee condition that causes pain around or behind the kneecap (patella). It is often referred to as “runner’s knee” because it frequently affects runners, but it can occur in anyone, particularly those who engage in repetitive knee movements. Taping can be an effective way to manage the symptoms of PFPS by providing support to the kneecap, reducing pain, and improving knee alignment during activity. Below is a guide to taping for PFPS, focusing on the correct technique, purpose, and additional considerations.

This is taping variation uses kinesiology tape to allow for stretch and movement. The McConnell taping technique (the first step of this video) traditionally utilises a non-stretch rigid sports tape. Your Physiotherapist will dictate which tape is used depending on your activity preferences, return to play goals and injury severity.

Materials Needed

  • Kinesiology Tape.
  • Scissors or tape cutter.

Preparation

1. Skin preparation

  • Clean the skin around the knee to remove oils or lotions.
  • You may need to use a razor to remove long hairs that will prevent the adhesion of the tape.

Demonstration:

2. Medial glide

  • Cut to the length of 3 squares of tape to apply over the knee cap. Tear off the end of the tape closest to the outside of the knee and anchor to the skin.
  • Stretching the tape to 50%, apply from the outside of the knee in. Attach the final 1/4 of tape to the inside of the knee without any tension.
  • Use the hand to apply gentle friction to the anchor points to adhere the tape to the skin.

3. Medial loop

  • Cut the length of 4-5 squares or as equal to a diagonal line from the outside to the inside of the knee.
  • Anchor the end of the tape, approximately 2 fingers distance above the top of the last strip of tape.
  • Stretch the tape to 60% and then reduce the tension to 40% as you lay the tape in a semi-circular pattern.
  • Without tension, apply the base of the tape on the inside of the tibia/ shin bone.

4. Reinforce the medial glide

  • Repeat step 2, applying the tape above the existing tape line.

Self-Taping Variation:

Taping with elastic adhesive bandage can help stabilise the patella, preventing excessive lateral movement—the most common direction for dislocations. This can be beneficial for those managing patellofemoral joint pain syndrome, patella instability, or recovering from a recent subluxation.

This technique in particular is great for those playing sport or participating in more dynamic activities, as the tape is robust and will stay on much better than traditional patellofemoral joint taping. 

Modifications to this method include using a thinner elastic adhesive bandage (25mm) or performing another 1-2 layers to increase lateral stability. 

Post-Taping Check

  • Comfort: Ensure the taped knee feels supported but not overly tight.
  • Circulation: Check for signs of restricted blood flow, such as discolouration or swelling in the fingers.
  • Functionality: The taping should restrict excessive movement in the wrist (e.g., bending or twisting) while allowing functional use.

Tips for Effective Taping

  • Keep each strip of tape smooth and free of wrinkles to avoid discomfort or skin irritation.
  • Apply the tape with moderate tension to provide support without cutting off circulation.
  • Remove the tape carefully after use to prevent skin irritation. Use adhesive remover or warm water if needed.

Information is provided for education purposes only. Always consult your physiotherapist or other health professional before applying taping techniques