Extremities & Joints
Knee Tracking Dysfunction
Kneecap pain related to how the patella moves through its groove.
Also called: Patellar maltracking, Kneecap tracking.
Tracking complaints usually involve a combination of hip control, thigh muscle timing, and foot mechanics rather than a single faulty structure.
Pain is often felt around or behind the kneecap and can be accompanied by a grinding or catching sensation with bending and straightening.
Why this matters
Stairs, long drives, and sitting with the knee bent are the classic aggravators, since these positions increase pressure behind the kneecap.
Because several factors usually contribute, addressing only one area, such as the kneecap itself, often does not fully resolve the pattern.
The brain & nervous-system connection
Where the nervous system fits in
Muscle timing around the knee is a nervous-system output, which is why coordination is assessed alongside strength and alignment.
How well the hip and thigh muscles activate during movement affects how the kneecap tracks, so the evaluation looks at the whole limb rather than the kneecap alone.
What we look at
We look for patterns, not a single test
- Detailed health history and consultation
- NeuroInfiniti Stress Response Evaluation
- Posture and movement
- Balance and coordination testing
- Eye movement or neurological screening when appropriate
- Grip or motor-function testing when appropriate
- Palpation and spinal function
- Other examination procedures based on the individual
Not every person receives every test. What we perform depends on your history, your age and what the examination shows as we go.
Scope of care
What this does — and doesn't — mean
What we do
- • We evaluate chiropractic and musculoskeletal function.
- • We look at nervous-system-related functional findings that fall within our scope.
- • We assess movement, balance and coordination findings.
- • We measure stress-response patterns with the NeuroInfiniti evaluation.
- • We make individualized chiropractic care recommendations and re-measure over time.
What we don't claim
- • We do not diagnose, treat or cure diseases.
- • Chiropractic care is not a treatment for dementia, Alzheimer's disease or other neurological diseases.
- • Chiropractic care is not a replacement for medical care, testing or medication.
- • No outcome is promised. Results vary from person to person.
Common questions
- Will I be adjusted on the first visit?
- Generally no. The first visit is an evaluation visit. Dr. Geran reviews the findings and makes recommendations at the follow-up visit.
- Do I need imaging before I come in?
- Not usually. If your history or examination suggests imaging is needed, we will say so and help arrange the right next step.
When medical evaluation may be needed
Some symptoms need medical evaluation first. If anything in your history or examination suggests that, we will say so and help point you in the right direction.
Related at Foothills Chiropractic
- Joint Pain & Staying Active — Shoulders, hips, knees, ankles — extremity function matters as much as the spine.
- Achilles Tendinopathy — Pain and stiffness in the Achilles tendon, usually load-related.
- Ankle Instability — A repeatedly rolling or unreliable ankle, usually following earlier sprains.
- Ankle Pain — Pain or restriction at the ankle, often after an old injury.
Think Foothills Chiropractic might be right for you?
Start Here walks you through what the process looks like, so you can decide whether taking the next step makes sense for you.