Pain in the front of the knee is a very common complaint.The pain usually originates from the tissue around the kneecap including the tendons, bones and cartilage surfaces. These tissues are put under high forces during many common activities and especially during sports. Running, jumping, hiking, squatting and lunging can place up to six times an individual's body weight through these tissues. Repetitive high loading eventually leads to tissue breakdown and subsequent pain. Women are more susceptible to these problems because their kneecaps are smaller and often "track" abnormally. High forces in a small distribution area leads to painful "chondromalacia" (chondro=cartilage; malacia=bad).