Fat Pad Impingement


Fat pad impingement syndrome is used to describe the condition where the fat pad which is situated just beneath the patella (kneecap) becomes compressed between the patella and the femoral condyle. Generally this occurs during a direct blow to the knee. As the fat pad is one of the most sensitive structure in the knee this syndrome can be extremely painful and debilitating.

Fat pad impingement can also be chronic in nature as it can be aggravated over time through poor alignment of the knee.


Fat pad impingement is aggravated by:

  • Sustained standing.
  • Extension or hyperextension of the knee.
  • Tenderness below the knee cap.


Taping the knee cap to take pressure off the fat pad.

Correcting any biomechanical abnormalities predisposing fat pad impingement such as:

  • Poor posture.
  • Pelvic tilt.
  • Poor running, jumping, squatting or lifting techniques.
  • Restrictions in muscles around the knees and hips.
  • Strengthening of the correct stabilising muscles of the hips and knees.