▁in ▁the ▁fem ur ▁through ▁which ▁it ▁passes ▁during ▁kne e ▁flex ion . ▁Possible ▁causes ▁include ▁a ▁tight ▁il iot ib ial ▁band , ▁neur omas , ▁b urs itis , ▁over use , ▁mal align ment , ▁core ▁inst ability , ▁and ▁pat ell ar ▁m alt rack ing . ▁ ▁P ain ▁at ▁the ▁front ▁or ▁inner ▁side ▁of ▁the ▁kne e ▁is ▁common ▁in ▁adult s ▁of ▁all ▁ages ▁especially ▁when ▁eng aging ▁in ▁s occer , ▁g ymn ast ics , ▁cy cling , ▁row ing , ▁tennis , ▁bal let , ▁basketball , ▁horse back ▁r iding , ▁vol ley ball , ▁running , ▁combat ▁sports , ▁figure ▁sk ating , ▁snow board ing , ▁sk ate board ing ▁and ▁even ▁sw imming . ▁The ▁pain ▁is ▁typically ▁felt ▁after ▁prolong ed ▁sitting . ▁Sk ate board ers ▁most ▁commonly ▁experience ▁this ▁injury ▁in ▁their ▁non - domin ant ▁foot ▁due ▁to ▁the ▁constant ▁kick ing ▁and ▁tw isting ▁required ▁of ▁it . ▁Sw imm ers ▁ac quire ▁it ▁doing ▁the ▁breast stroke , ▁which ▁dem ands ▁an ▁unusual ▁motion ▁of ▁the ▁kne e . ▁People ▁who ▁are ▁involved ▁in ▁an ▁active ▁life ▁style ▁with ▁high ▁impact ▁on ▁the ▁kne es ▁are ▁at ▁greatest ▁risk . ▁Pro per ▁management ▁of ▁physical ▁activity ▁may ▁help ▁prevent ▁w ors ening ▁of ▁the ▁condition . ▁Athlet es ▁are ▁ad vised ▁to ▁talk ▁to ▁a ▁phys ician ▁for ▁further ▁medical ▁diagn osis ▁as ▁sympt oms ▁may ▁be ▁similar ▁to ▁more ▁serious