Fat Pad Syndrome
Fat Pad Syndrome, also known as Hoffa’s Syndrome, is inflammation and impingement of the infrapatellar fat pad beneath the kneecap, causing anterior knee pain, especially during extension.

Symptoms
- Pain below or around the kneecap
- Increased pain when standing or straightening the knee
- Tenderness around the patellar tendon
- Swelling or fullness in the front of the knee
- Pain aggravated by prolonged standing or walking
Causes & Risk Factors
- Hyperextension injuries
- Repetitive kneeling or direct trauma
- Post-surgical scarring or inflammation
- Patellar malalignment
Diagnosis
- Clinical exam with Hoffa’s test
- MRI to assess inflammation and fat pad involvement
- Pain provoked by knee extension with pressure
Effective Treatment Options
- Activity modification and rest
- Ice and anti-inflammatory medications
- Manual therapy and taping techniques
- Quadriceps strengthening and knee control exercises
- Steroid injections in chronic cases
Frequently Asked Questions
Is Fat Pad Syndrome serious?
It's typically not serious but can cause persistent discomfort without proper management.
Can I exercise with Fat Pad Syndrome?
Low-impact exercises and knee-friendly strengthening are often part of the recovery plan.