Hoffa’s Fat Pad Impingement
Pain at the front of the knee that worsens with standing, squatting, running, or prolonged activity can be caused by inflammation of Hoffa’s fat pad. Many patients describe a sharp, burning, or pinching sensation just under the kneecap, making everyday movements uncomfortable.
Understanding Hoffa’s Fat Pad Impingement
Hoffa’s fat pad is a soft tissue structure beneath the kneecap that can become irritated or compressed. When inflamed, it can lead to pain, swelling, and difficulty with functional movements. Early assessment and targeted management can help reduce symptoms and support recovery.
Assessment at The London Ultrasound Clinic
Your appointment includes a hands-on assessment and a detailed ultrasound scan. This allows us to identify swelling, impingement, and any associated tendon or soft tissue irritation contributing to your symptoms. Ultrasound provides a precise understanding of the affected area and guides a personalised treatment plan.
Conservative Management
Many patients experience relief through conservative care, which is usually the first step:
- Activity modification to reduce strain on the front of the knee
- Targeted strengthening and mobility exercises to support surrounding muscles
- Advice on pacing and technique during functional or sporting activities
- Education and reassurance about symptom management and expected recovery
These measures often reduce pain, improve function, and allow a safe return to normal activity without invasive procedures.
Ultrasound-Guided Injection
For patients with persistent pain, an ultrasound-guided injection using local anaesthetic and steroid can reduce inflammation and improve comfort. Ultrasound guidance ensures precise placement of the medication directly to the affected area, often allowing exercises and rehabilitation to be performed more effectively.
Recovery and Ongoing Care
Following treatment, your clinician will provide guidance on safe movement, strengthening, and load management to support long-term recovery. Many patients notice gradual improvement in pain and function over the following days and weeks, enabling a return to normal daily activities and sporting pursuits.
Our aim is to provide a premium, personalised approach, combining clear diagnosis, targeted treatment, and practical guidance to help you regain knee comfort, restore function, and prevent recurrence.
