Exploring the Lived Experiences of Recreational Cyclists with Patellofemoral Pain in Al Madinah, Saudi Arabia

Background Patellofemoral pain syndrome (PFPS) is a prevalent overuse injury among recreational cyclists worldwide. Despite its ubiquity, little is known about the lived experiences of people with PFPS, especially in Saudi Arabia, where healthcare and cultural factors may have a special impact on how the condition is managed. The aim of this study is to explore the lived experiences of recreational cyclists with patellofemoral pain syndrome in Al Madinah, Saudi Arabia. Method: A qualitative, descriptive, phenomenological design was employed. Eleven male recreational cyclists aged 28–44 years diagnosed with PFPS were purposely recruited from Al Madinah Physical Therapy Centre. Female participants were excluded due to cultural constraints in sports participation. The participants consented to participate in the study and to be audio recorded. Data were collected using audio-recorded semi-structured interviews using an interview guide. Data were transcribed verbatim and thematically analysed using Atlas.ti version 24. Results: The following themes emerged from our findings: characteristics of patellofemoral pain, functional activities that exacerbate knee pain, psychological and physical effects, coping mechanisms, community and psychosocial constraints, and strategies for managing knee pain. Conclusion: Patellofemoral pain syndrome imposes significant multidimensional burdens on recreational cyclists in Al Madinah, exacerbated by cultural practices. Physiotherapy offers targeted interventions for pain relief, functional restoration, and participation enhancement, underscoring the need for culturally sensitive management programs.