A truly biomechanical related condition of a misaligned tracking of the kneecap in the groove of the thigh bone called “the femur”. This is usually a result of tight quadriceps, a foot that over pronates, worn out shoes, weak hip and core muscles, all which allows the knee to collapse inward which causes the improper tracking. The kneecap may make some “cracking” or “grinding” sounds, and although alarming, the sounds are usually harmless. Correcting the biomechanical issues is imperative to resolution of this problem. Exercising with this injury is not typically a problem and may not aggravate the issue much, but conservative treatment should encompass correcting all the items listed above, which can prevent further deterioration of the cartilage under the kneecap.