If you have ever wondered if you have Hoffa’s syndrome, you’ve come to the right place. Hoffa’s syndrome is an extremely painful knee condition that can be difficult to diagnose. There are no specific symptoms, but you may notice a persistent ache, occasional jolts of pain, swelling below the knee, and pain during long walks or when you straighten your leg. In addition to pain associated with Hoffa’s syndrome, some people also have trouble sleeping.