Can custom orthotics treat patellofemoral pain syndrome?

Patellofemoral pain syndrome involves pain around or behind the kneecap, often during stairs, squatting, running, or prolonged sitting. A foot that rolls inward or absorbs load differently can influence leg movement as the knee bends. An orthotic may adjust that chain for selected patients, while muscle strength, hip control, training load, and kneecap movement remain relevant.

Have your walking, footwear, ankle movement, hip strength, and knee function assessed before choosing an insert. A physiotherapist may pair an orthotic with gradual strengthening of the quadriceps and hip muscles, movement retraining, and a temporary adjustment to aggravating activities. Wear the device progressively and check whether it improves function without creating foot or ankle discomfort.

Arrange medical assessment for knee swelling, locking, giving way, inability to bear weight, or pain after a significant injury. Seek review if pain persists, worsens with the orthotic, or limits ordinary walking despite rehabilitation.

Ask whether your foot mechanics appear to contribute to the knee load, what improvement to monitor, and how long to trial the orthotic. Ask which strengthening exercises suit your current pain and how to return safely to running or stairs.