Does physiotherapy treat patellar dislocation?

After the kneecap has moved out of its groove, swelling, pain and reduced confidence may make the thigh muscles less effective. A physiotherapist can guide gentle movement, then progressive exercises for the quadriceps, hip and core. Balance and control work can help the leg track more steadily during walking, stairs and sport. A brace or other support may be discussed with the treating clinician when the knee feels unstable. Physiotherapy cannot put a dislocated kneecap back into place or repair every structural problem; urgent assessment is needed for a new injury.

Arrange an assessment after the injury, especially if this is the first dislocation or the knee remains swollen. Follow the agreed activity limits and avoid twisting, jumping or deep bending until your clinician says they are suitable. Your programme may begin with pain-limited range-of-motion work and muscle activation, progressing as control improves. Keep a note of giving-way episodes, locking and activities that trigger pain so the plan can be adjusted. Learn more about [Patellar Dislocation](/conditions/patellar-dislocation/) and [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/).

Seek urgent care if the kneecap is visibly out of place, the knee cannot be straightened, pain is severe, or the foot becomes cold, pale, numb or weak. Prompt review is also appropriate after a fall or collision that causes marked swelling, inability to bear weight, or repeated buckling. Do not try to force the kneecap back yourself.

Ask whether the kneecap is stable, whether imaging is needed, which movements are restricted, and when supervised strengthening can start. Ask how recurrence risk will be monitored and when a return to driving, work or sport is reasonable.