How effective is custom orthotics for patellofemoral pain syndrome?

Patellofemoral pain is felt around or behind the kneecap and can increase with stairs, squatting, running or prolonged sitting. Foot position and movement can influence how the lower leg rotates and how force travels through the knee. An orthotic can alter that load for selected patients, but it is not a universal solution and does not repair cartilage or directly strengthen the thigh and hip muscles. The knee should still be assessed for other causes of pain.

A clinician can assess your feet, gait, knee movement, shoes and activity demands before prescribing a device. Introduce it gradually and pair it with the recommended strengthening, mobility and load-management programme. Use supportive shoes and replace worn footwear. Keep track of which activities provoke pain and whether the device changes your walking comfort. Read about [Patellofemoral Pain Syndrome](/conditions/patellofemoral-pain-syndrome/) and [Custom Orthotics](/treatments/non-surgical-orthopedics/custom-orthotics/).

Seek prompt care for a locked knee, major swelling after an injury, inability to bear weight, a hot red joint or sudden loss of strength. Arrange a review if pain is worsening, your knee gives way, or an orthotic causes new foot, ankle, hip or back symptoms. A different diagnosis or treatment plan may be needed.

Ask whether foot mechanics contribute to your knee pain, what the orthotic is intended to change, which exercises should accompany it, and when the fit and progress should be reviewed.