How effective is physiotherapy for patellofemoral pain syndrome?

Patellofemoral pain syndrome affects the area around or behind the kneecap, often during stairs, squats, running or prolonged sitting. Treatment usually focuses on how the hip, thigh, knee and foot share load rather than on the kneecap alone.

A physiotherapist may assess strength, flexibility, balance, running or walking technique and the activities that flare symptoms. Progress is judged by easier daily movement, steadier control and a gradual return to chosen activities.

Follow the exercise plan consistently, including strengthening for the quadriceps and hip muscles when appropriate. Temporary activity changes can reduce irritation: lower the depth of a squat, shorten a run or use breaks from sitting, then build back progressively.

Tell your physiotherapist which movements provoke symptoms and how your knee feels later that day. Shoes, taping or other supportive measures may be considered as short-term aids alongside exercise, not as a replacement for rehabilitation.

Arrange an assessment if knee pain keeps returning, limits stairs or exercise, or does not settle with sensible activity changes. Seek prompt medical care after a major injury, or if the knee becomes markedly swollen, locked, unstable, hot or difficult to bear weight on.

Ask what findings support patellofemoral pain, which exercises suit your current irritability, and how to increase running, squatting or stair use without a flare.