Prognosis

Most patients are successfully treated by conservative means, with few requiring surgical intervention. The current standard of care is conservative treatment including physical therapy to address biomechanical issues, with quadriceps-based strengthening; iliotibial band, hamstring, and quadriceps stretching; and proximally focused hip stabilization programs, as well as orthotic intervention, taping, and bracing.[7] However, there is no one exercise modality that is clearly superior to others, and each patient with patellofemoral pain should be given an individualized program based on their specific deficits.[95][96] A period of 4 to 6 weeks is usually adequate for resolution of symptoms. Successful long-term outcomes (67%-85%) have been reported with a comprehensive home exercise program.[97][98]

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