Prognosis

Most patients are successfully treated by conservative means, with few requiring surgical intervention. The current standard of care is conservative treatment including physiotherapy to address biomechanical issues, with quadriceps-based strengthening; iliotibial band, hamstring, and quadriceps stretching; and proximally focused hip stabilisation programmes, 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 individualised programme based on their specific deficits.[101][102] 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 programme.[103][104]

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