The physical therapist's approach to patellofemoral disorders.

Management of patellofemoral pain is no longer a conundrum if the therapist can determine the underlying causative factors and address those factors in treatment. It is imperative that the patient's symptoms are significantly reduced. This often is achieved by taping the patella, which not only decreases the pain but also promotes an earlier activation of the VMO and increases quadriceps torque. Management needs to include specific VMO training, gluteal-control work, stretching tight lateral structures, and appropriate advice regarding the foot, whether it is orthotics, training, or taping.