Patellofemoral pain (PFP) is common among adolescents and adults. As the long-term prognosis is poor, optimal treatment is the key. The current evidence suggests that treatment should include training of the quadriceps and hip muscles with focus on correct alignment of the lower extremity. A positive short-term effect of foot orthotics is also documented and there is limited evidence of a positive effect of patella taping. There is no evidence for routine knee arthroscopy in the treating of PFP.