Fortunately, most patients with anterior knee pain from whatever cause benefit from physiotherapy that is tailored to their precise problem.
Some patients might benefit from guided injections of cortisone and patients suffering with patella tendonitis might benefit from PRP if they fail to respond to physiotherapy.
Surgery can be indicated for patients who do not respond sufficiently to physiotherapy and they can often benefit from arthroscopic intervention.
For patients with certain patterns of patella-femoral degeneration/articular cartilage problems, fat pad impingement and patella tendinopathy, then patella re-alignment surgery including tibial tubercle osteotomy and arthroscopic lateral release can be of great benefit.
Patients who develop severe arthritis affecting the patello-femoral compartment of the knee only might eventually require a patello-femoral joint replacement, which is best performed using Mako robotic assistance.