TreatmentEvidence
Physical therapy and weight lossCombination of aerobic and strength training is recommended, and weight loss if body mass index is greater than 25 kg per m27,8 ; home programs are as effective as supervised programs9
Ice improves range of motion and strength, but not pain10
There is some evidence for patellar taping or therapeutic ultrasonography to improve physical function and decrease pain11,12
PharmacotherapyExtended-release acetaminophen, 1,300 mg three times daily, is effective and well tolerated; however, other studies show inconclusive evidence of effectiveness13,14
Glucosamine/chondroitin supplements show mixed benefit and are not recommended by the American Academy of Orthopaedic Surgeons7,1518
Opioid analgesics should be used only if conservative pharmacotherapy is ineffective in patients who are not candidates for surgery8
Selective and nonselective nonsteroidal anti-inflammatory drugs are effective8
InjectionsCorticosteroid injections provide short-term improvements in pain and function19
Hyaluronic injections have questionable benefit for pain and function, and are best reserved for patients in whom first-line conservative treatments have been ineffective and who are not candidates for surgery7,8,20
Braces, orthoses, and other therapiesLimited evidence for medial unloader valgus brace21,22