ABSTRACT: The Aim of this study is to reveal the effect of Manual therapy on Patella tracking problem. The Patients comes with complain of anterior knee pain, he diagnosed as Patellofemoral pain syndrome. The physical therapy assessment and somatic diagnosis were found that the Pain is in Knee but the cause is at the Ankle. Malalignment in the ankle is the common cause for knee problems. Patient underwent a course of manual therapy along with exercises. Pain was reduced dramatically in the end of the course. This study helps to give a clear idea to Therapist that knee pain may occur as a result of Ankle problem or even as a result of Foot wear Problem.

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