The nonoperative treatment of patellofemoral arthritis is a cross between the nonoperative treatment of knee arthritis and the nonoperative treatment of conditions that produce patellar pain, such as a tight lateral retinaculum, VMO dysplasia, core deficiency, and the like. Treatment options include activity modification, anti-inflammatory medications/analgesics, bracing, physical therapy, steroid injections, viscosupplementation, weight control, water exercises, and, possibly, nutritional supplements.