A 16-year-old runner with patellofemoral syndrome and moderate pes planus has lateral patellar tracking in weight bearing. What intervention would be most appropriate for long-term mechanical correction?

• A. Foot orthotics
• B. Patellar taping
• C. Lateral retinaculum release
• D. Vastus medialis obliquus strengthening

Answer: (B)

When patellar tracking is lateral during weight bearing, the goal is to reposition the patella so it tracks within the trochlear groove rather than being pulled to the outside. Medial patellar taping mechanically realigns the patella, creating a medially directed force that reduces tilt and lateral glide as you move. This provides an immediate change in patellofemoral biomechanics, lowering lateral contact pressures and enabling a more normal tracking pattern during activity. The beauty of this approach is that it’s non-invasive, reversible, and it can be used repeatedly to support a rehab program that focuses on improving dynamic control around the knee, such as targeted strengthening and neuromuscular training. In a young runner with pes planus, taping also serves as a practical way to facilitate continued training while longer-term corrections—like addressing foot mechanics with orthotics and improving hip and thigh control—are implemented. The taping directly affects patellofemoral mechanics during movement, making it a suitable option for achieving durable mechanical improvement in this scenario.