I ve had patella femoral syndrome for 20 years now and have tried everything the doctors have given me. Physical therapy, knee braces, knee taping, prescription medicine both for pain and swelling. My question is what can be done that goes above and beyond this form of treatment? The last few years it has gotten really bad to the point I no longer do anything that requires long periods of standing, walking, and even sitting. I no longer play any type of sports because my knees either give out or lock up on me with no given warning. This has become a daily norm for me lately. I m 45 now and find myself falling on occassion because of this. I m also having trouble sleeping at night because of the intense pain which now has become a 24/7 burden in my life. Please help! I m a veteran that goes through the VA for medical and am afraid that they either minimize the severity of my issue and or they don t really know what to do about it?