Hello,
Now since you have tried all, let me put in this way which can make a better understanding.
As you have this
patellofemoral syndrome along with knee joint space narrowing and later side pain, due to all this there will be changes in the biomechanics of the joints for lower
limbs as well the spine.
Need a proper examination and correction of the muscular Imbalance would provide efficient results.
Since you are a sports candidate, testing you with basic exercise prescription might not work great, so we need to look with a different angle for the sports
Rehabilitation.
I can figure out some of the possible causes you are having with -
Patello-femoral syndrome, Reduce joint space, Pain in the lateral aspect of knee joint (lateral collateral ligament
sprain),
Meniscus tear.
So what I analyze is, pain is not reducing due to certain factors -
Change in the biomechanics of the knee, hip, ankle and spine joints. Looking forward to the sports Rehabilitation program should go step by step.
Strengthening the core muscles first:
Using the knee braces, Hip muscles and the lower limb muscles strengthening, IT band stretching, VMO exercise, Balance board training.
If followed with low to high intensity should provide good results. In case you have any other doubts please feel free to ask me.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Jay Indravadan Patel, Physical Therapist or Physiotherapist