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PFPS is multifactorial, involving altered lower-extremity kinematics (dynamic valgus, femoral IR), patellar tracking, and load management errors. Robust evidence supports proximal strengthening (gluteus medius/maximus) combined with movement retraining to reduce dynamic valgus and patellofemoral joint stress. Exercises include side-lying hip abduction, clamshells, step-downs with alignment cues, and progressive closed-chain tasks. Quadriceps work is valuable, but isolated open-chain early (A/C) can increase patellofemoral stress at certain flexion angles and should be dosed carefully within pain-free ranges. Early aggressive plyometrics (D) are inappropriate; introduce plyos only after foundational strength, control, and symptom reduction. Education on graded running exposure, cadence adjustments (e.g., +5–10% to reduce knee load), and footwear considerations complements exercise. Outcome tracking (pain scales, AKPS/KOOS) guides progression, with expectations of improvement over 6–8 weeks under adherence.