This study evaluate the effectiveness of wet needling technique in reducing pain, improving function and enhancing the quality of life in patellofemoral pain syndrome patient.Patellofemoral pain syndrome is a common knee condition that significantly affects physical activity and quality of life .

This study aims to determine wether integrating wet needling into a kinesiotaping and strenghthening exercises regimen provides enhanced outcomes for patellofemoral pain syndrome patients .Wet needling combined with kinesiotaping and strengthening eexercises provides superior pain relief and functional improvement .Participant will divided into two groups : one will recieve treatment using wet needling with kinesiotaping and strengthening exercises , and the other recieve kinesiotaping and strengthening exercises.

Inclusion Criteria:

• Age between 20-35
• unilateral , prepatellar or retropatellar pain unrelated to trauma for atleast 3 month , agerevated witrh atleast 2 daily activities such as prolonged sitting, squatting , kneeling , running or stairs climbing.
• Positive clarkes sign.
• Average pain in the previous week >3 on numeric pain rating scale. Kujala questionnaire score <85of 100.
• Active trigger points in gluets and quadriceps.
• Presence of palpable taut band in muscle and typical reffered pain .

Exclusion Criteria:

• Bilateral anterior knee pain.
• Patients with fracture of knee joint , dislocation of patella , previous knee or ankle surgery and ligament or meniscus injury .
• Marked structural deformity and known pathological condition of back , hip and ankle . Any metabolic or neurological disease such as diabetes or radicular pain . Physical therapy for knee pain within the previous year .