 Therefore, this project is a pilot study to inform a future randomized controlled trial to determine if chiropractic adjusting of the full lower extremity lumbosacral through foot combined with exercise and soft tissue treatment Protocol and group A is superior to chiropractic adjusting of the knee alone combined with exercise and soft tissue treatment Protocol and group B in the treatment of patellofemoral pain syndrome. We will use the Anterior Knee Pain Scale AKPS and Visual Analogue Scale VAS as valid and reliable primary outcome measures, a functional measure step-ups, step-downs and squats and a Patient Satisfaction Scale PSS - discharge or refer as secondary outcome measures. This study will help establish the feasibility of conducting quality research at Cleveland Chiropractic College Los Angeles. 