Objective: Anterior knee pain is a typical musculoskeletal dysfunction that is associated with PFPS. This study set out to determine whether realignment training implementation could lead to early pain and functional ability improvements in PFPS patients. Method: 37 females, 20-45 year of age with PFPS, were randomly assigned into two treatment Group 1 received realignment training in addition to conventional treatment protocol whereas Group 2 as a control group received routine treatment for 4 weeks. The outcome measures was Visual analogue scale (VAS), range of motion, manual muscle testing (MMT), Q angle, postural assessment.