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Based on a systematic literature search, the strength of the scientific evidence was determined according to the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) method and the weight assigned to the considerations by the expert panel together determined the strength of the recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After confirming PFP or PT as a clinical diagnosis, patients should start with exercise therapy. Additional conservative treatments are indicated only when exercise therapy does not result in clinically relevant changes after six (PFP) or 12 (PT) weeks. Pain medications should be reserved for cases of severe pain. The additional value of imaging assessments for PT is limited. Open surgery is reserved for very specific cases of nonresponders to exercise therapy and those requiring additional conservative treatments. Although the certainty of evidence regarding exercise therapy for PFP and PT had to be downgraded (\u2018very low GRADE\u2019 and \u2018low GRADE\u2019), the expert panel advocates its use as the primary treatment strategy. The panel further formulated weaker recommendations regarding additional conservative treatments, pain medications, imaging assessments and open surgery (\u2018very low GRADE\u2019 to \u2018low GRADE\u2019 assessment or absence of scientific evidence).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This guideline recommends starting with exercise therapy for PFP and PT. The recommendations facilitate clinical decision\u2010making, and thereby optimizing treatment and preventing unnecessary burdens, risks and costs to patients and society.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level V, clinical practice guideline.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ksa.12367","type":"journal-article","created":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T06:07:10Z","timestamp":1721801230000},"page":"457-469","source":"Crossref","is-referenced-by-count":12,"title":["Dutch multidisciplinary guideline on anterior knee pain: Patellofemoral pain and patellar tendinopathy"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8674-0477","authenticated-orcid":false,"given":"Martin","family":"Ophey","sequence":"first","affiliation":[{"name":"IJsveldFysio \u2013 Private Physiotherapy Clinic Nijmegen The Netherlands"},{"name":"Department of Orthopaedic Surgery and Sports Medicine, Amsterdam UMC Location University of Amsterdam Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3987-734X","authenticated-orcid":false,"given":"Sander","family":"Ko\u00ebter","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery Canisius Wilhelmina Hospital Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1987-7270","authenticated-orcid":false,"given":"Lianne","family":"van Ooijen","sequence":"additional","affiliation":[{"name":"Profysic \u2013 Private Clinic for Sport Podiatry Eindhoven The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7783-7894","authenticated-orcid":false,"given":"Mathijs","family":"van Ark","sequence":"additional","affiliation":[{"name":"Physiotherapy Department Hanze University of Applied Sciences Groningen The Netherlands"},{"name":"Centre of Expertise Primary Care (ECEZG) Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fred","family":"Boots","sequence":"additional","affiliation":[{"name":"Boots Solide Werken Gorinchem The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanna","family":"Ilbrink","sequence":"additional","affiliation":[{"name":"Jessica Gal Sportartsen, Amsterdam &amp; Sport\u2010 en Beweegkliniek Haarlem The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nienke A.","family":"Lankhorst","sequence":"additional","affiliation":[{"name":"Independent General Practitioner The Hague The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9448-9948","authenticated-orcid":false,"given":"Tom","family":"Piscaer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine Erasmus MC Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9931-4306","authenticated-orcid":false,"given":"Myrthe","family":"Vestering","sequence":"additional","affiliation":[{"name":"Department of Radiology Gelderse Vallei Hospital Ede The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6980-9236","authenticated-orcid":false,"given":"Mirre","family":"den Ouden Vierwind","sequence":"additional","affiliation":[{"name":"Knowledge Institute of the Dutch Association of Medical Specialists Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2641-4901","authenticated-orcid":false,"given":"Robbart","family":"van Linschoten","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine Erasmus MC Rotterdam The Netherlands"},{"name":"Region Nordjylland Sportsmedicinsk Klinik Frederikshavn Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7275-0677","authenticated-orcid":false,"given":"Sietske","family":"van Berkel","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Isala Hospital Zwolle The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,24]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3944\/AOTT.2011.2403"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1123\/JSR.2018-0171"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JSAMS.2015.11.006"},{"key":"e_1_2_12_5_1","unstructured":"Arkel E. vanEssen B. 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