I've been struggling with Patellar Femoral Pain Syndrome for over a year now, and consequently off the bike for about a year. As you all could probably imagine, it sucks. It really sucks. I went from being an avid mountain biker and bicycle commuter to a depressed, car driving, *******. I've been doing physical therapy for the past nine months, I've done accupuncture, rested and took anti-inflamitory drugs for over two months, cortisone injections, had an MRI, had custom orthotics made, custom bicycle fitting, shims put under my cleats, and I still can't ride my bike! The injury gradually got worse as I continued to ride last year and finally cut my cycling career short after a century ride just destroyed it. I haven't ridden my bike more than a few hundred feet in several months. I'm only nineteen and invested so much into cycling. It's just heartbreaking. Now even cross-country skiing's hurting it. I've seen several different doctors and the story's always the same. "I'll have you back on the bike within a month!" Bull****. Is anyone else outthere struggling with patellor femoral pain to this extent? Has anyone on this forum had a "lateral release" surgery?