Sorry I didn't read the last posts! I always had patellar pain too, and am diagnosed with chondromalacia patella. PT didn't help all that much. Then I bought some Specialized women's cycling shoes. They are designed with "Varus Wedge" , which has miraculously and enormously reduced my patellar pain. Whenever I have tried returning to my old favorites(Sidi brand), my knee pain returns with a vengence. So I am a convert to Specialized shoes. might be worth a try.It has also helped to practice one leg pedaling drills to strengthen my quads and get my patellas to track better. (I finally found a PT who figured out how to help me!) Good luck! Tokie