Anterior knee pain or patellofemoral pain syndrome is concerned of softening of articular cartilage between femur and patella causing erosion of articular cartilage mild to moderate concentric muscle contraction wasting increased “Q” angle postural change, Physiotherapy including hip and ankle strengthening and knee strengthening postural correction can improve symptoms. Purpose: The purpose of the study is to know about which of this groups are more effecting in treating the anterior knee pain effectively group “a” to strengthen hip and ankle postural correction group “b” knee strengthening patellar mobilization. Methods : 30 patients are randomly selected with anterior knee pain .the study include 2 groups group 1 receives knee strengthening patellar gliding warm water fermentation group 2 receives hip and ankle strengthening with postural correction both groups .the outcome includes visual analogue scale, Kujala scale for knee disability and knee outcome survey scale for activities of daily living . Results: There was a significant decrease in pain with hip and ankle strengthening postural correction (hip abductors, external rotator, extensors, ankle supinators, strengthening, stretching of hip adductors, internal rotators, ankle pronators) postural correction than the knee strengthening patellar mobilization (P-0.000<0.05). Hip and ankle strengthening postural correction were decreased in VAS and improving in “Q” angle. Knee extensor and patellar mobilization have not such effective treatment for patella femoral or anterior knee pain. Conclusion: Patella femoral or anterior knee pain relieves with hip and ankle strengthening with postural correction (hip abductors, external rotator, extensors, ankle supinators, strengthening, stretching of hip adductors, internal rotators, ankle pronators) postural correction.