It is often too tight and needs to be stretched. Some people ignore their symptoms, thinking that it will get better over time. As the problem persists, your body attempts to deal with it by compensating in other ways. Clinically, it is common to find deviations in gait, weakness at the hips or even back dysfunctions resulting from this problem. These are things that a physical therapist will identify and help you to correct.
Women are more susceptible to patella tracking problems because of the female anatomy.
Since women naturally have wider hips, their knees are aligned relatively inward. This creates an angulation which is referred to as a Q-angle. The greater the angle, the more likely that patella alignment problems may occur. The clicking is usually an indication that the patella is not tracking properly as you bend and straighten your knee. It is referred to as crepitus.