Ok another update!

Seem to have made more progress this time visiting the consultant.

Physio has agreed that more physio will not help the problem and still having issues which if anything are getting worse! So surgery is the next option. There are 2 options open to me:a medial patellofemoral ligament recon or trochleoplasty. Going to try the Mpfl recon first and fingers crossed it will work although have been told I have a very shallow trochlear groove so may need a trochleoplasty.

Thanks to everyone who responded privately or publicly to me I hope that's me now on a more stable (pardon the pun!) recovery path now