Usually time: True chondromalacia is caused by irritation of the back of the kneecap against other structures of the knee. Usually pain is a main issue. If all you have is cracking, this does need need specific treatment. Surgery is not indicated for this problem altho may help some conditions that are similar. Quad strengthening is key, and tylenol/otc meds often helpful. Ice after exertion, too.
Answered 8/15/2013
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