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Doctor insights on: Advanced Chondromalacia Patella

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What is chondromalacia patella?

What is chondromalacia patella?

Chondromalacia: Patella is literally softening of the cartilage overlying the back part of the patella/knee cap. This can include thinning, fissuring, tearing and irregularity of the cartilage.

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Dr. Tanya Russo
153 Doctors shared insights

Chondromalacia (Definition)

Chondromalacia describes injury, destruction or abnormal appearance of cartilage within a joint. Chondromalacia is most commonly described in the knee (Chondromalacia Patellae) and is usually the result of irritation or inflammation in the joint that has the ...Read more


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How do I treat chondromalacia patella?

How do I treat chondromalacia patella?

Therapy: Chondromalacia patella (runners knee) is due to overload of the patellofemoral joint (knee cap against the end of the thigh bone). Running caused high forces in this portion of the joint. So does arising from a chair, going up/down stairs. Treatment consists of activity modification, ice, anti-inflammatory meds and therapy aimed at flexibility and strengthening, especially of your core.

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Information about chondromalacia patella?

Information about chondromalacia patella?

Very treatable prob: Chondromalacia patella (runners knee) is due to overload of the patellofemoral joint (knee cap against the end of the thigh bone). Running causes high forces in this portion of the joint. So does arising from a chair, going up/down stairs. Treatment consists of activity modification, ice, anti-inflammatory meds and therapy aimed at flexibility and strengthening, especially of your core.

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Do you need crutches for chondromalacia patella?

Do you need crutches for chondromalacia patella?

Not usually: Only if pain is so severe you can't walk. Need to ice, take nsaids and have physical therapy.

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What is meant by chondromalacia patella pain syndrome?

Very common prob: Chondromalacia patella (runners knee) is due to overload of the patellofemoral joint (knee cap against the end of the thigh bone). Running causes high forces in this portion of the joint. So does arising from a chair, going up/down stairs. Treatment consists of activity modification, ice, anti-inflammatory meds and therapy aimed at flexibility and strengthening, especially of your core.

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What should I do if I have chondromalacia patella pain?

What should I do if I have chondromalacia patella pain?

Gentle exercises: Chondromalacia is a softening of the cartilage between the patella (knee cap) and underlying joint. The best early treatment is to gently strengthen the quads (thigh muscle). Step up with your painful leg onto a 4" block/book and down. Repeat as many reps as comfortable and work up to doing 200/session. Then do it on a stair, which is typically 6". This is to avoid too much knee bend/strain.

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I have chondromalacia patella, what can I do to treat it?

Therapy: Chondromalacia patella (runners knee) is due to overload of the patellofemoral joint (knee cap against the end of the thigh bone). Running caused high forces in this portion of the joint. So does arising from a chair, going up/down stairs. Treatment consists of activity modification, ice, anti-inflammatory meds and therapy aimed at flexibility and strengthening, especially of your core.

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What types of exercises are recommended for rehabilitating from chondromalacia patella?

Quad balance strengt: Knee cap problems are frequently related to imbalance of the quads with "overdeveloped" lateral quads and "underdeveloped" medial quads.

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Please tell me, could I get a more serious injury from having chondromalacia patella/patellafemoral pain syndrome?

Please tell me, could I get a more serious injury from having chondromalacia patella/patellafemoral pain syndrome?

Not directly: Chondromalacia patella does precipitate local inflammation and pain. Inflammation can eventually get surrounding tissue to be more easily injured. Pain changes our gait and actions and can precipitate secondary injury, but these are not direct effects, only possible secondary.

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I read that there is a high success rate for chondromalacia patella, but I also notice a lot of people get a lot worse over time? Which is usually true?

I read that there is a high success rate for chondromalacia patella, but I also notice a lot of people get a lot worse over time? Which is usually true?

Patella femoral: Stubborn problem for most. Best managed with exercise to strengthen your quads to improve tracking, and avoiding deep knee bending activities. Also oral or topical nsaids can be of benefit, as well as a brace. Injection of cortisone or hyaluronic acid also very popular. If all else fails, then scope.

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What are the treatments for chondromalacia patella?

What are the treatments for chondromalacia patella?

Nonoperative usually: Most chondromalacia of the patella (injured cartilage) is effectively managed with nonoperative measures consisting of activity modification, rest, physical therapy and quadriceps strengthening, non-steroidal anti-inflammatory medications, intrarticular steroid injections and viscosupplementation. At least 6 months of nonoperative treatment is attempted before offering arthroscopic surgery.

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If my dad has chondromalacia patella will I get it too?

If my dad has chondromalacia patella will I get it too?

Usually activities: Chondromalacia patella (runners knee) is due to overload of the patellofemoral joint (knee cap against the end of the thigh bone). Running causes high forces in this portion of the joint. So does arising from a chair, going up/down stairs. Treatment consists of activity modification, ice, anti-inflammatory meds and therapy aimed at flexibility and strengthening, especially of your core.

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Can it be possible for standing too long to cause chondromalacia patella?

Possible: You likely already have chondromalacia patella and the standing too long is causing an increase in your symptoms. Chondromalacia patella (runners knee) is due to overload of the patellofemoral joint (knee cap against the end of the thigh bone). Running caused high forces in this portion of the joint. So does arising from a chair, going up/down stairs.

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I think I may have chondromalacia patella. I am 28 years old. What can I do to prevent further damage and pain?

I think I may have chondromalacia patella. I am 28 years old. What can I do to prevent further damage and pain?

Activity Mods: Limit certain activities such as kneeling, crawling and squatting. Keep thighs strong to help control patellar position. Wear knee pads if crawling is required. Maintain ideal body weight.

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Have had severe chondromalacia patella for 3+ yrs. Tried physio, stretches everything. Nothing has helped keeps getting worse. What now?

Have had severe chondromalacia patella for 3+ yrs. Tried physio, stretches everything. Nothing has helped keeps getting worse. What now?

? knee arthroscopy: Chondromalacia of the patella w/o instability is a very difficult problem to "cure" for an orthopedic surgeon. Quad strengthening/hamstring stretching u have tried. Have u had an mri? If your kneecap is maltracking on your femur and you have grade 3 chondromalacia on MRI w/crepitus on exam and lat. Retinacular 'tightness' a knee scope w chondroplasty and lateral release may help. See your ors. Gl!

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What are some treatments for Chondromalacia Patella?

Several: Commonly, stretching quads, building quads, avoiding deep knee bending exercises and stairs. Some patella braces and taping can help in some situations, injections with hyaluronic acid liquids, sometimes arthroscopy, sometimes cartilage paste grafts, sometimes patella realignment surgeries. You need a good exam and knee doctor to tell you what you need.

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What kind of treatments are available for chondromalacia patella?

What kind of treatments are available for chondromalacia patella?

Patella femoral: Best managed with exercise to strengthen your quads to improve tracking, and avoiding deep knee bending activities. Also oral or topical nsaids can be of benefit, as well as a brace. Injection of cortisone or hyaluronic acid also very popular. If all else fails, then scope.

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Dr. Brian Sabb
120 Doctors shared insights

Chondromalacia Patella (Definition)

A condition of pain in the knee. It is thought to be due to damage to the cartilage on the ...Read more


Dr. John Michalski
667 Doctors shared insights

Patella (Definition)

Patella is a thick piece of bone, more commonly known ...Read more