Doctor insights on:
Chipped Kneecap Treatment
Should I get surgery or physical therapy again after dislocating my patella twice in 4 months? I also might've chipped a piece of cartilage inside.
Patella dislocation: Difficult question. If you were adequately and completely rehabilitated following the first episode and dislocated again then surgery may be a better and more conservative answer to prevent further damage. If there is possibility of loose body from chipping surgery is highly appropriate. You need to talk frankly with your orthopedist. ...Read more
R.I.C.E: Rest, ice, compression and elevation are the basic things for trauma. Homeopathic arnica can really help as can homeopathic bryonia. Keeping leg elevated helps a lot to keep blood circulating and decreasing discomfort. If pain continues or you have significant swelling you will need to be evaluated. You may find that traumeel also helps. ...Read more
Rehab/rare surgery: If your patella is subluxing(trying to slide out of joint), was there trauma? If this was not traumatic in origin, it is best treated with strengthening of the quad muscles, taping, bracing and neuromuscular training. If traumatic or non-traumatic failing routine care, the cause needs to be determined, such as bad bone alignment or injured ligaments. If a correctable problem, surgery possible. ...Read moreSee 1 more doctor answer
Treatments vary: Treatment of symptomatic patellar cartilage lesions is dependent on a variety of factors, which require a book chapter. Briefly, treatments range from soft tissue balancing and realignment alone to chondroplasty to cartilage restoration ( marrow stimulation, autograft, allograft, cell therapy). Consult with a patellofemoral cartilage restoration specialist. ...Read more
Surgical or non : Surgical. Your doctor will review with the options. You may be advised to have physical therapy, use a custom brace or shoe inserts (orthotics), stabilize your knee with tape or a neoprene brace, or lose excess weight. Surgery is not commonly done for patellar tracking disorders. But surgery is recommended in cases of repeated patellar dislocation, displaced or damaged cartilage ...Read more
Treatment for grade 4 chondromalacia medial patellar facet with patella alta with pt / pl ratio of 1.6?
Is there any research supporting the use of cortisone injections to thin the patella as treatment of patellafemoral pain syndrome.
Had patella tendinopathy 4 17 yrs after 9 weeks of treatment of gnt no better strapping doesn't help much doing exercises and it increases pain help?
Patella tendinitis: Treatment options include nsaids (oral or topical), ice, brace use (chopat patellar tendon strap), and exercise modification. Specifically, eccentric or negative quad contractions have been shown to be successful. If pt not helping you could try cortisone vs platelet rich plasma injections vs prolotherapy (saline). Surgery if all else fails. ...Read more
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