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Doctor insights on: Chondromalacia Grade 4 Treatment

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What is the treatment for chondromalacia patellae?

What is the treatment for chondromalacia patellae?

Medication P Therapy: And possible surgery if the other ones do not work. ...Read more

Dr. Jeffrey Stevens
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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What's the best treatment for chondromalacia patellae?

Therapy: 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. ...Read more

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Where is the best treatment out there for chondromalacia patellae?

Where is the best treatment out there for chondromalacia patellae?

Therapy: 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. ...Read more

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I have chondromalacia grade 3 with some pain, snaps and noises. I'm only 26. I'm taking injections (3). What's next treatment for this severity?

I have chondromalacia grade 3 with some pain, snaps and noises. I'm only 26. I'm taking injections (3). What's next treatment for this severity?

Chondromalacia: Sometimes we graft chondral defects, such as in cases where they are painful. Realignment osteotomies, in combination with a cartilage resurfacing may also be necessary. I would highly recommend a visit to an orthopedic surgeon who performs cartilage restoration to provide you with an opinion as to your options. ...Read more

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Treatment for grade 4 chondromalacia medial patellar facet with patella alta with pt / pl ratio of 1.6?

Treatment for grade 4 chondromalacia medial patellar facet with patella alta with pt / pl ratio of 1.6?

Varies: It varies in part on your age, the condition of the other compartments of your knee, and the overall alignment of the limb. Grade IV chondromalacia infers severe loss in the normal cartilage under that part of your knee cap. Thank you for your question. ...Read more

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Actually I am suffering from knee chondromalacia, could anyone refer me the best treatment?

Actually I am suffering from knee chondromalacia, could anyone refer me the best treatment?

Let me try to help: Chondromalcia have many causes, Repetitive stress on your knee joint, such as that sustained during running or jumping sports. Poor control of your muscles. Patella-femoral pain can occur when the muscles around your hip and knee don't function well to maintain proper tracking of your kneecap. Injury. Trauma to the kneecap, you have find the to treat the condition. Good luck ...Read more

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What is the treatment of chondromalacia patellae grade 3 to early 4? I read about arthroscopy and platelet-rich plasma and Stem cell transplantaion.

What is the treatment of chondromalacia patellae grade 3 to early 4? I read about arthroscopy and platelet-rich plasma and Stem cell transplantaion.

Tough problem: First try all of the conservative options: bracing, therapy, steroid injections, viscosupplemention injections (synvisc, Supartz, (hyaluronic acid) etc). If this fails then sometimes an arthroscopy may help. The science is still out on PRP. ...Read more

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What are treatment options for painful chondromalacia the size of a quarter in the central third of the weightbearing portion of the distal femur?

There may be a few..: Treatment may rage from non-operative options to cartilage replacement/restoration procedures. Please see an orthopaedic surgeon in your area. One can be found at aaos. Org. ...Read more

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I went to my Rheumatologist and he said I needed to be on a long term pain management plan. Chondromalacia. I tried everything. What treatment works.

Would hesitate pills: Would hesitate long term pain pills. We need further information regarding your diagnosis, evaluation, imaging, lab etc. To guide you. You need a second opinion. ...Read more

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What treatment would be next after many years of chondromalacia knee pain where medication, physical therapy, rest and all other?

What treatment would be next after many years of chondromalacia knee pain where medication, physical therapy, rest and all other?

See details: You should consider consultation with an orthopedist. Joint resurfacing may be an option in refractory cases. ...Read more

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I have a chronic right knee pain and my doctor diagnosed it as chondromalacia patelai. What is best treatment? & what about working out & wight lifting

I have a chronic right knee pain and my doctor diagnosed it as chondromalacia patelai. What is best treatment? & what about working out & wight lifting

Chondromalacia: Avoid kneeling, crawling and squatting. Limit squats and lounges in the gym. Avoid repetitively exercising the knee in flexion beyond 90 degrees bent. Therapy and bracing are the best options for chondromalacia patella. Need to strengthen thighs, tone core muscles, and maintain ideal body weight. ...Read more

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What is chondromalacia medial femoral condyle and chondromalacia patella? My MRI of the left knee result. Is this serious? What is the treatment?

What is chondromalacia medial femoral condyle and chondromalacia patella? My MRI of the left knee result. Is this serious? What is the treatment?

Difficult: Chondromalacia means damaged cartilage, usually from abnormal wear and tear. There is no full cure. Damaged skin leaves a scar and same on inside of body. Physical therapy and long term home therapy and avoiding aggravating activities are appropriate. Finding any aggravating or precipitating musculoskeletal imbalances is appropriate. Surgery is last choice when all fails and intractable pain. ...Read more

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28yr f, knee pain, MRI says joint effusion & chondromalacia. I swim for exercise. 0 injuries. What could cause this? Treatment possibilities? Thanks

28yr f, knee pain, MRI says joint effusion & chondromalacia. I swim for exercise. 0 injuries. What could cause this? Treatment possibilities? Thanks

? Of mid-20's female: ? of chronic knee pain with effusion. In a young female the observations which should be made are whether she has Hypermobility Syndrome (Brighton Criteria) & genu varum/valgus. Absent acute injury, repetitive gravitational stress can evoke non-linear patellar mobility & patellofemoral wear & tear. See an Osteopath & Podiatrist. Reconfigured shoes might help realign the longitudinal axis of leg. ...Read more

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Knee pain took an MRI result says medial femoral chondromalacia osteophyte formation irregular denudation of articular cartilage what is d treatment?

This means arthritis: This means some degree of degenerative arthritis

various options are available but none will cure the problem

discuss with an orthopedic surgeon. ...Read more

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Will KT Tape Help with Knee Pain and chondromalacia my dr also gave me script for Norco (hydrocodone and acetaminophen) 10/325 And im doing the RICE treatment. Anything else I can do?

Will KT Tape Help with Knee Pain and chondromalacia my dr also gave me script for Norco (hydrocodone and acetaminophen) 10/325 And im doing the RICE treatment. Anything else I can do?

Chondromalacia: And the pain it produces is a very frustrating problem. The best treatment is RICE and anti-inflammatory (NSAIDS) medication. I must respectfully disagree with the use of OPIATES (Norco=hydrocodone)
If necessary injection steroid/and or arthroscopy with debridement of the internal side of the patella is necessary! See an orthopedist with an interest in treating this disorder!
Hope this helps! Z ...Read more

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What Other Treatments Is Good For Chondromalacia. I Tried Therapy and Injections. But They Didn't Work.?

What Other Treatments Is Good For Chondromalacia. I Tried Therapy and Injections. But They Didn't Work.?

Bracing, surgery: Depending on the area of involvement, bracing can sometimes be used to" offload" the symptomatic areas. Ultimately, surgery may be a consideration as well. ...Read more

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What are the treatments for chondromalacia patellae.?

Rest, 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. ...Read more

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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. ...Read more

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What are some treatments for Chondromalacia Patella?

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. ...Read more

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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. ...Read more

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Can you get a Pain Pump For chondromalacia. If nothing else helps. I done therapy, injections, meds, and daily stretches. Nothing helps anymore

Can you get a Pain Pump For chondromalacia. If nothing else helps. I done therapy, injections, meds, and daily stretches. Nothing helps anymore

Stem cells?: Ask your orthopedist about stem cell injections, and if they might be appropriate for you. Hope this helps! ...Read more

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Chondromalacia patella for around 4 months, physical therapy did not help, some options to help the knee get better without surgery?

Chondromalacia patella for around 4 months, physical therapy did not help, some options to help the knee get better without surgery?

Consider Surgery: Conservative management of Chondromalacia patella includes icing, taping, bracing, and exercise to stabilize your patella. If PT with exercise and icing/taping did not help, an Orthopaedic Surgeon can evaluate you for patella alta or baja, put a camera into your knee to look for a plica, remove damaged cartilage, and give an expert opinion of your biomechanical foot/knee/patellar alignment. ...Read more

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My Orthopedic dr Diagnosis me with Chondromalacia. I done physical therapy, stretches, injections and meds. What else can I do I'm only 22 Years Old.

Other things: Consider losing weight if overweight. In addition, you want to focus on vastus medialis strengthening. Also, for some patients the use of a patellar tendon strap makes a big difference. Depending on how bad the condition is on MRI you could also consider the use of PRP/platelet derived growth factors. This last treatment can be controversial and some doctors might not agree with it. ...Read more

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What are the surgical & nonsurgical treatments for chondromalacia patella? Will these treatments stop my knees from cracking so loud/often? I'm only 21

What are the surgical & nonsurgical treatments for chondromalacia patella? Will these treatments stop my knees from cracking so loud/often? I'm only 21

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. ...Read more

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I have Chronic Pain everyday on the sides & have chondromalacia & swelling. I did physical therapy, stretches, I'm allergic to Nsaids Drugs.?

I have Chronic Pain everyday on the sides & have chondromalacia & swelling. I did physical therapy, stretches, I'm allergic to Nsaids Drugs.?

Knee exercises: Ask you physician to have you see physical therapy and learn quadriceps exercises. You also need further evaluation to clarify if this is truly chondromalacia because it may be another diagnosis. I would recommend you ask your physician to have you see rheumatologist so we can be certain what the diagnosis is ...Read more

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Having Chronic Pain in (L) Knee. Done Physical Therapy & Injections & meds. Nothing helps. Dx Was chondromalacia with effusion. What else can I do.

Surgical consult: Physical therapy, medications, bracing, and injection therapy are the most common nonoperative treatments for chondromalacia. If you are still having problems, you might need to explore surgical options such as a cartilage transplantation. ...Read more

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