Doctor insights on:
Chondromalacia Patella 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 moreSee 1 more doctor answer
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 moreSee 3 more doctor answers
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
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 moreSee 2 more doctor answers
What are the surgical & nonsurgical treatments for chondromalacia patella? Will these treatments stop my knees from cracking so loud/often? Im 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 moreSee 1 more doctor answer
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
Soccer player -- chondromalacia patella, MRI says: grade 3 chondral fissuring + cyst. Will physical therapy fix it? What supplements should be taken?
Possibly see ortho: Difficult problem. Especially if your symptoms correlate with your MRI findings. If your pain is behind the knee cap then there is good correlation. Initially nonoperative intervention such as therapy, use of anti inflammatories and patellar brace may be helpful. The possibility of arthroscopic evaluation if all fails may be necessary but still a difficult problem to fix. Supplements controversial. ...Read moreSee 5 more doctor answers
Treatment for grade 4 chondromalacia medial patellar facet with patella alta with pt / pl ratio of 1.6?
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. ...Read moreSee 1 more doctor answer
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. ...Read moreSee 1 more doctor answer
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