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Doctor insights on: Grade 3 Chondromalacia Patella

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Soccer player -- chondromalacia patella, MRI says: grade 3 chondral fissuring + cyst. Will physical therapy fix it? What supplements should be taken?

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 more

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Dr. Adam Levy
133 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

Dr. Ryan Pflugner
Board Certified, Sports Medicine
9 years in practice
121.0K people helped
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Dr. Ryan Pflugner
Board Certified, Sports Medicine
9 years in practice
121.0K people helped
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Runner - was diagnosed with a meniscus tear and grade IV chondromalacia patella. Should i get patella scrapped?

Runner - was diagnosed with a meniscus tear and grade IV chondromalacia patella.  Should i get patella scrapped?

Probably not: It sounds like you have fairly severe arthritic changes under your kneecap. If this is a small, isolated lesion, it may benefit from intervention. If you have extensive arthritic changes in your knee, arthroscopic surgery (even focused on the meniscus) may not completely relieve your symptoms. Ask your orthopaedic surgeon. ...Read more

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Mri comes back with grade II to III chondromalacia patella , knee joint effusion with ganglion, longitudinal partial tear.Mcland lcl strain. ?

Mri comes back with grade II to III chondromalacia patella , knee joint effusion with ganglion, longitudinal partial tear.Mcland lcl strain. ?

Conservative Rx: Depends upon your primary complaint and whether there was a mechanism of injury. Chondromalacia(i.e.Cartilage wear=arthritis) is common and can cause swelling and pain. Collateral ligament strains/partial tears (mcl+lcl) should be managed well conservatively. Recommend seeing a pt for motion, strengthening, edema control. Am a fan of a stationary bike as well (nonimpact knee motion+strengthening). ...Read more

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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! ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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

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. ...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. ...Read more

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Dr. John Michalski
638 doctors shared insights

Patella (Definition)

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

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Dr. Ryan Pflugner
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