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Doctor insights on: Grade 3 Chondromalacia Patella

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I have grade 2 chondromalacia patella and grade 3 of the trochlear groove, confirmed via arthroscopy. Does this qualify me for knee replacement?

I have grade 2 chondromalacia patella and grade 3 of the trochlear groove, confirmed via arthroscopy. Does this qualify me for knee replacement?

No: Surgical replacement of the knee is the last resort. Regular exercise to decrease and maintain weight and to improve joint strength : swimming, water aerobics/ walking; bike riding. Use water weights for weight training and muscle building. Talk with your Orthopedic doctor about injections ...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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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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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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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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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. ...Read more

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Do you need crutches for chondromalacia patella?

Do you need crutches for chondromalacia patella?

Usually not: If the pain is extreme and the patient has trouble bearing weight, I will usually have my patient try a knee immobilizer on my my office and take it for a test drive. Usually by keeping the knee immobilized in full extension (straight), the patient can bear weight and get around. I tell my patient to wean the immobilizer as comfort allows. Ice/anti-inflammatory meds help, then therapy. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...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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Should someone with chondromalacia patella see an orthopedic regularly or just when necessary? Haven't been in 3 years and pain after much walking.

Should someone with chondromalacia patella see an orthopedic regularly or just when necessary? Haven't been in 3 years and pain after much walking.

You: Should probably see your orthopedic surgeon for an evaluation, discussion of a treatment plan, and appropriate follow-up. If your symptoms have been ongoing for 3 years it might be time to get re-checked. ...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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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. ...Read more

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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. ...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?

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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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. ...Read more

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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. ...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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Can you rehab a chondromalacia patella with a patellar cyst?

Can you rehab a chondromalacia patella with a patellar cyst?

Chondromalacia: Yes, chondromalacia with cyst means there is some cartilage damage present. Therapy can be helpful in strengthening the quads and helping the kneecap track in its groove better. Therapy doesn't make the cyst or chondromalacia go away but can be helpful for the pain. ...Read more

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How to deal with patellofemoral pain syndrome or chondromalacia patella?

Be patient: Exercize wizely. Wear a patella tracking brace for the activities that cause the pain. Good nutrition. Lose weight if you have too much. Strengthe the inner quad muscles preferentially. ...Read more

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Had MRI results I have moderate chondromalacia patella. Any advise please?

Had MRI results I have moderate chondromalacia patella. Any advise please?

Rehab: Two rehab focuses have Some evidence to show that they can be effective....hamstring stretching and core strengthening about the hip ...Read more

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I've chondromalacia patella and have been strengthening my vmos to resolve my patellofemoral pain syndrome. How long before the chondromalacia is gone?

I've chondromalacia patella and have been strengthening my vmos to resolve my patellofemoral pain syndrome. How long before the chondromalacia is gone?

Months: Can take several months. Need to add a core strengthening program and stretching too. If its not responding by then, go see your orthopedist (again?). ...Read more

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Is it safe for me to go football camp with chondromalacia patella?

Hard to say: Chondromalacia patella is a term used to describe damage to the smooth cartilage that lines the undersurface of your knee cap. Trauma or patellar malalignment can sometimes cause this problem. Only your treating orthopaedic surgeon can advise you on the degree of damage to your knee cap and what activities should be avoided. ...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


Dr. John Michalski
667 Doctors shared insights

Patella (Definition)

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