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Doctor insights on: Grade 3 Chondromalacia Patella

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Dr. Michelle Huggins
Board Certified, Internal Medicine
27 years in practice
106K people helped
1

1
I have grade 2 chondromalacia patella and grade 3 of the trochlear groove, confirmed via arthroscopy. Does this qualify me for knee replacement?

Dr. Michelle Huggins
Board Certified, Internal Medicine
27 years in practice
106K people helped
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

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Dr. Aaron Milstone
Board Certified
22 years in practice
1M people helped
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Dr. Aaron Milstone
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22 years in practice
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Dr. Amrita Dosanjh
149 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. Amir Khan
Board Certified, Sports Medicine
22 years in practice
979K people helped
2

2
Soccer player -- chondromalacia patella, MRI says: grade 3 chondral fissuring + cyst. Will physical therapy fix it? What supplements should be taken?

Dr. Amir Khan
Board Certified, Sports Medicine
22 years in practice
979K people helped
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. Aaron Milstone
Board Certified
22 years in practice
1M people helped
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Dr. Aaron Milstone
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22 years in practice
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Dr. John Michalski
Board Certified, Orthopedic Surgery
31 years in practice
9M people helped
3

3
I had my second of three Synvisc injections in my knee for grade 4 chondromalacia patella. Today it is painful to walk. It this normal?

Dr. John Michalski
Board Certified, Orthopedic Surgery
31 years in practice
9M people helped
I had my second of three Synvisc injections in my knee for grade 4 chondromalacia patella.  Today it is painful to walk.  It this normal?

Synvisc: Not unusual to have some discomfort. Check for fever, chills, shakes, redness. Call your doc. ...Read more

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Dr. David Trettin
Board Certified, Orthopedic Surgery
28 years in practice
1M people helped
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Have had severe chondromalacia patella for 3+ yrs. Tried physio, stretches everything. Nothing has helped keeps getting worse. What now?

Dr. David Trettin
Board Certified, Orthopedic Surgery
28 years in practice
1M people helped
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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Dr. Aaron Milstone
Board Certified
22 years in practice
1M people helped
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Dr. Christopher Hajnik
Board Certified, Orthopedic Reconstructive Surgery
13 years in practice
353K people helped
5

5
Runner - was diagnosed with a meniscus tear and grade IV chondromalacia patella. Should i get patella scrapped?

Dr. Christopher Hajnik
Board Certified, Orthopedic Reconstructive Surgery
13 years in practice
353K people helped
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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Dr. Michael Gabor
Board Certified, Diagnostic Radiology
28 years in practice
8M people helped
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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.

Dr. Michael Gabor
Board Certified, Diagnostic Radiology
28 years in practice
8M people helped
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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Dr. Per Freitag
Board Certified, Orthopedic Surgery
552K people helped
7

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Small meniscal root tear, high grade chondral fissuring partial thickness on the medial femoral condyle, grade 4 chondromalacia patella is this bad?

Dr. Per Freitag
Board Certified, Orthopedic Surgery
552K people helped

Try conservative rx: Seems like most of the damage is under the patella. If you have locking you might need arthroscopy, I would first try terminal extension excercises training the quads without putting much pressure on the patella. In addition research has shown that Asperin could help the surface cartilage heal. In addition, MSM (Puritan Pride) could be helpful as a nutraceutical supplement. ...Read more

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Dr. Anthony Buoncristiani
Board Certified, Orthopedic Surgery
21 years in practice
6K people helped
8

8
Mri comes back with grade II to III chondromalacia patella , knee joint effusion with ganglion, longitudinal partial tear.Mcland lcl strain. ?

Dr. Anthony Buoncristiani
Board Certified, Orthopedic Surgery
21 years in practice
6K people helped
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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Dr. Mazen Ghani
Board Certified, Radiology
19 years in practice
683K people helped
9

9
What is chondromalacia patella ?

Dr. Mazen Ghani
Board Certified, Radiology
19 years in practice
683K people helped
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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Dr. Brian Chimenti
Board Certified, Sports Medicine
22 years in practice
1M people helped
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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?

Dr. Brian Chimenti
Board Certified, Sports Medicine
22 years in practice
1M people helped
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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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. Aaron Milstone
Board Certified,
22 years in practice
1M people helped
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