grade 3 chondromalacia patella

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Dr. Amir M. Khan answered:

Soccer Player -- Chondromalacia Patella, MRI says: grade 3 chondral fissuring + Cyst. Will Physical Therapy fix it? What supplements should be taken?

Possibly see ortho

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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
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Dr. Jeffrey Sider answered:

Runner - Was diagnosed with a meniscus tear and Grade IV chondromalacia patella. Should I get patella scrapped?

Need scope

Meniscus
I think that taking care of the meniscus will provide your best relief of sharp pain especially with sports and running Regarding the chondromalacia - there is no great answer While looking into the knee one must decide if a chondroplasty of other type of procedure to help the degenerative process on the bone will be beneficial
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Dr. David Trettin answered:

Have had severe chondromalacia patella for 3+ yrs. tried physio, stretches everything. Nothing has helped keeps getting worse. What now?

?knee arthroscopy

Knee
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!
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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. ?

Conservative Rx

Painful_joints
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).
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Dr. Mazen Ghani answered:

what is chondromalacia patella ?

Chondromalacia

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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.
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How do I treat chondromalacia patella?

Therapy

Patella
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.
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Information about chondromalacia patella?

Very treatable prob

Patella
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.
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Do you need crutches for chondromalacia patella?

Not usually

Patella
Only if pain is so severe you can't walk. Need to ice, take NSAIDs and have physical therapy.
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what are the treatments for chondromalacia patella?

Nonoperative usually

Patella
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.
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If my dad has chondromalacia patella Will I get it too?

Usually activities

Patella
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.
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