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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

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Dr. Arnon Rubin
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Dr. Anthony Brignoni
135 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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Dr. Arnon Rubin
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18 years in practice
139K 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?

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. Arnon Rubin
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18 years in practice
139K 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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Small meniscal root tear, high grade chondral fissuring partial thickness on the medial femoral condyle, grade 4 chondromalacia patella is this bad?

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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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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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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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 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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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. Arnon Rubin
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