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Chondromalacia Patellae

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Chondromalacia Patellae

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  • Dr. Trinity J. Bivalacqua
  • Updated 2024-08-22
  • Published 2024-03-06

Chondromalacia Patella Treatment – Prolotherapy

What is Chondromalacia Patellae?

Chondromalacia Patellae, also known as runner’s knee, is a condition where the cartilage on the undersurface of the patella (kneecap) deteriorates and softens. This issue is common among young athletes but may also occur in older adults due to arthritis of the kneecap.

What causes Chondromalacia Patellae?

Chondromalacia Patellae is caused by overuse, misalignment, injury, or muscle weakness, leading to abnormal forces on the kneecap. This uneven pressure causes the cartilage beneath the kneecap to wear away.

What are the symptoms of Chondromalacia Patellae?

Common symptoms include a dull, aching pain in the front of the knee, increased pain when walking up or down stairs, kneeling or squatting, and a grating or grinding sensation when extending the knee.

How is Chondromalacia Patellae diagnosed?

Diagnosis typically involves a physical examination, patient history, and imaging tests like MRI or X-rays to assess the kneecap’s alignment and to look for signs of cartilage softening and wear.

What are the treatment options for Chondromalacia Patellae?

Treatment often includes rest, ice, physical therapy to strengthen muscles around the knee, and anti-inflammatory medications. In severe cases, surgery may be required to correct the alignment or smooth the cartilage surface.

Can Chondromalacia Patellae be prevented?

Prevention focuses on avoiding overuse, strengthening the muscles around the knee, maintaining a healthy weight, and proper training techniques. Using proper footwear and orthotic devices can also help.

Does Chondromalacia Patellae go away?

Chondromalacia Patellae can improve with appropriate treatment and lifestyle changes. However, the rate and extent of recovery can vary based on the severity of the condition and individual factors.

Patients with Chondromalacia Patellae may experience symptoms such as knee pain or a feeling of grinding or cracking when bending or straightening the knee. Activities that put stress on the knee joint, such as climbing stairs, kneeling, or squatting, can worsen the symptoms.

This condition is typically caused by imbalances in the alignment or movement of the patella, leading to increased pressure on the cartilage. It can be a result of several factors, including overuse, trauma, muscle weakness or tightness, or anatomical abnormalities.

Diagnosis usually involves a physical examination, medical history review, and imaging tests such as X-rays or MRI scans. Treatment options vary depending on the severity of the condition but often involve a combination of rest, physical therapy, pain management, and exercises to strengthen the muscles around the knee.

If conservative treatments do not provide sufficient relief, more invasive interventions such as injections or surgery may be considered in severe cases.

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Chondromalacia Patellae is a manageable condition, and with proper treatment and appropriate lifestyle modifications, individuals can often find relief from their symptoms and regain normal knee function.

Chondromalacia Patellae – General Symptoms

  • Knee pain, typically around or behind the kneecap
  • Pain worsens with activities that involve bending the knee or putting pressure on it, such as squatting, climbing stairs, or running
  • Pain might improve with rest or mild activity
  • Cracking or grinding sensation in the knee joint
  • Swelling or inflammation around the kneecap
  • Weakened thigh muscles or tightness in the thigh muscles
  • Difficulty fully straightening or bending the knee

Methods for Diagnosing Chondromalacia Patellae:

1. Physical Examination:
A healthcare professional may conduct a physical examination to evaluate the symptoms and check for signs of Chondromalacia Patellae. This may include observing knee movements, assessing the range of motion, and applying pressure to specific areas around the kneecap.

2. Medical History:
The patient’s medical history plays a significant role in diagnosing Chondromalacia Patellae. The doctor may ask questions regarding the duration and nature of symptoms, previous knee injuries, or any activities that aggravate the pain.

3. Imaging Tests:
To confirm the diagnosis, the following imaging tests may be recommended:

a) X-rays: X-rays provide a detailed view of the bones, allowing doctors to rule out other potential causes of knee pain and assess the alignment of the kneecap.

b) Magnetic Resonance Imaging (MRI): An MRI scan can provide a more comprehensive view of the soft tissues surrounding the kneecap, including the cartilage. It helps in identifying any cartilage damage or abnormalities.

c) Arthroscopy: In some cases, a minimally invasive procedure called arthroscopy may be performed. This involves inserting a tiny camera through a small incision to visualize the inner structures of the knee joint, including the kneecap and cartilage.

Please note that this information is only a general overview of the diagnosis methods used for Chondromalacia Patellae. A qualified healthcare professional should be consulted for accurate diagnosis and appropriate treatment.

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