Chondromalacia Patella

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What does Chondromalacia Patella mean?

Also known as patellofemoral pain syndrome, chondromalacia patella affects the cartilage under the kneecap (patella). This condition typically begins to cause knee pain by slowly softening and breaking down cartilage in the patellofemoral joint. This is from when the patella moves within the groove at the end of the thigh bone (femur).

Chondromalacia Patella Symptoms

Patients with Anterior knee pain typically feel discomfort behind or around the kneecap. Activities such as climbing stairs, kneeling, or squatting worsen this pain, placing stress on the knee joint. Moving the knee may also cause a sensation of grinding or grating, intensifying discomfort. Swelling and inflammation around the knee joint often accompany these symptoms, leading to stiffness and reduced mobility.

These issues commonly relate to conditions like patellofemoral pain syndrome, where the kneecap moves unevenly within its groove during movement. Healthcare professionals must diagnose the underlying cause to recommend appropriate treatments. These may include physical therapy, pain management strategies, and lifestyle modifications aimed at alleviating symptoms and preventing future occurrences. 

Indications of Chondromalacia Patella

Muscle imbalances, characterized by weakness or tightness in the quadriceps and hamstrings around the knee, often contribute to abnormal patellar tracking. Weak quadriceps fail to adequately support the kneecap, while tight hamstrings can alter joint mechanics. Overuse or repetitive stress from activities like running, jumping, or cycling can also increase the risk of developing conditions such as chondromalacia patellae, where the cartilage under the kneecap softens and deteriorates. Trauma, such as a direct blow or injury to the knee, can also lead to structural damage and exacerbate these issues.

Certain anatomical factors play a role as well; for example, flat feet or a shallow groove in the femur can predispose individuals to misalignment of the patella. Proper diagnosis by a healthcare professional is essential to address these contributing factors and recommend targeted interventions such as strengthening exercises, activity modification, orthotic devices, or surgical options to mitigate symptoms and prevent further damage to the knee joint.

Rest and Recovery

After consulting an orthopedic specialist, chondromalacia patellae typically involves a combination of treatment, such as:

• Rest: Give your knee time to heal by avoiding activities that increase pain, especially high-impact activities and sports.
• Physical Therapy: A physical therapist can develop a personalized program to strengthen the surrounding knee muscles, particularly the quadriceps muscles. Developing these muscles can help stabilize the knee joint and reduce stress on the patella.
• RICE Therapy:

1. 1. Rest: Rest the affected knee to reduce inflammation and pain.
   2. Ice: Apply ice to the knee for 15-20 minutes every 2-3 hours to reduce swelling.
   3. Compression: Use a compression bandage to support the knee and reduce swelling.
   4. Elevation: Elevate the leg when possible to help reduce swelling.

• Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, should alleviate pain and inflammation.
• Bracing: Using knee braces or patellar stabilizing braces can help support the joint and improve patellar tracking.
• Activity Modification: Modify or temporarily stop activities that exacerbate the pain, especially activities that involve knee bending or impact.
• Orthotics: Custom-made or over-the-counter shoe inserts (orthotics) can help correct abnormal foot mechanics that contribute to the condition.
• Corticosteroid Injections: In some cases, a healthcare provider may administer corticosteroid injections into the knee joint to reduce inflammation and pain.
• Surgical Interventions: Your healthcare provider may recommend surgical options, such as arthroscopy, to address any structural issues or realign the patella.

It’s important to consult with a healthcare professional for an accurate diagnosis and to develop a tailored treatment plan based on the severity and specific factors contributing to chondromalacia patellae.

Need to speak with an orthopedic Specialist in the Dallas Area? Call 817-697-4038 or fill out our contact form.