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Chondromalacia Patellae
What is Chondromalacia Patellae?
Chondromalacia patellae, also known as “runner’s knee,” is a condition where the cartilage on the underside of the patella (kneecap) softens and deteriorates. This leads to pain and discomfort in the front of the knee, especially during activities that put pressure on the knee joint, such as running, jumping, or climbing stairs.
Causes
Overuse
Repetitive stress from activities such as running, jumping, or squatting.
Injury
Trauma to the knee, such as a dislocation or fracture, can damage the cartilage.
Muscle Imbalance
Weak or tight thigh muscles can cause improper tracking of the patella.
Alignment Issues
Misalignment of the kneecap or other structural abnormalities can contribute to the condition.
Arthritis
Degenerative changes in the knee joint can lead to cartilage damage.
Symptoms
Knee Pain: Dull, aching pain in the front of the knee, often worsening with activity.
Swelling: Mild swelling around the knee joint.
Grinding Sensation: Feeling or hearing a grinding or clicking sound when bending or extending the knee.
Tenderness: Pain when pressing on the kneecap.
Stiffness: Difficulty bending or straightening the knee, especially after sitting for a long time.
Diagnosis of Chondromalacia Patellae
Medical History and Physical Examination: Assessment of symptoms, range of motion, and knee stability.
Imaging Tests:
X-rays: To rule out other causes of knee pain, such as fractures.
MRI: Detailed images of the soft tissues and cartilage to assess the extent of damage.
CT Scan: In certain cases, to provide detailed images of the knee joint.
When to See a Doctor
Consult a doctor if you have:
When your knee pain is severe
Persistent by significant redness
Persistent by significant swelling
Persistent by significant warmth
Treatment Options
Conservative Treatments:
- Rest: Avoiding activities that aggravate the knee pain.
- Ice and Elevation: Applying ice packs and elevating the leg to reduce swelling.
- Medications: NSAIDs to reduce pain and inflammation.
- Physical Therapy: Exercises to strengthen the muscles around the knee and improve alignment.
- Orthotics: Custom shoe inserts to improve foot alignment and reduce stress on the knee.
Pain Interventions
Platelet-Rich Plasma (PRP) Therapy : Using the body’s own platelets to promote healing and reduce inflammation.
Prolotherapy : It is a safe treatment that has been shown to improve stiffness, pain, function, and quality of life in patients.
BOTOX therapy : Injections of Botulinum toxin into the joint help reduce pain and improve mobility especially in severe arthritis.
Hyaluronic Acid Injections : To lubricate the joint and reduce pain.
Corticosteroid Injections : To reduce severe inflammation and pain.
Prevention
Regular Exercise : Strengthening the muscles around the knee and maintaining flexibility.
Proper Technique : Using correct techniques in sports and activities to avoid knee stress.
Weight Management : Maintaining a healthy weight to reduce pressure on the knees.
Ergonomics : Ensuring proper posture and ergonomics at work and during physical activities.
Conclusion
Chondromalacia patellae can significantly impact daily activities and athletic performance, but with proper diagnosis and treatment, most individuals can manage symptoms and maintain knee function. Early intervention, a tailored treatment plan, and preventive measures are crucial for successful management and long-term joint health. If you experience symptoms of chondromalacia patellae, consult our specialists at ALGOS, for comprehensive care and personalized treatment options.
Located centrally on Cunningham Road, Bengaluru, opposite Indian Express, our clinic is easily accessible from all parts of the city, ensuring high-quality pain management services are available to everyone.
- 7975896550
- algospainclinic@gmail.com
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