“Chondromalacia Patellae” as the name itself suggests the disease of the cartilage of patellae or it refers to inflammation of the underside of the patellae and softening of the cartilage. Under the knee cap there is a cartilage, which is a natural shock absorber and the overuse injury and many other factors can cause breakdown and deterioration of the cartilage which in long term will create problem of the knee and creates pain.
What would be the causes which lead to inflammation of cartilage?
-May result from any direct blow or trauma to the kneecap.
-Tight Iliotibial Band ( IT band)
-Overuse ( Performing repetitive movements)/ Stressing knee joint
-Bursitis ( Information of Bursa)
-Patellar Maltracking ( Abnormal movements of patellae)
Who would be at risk of Chondromalacia Patellae?
Age -Adolescent and younger adults have higher risk.
Sex- Females are more likely than males to have this.
Flat Feet- This would create more stress over knee joint.
Arthritis of knee joint-Inflammation of joint would also more likely to develop inflammation of cartilage.
What would be the Alarming Signs !
The first thing you will notice before reaching to the stage of chondromalacia patellae would be dull ,aching pain in front of your knee and a feeling of grinding when you bend your knee, going down stairs, running down hill and standing up after sitting for a while.
This condition is more common in people who are playing sports like soccer, gymnastics, cycling, rowing, tennis , basketball, swimming because there is repetitive bending and straightening of knee occur while playing all such sports.
What signs you noticed if you are having chondromalacia Patellae?
You may feel pain at the front or inner side of the knee. You may also feel sensation of grinding or crackling when bending or extending your knee. Activities such as prolonged sitting , standing and exercising will worsen your pain.
How to diagnose to have better treatment plans?
The examiner will notice the swelling and tenderness around knee joint.
Assess positions and movements which increases your pain along with the alignment of the patellae.
Treatment Plans !
During the acute stages the physical therapist suggest the RICE plan i.e
-Rest your knee joint.
-Ice massage to reduce or stop inflammation.
-Compression and Elevation of the knee joint to reduce swelling.
-After that physical therapy focusing on strengthening and stretching of the hip and thigh muscles i.e quadriceps and hamstring muscle majorly along with adductors and abductors.
-Begin with isometric Exercises for quadriceps and hamstring muscle groups with 10-15 reps two- three times a day and then progress to strengthening with weight cuffs.
-Active or Passive stretching of hamstrings and quadriceps for 30 secs with a repetitions of 5-10 will relieve your pain.
What to avoid ?
To prevent the condition from getting worse you need to avoid certain exercises-
Lunges , Deep squats, Leg extension machine
If you are already performed all the above things but won’t have much relive in your conditions then consults to a nearby doctor! Or you can consult us we have free Consultations for you!