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Caring Medical &
Rehabilitation Services


Chicagoland office
715 Lake Street, Suite 600
Oak Park, IL 60301

Southwest Florida office
9738 Commerce
Center Court
Fort Myers, FL 33908

708.393.8266 Phone
855.779.1950 Fax

Treatment of Chondromalacia Patella

The patella, or kneecap, sits over the front of the knee joint. As the knee is bent or straightened, the underside of the patella glides over the bones that make up the knee. The underside of the patella is covered with the thickest layer of articular cartilage of all the joints in the body. The cartilage acts as a natural shock absorber. Chondromalacia patellae occurs when this cartilage deteriorates or erodes. An abnormal alignment between the patellae and the femur can result, which leads to a clicking or crunching in the joint when it is fully extended. Chondromalacia patellae affects one out of every 5,000 people.

chondromalacia patella

How does chondromalacia patellae develop?

Although chondromalacia patellae usually results from overuse or trauma to this area, it may also occur spontaneously. If the patella is fractured, pain may persist after the fracture heals. Flat feet can also be a risk factor for developing this condition.The patellofemoral joint, where the knee cap joins the femur, absorbs a significant amount of force during a variety of activities ranging from walking to climbing stairs to squatting. Sports such as running and wrestling may lead to excessive stress as well as injury in this area.

The patellar tendon and quadriceps tendon are strong tendons that help attach the kneecap to the bones and muscles that surround the knee. Injury to these tendons can result in instability of the knee joint. This joint instability can lead to the tracking problems involved in chondromalacia patellae, where the kneecap is in an abnormal position or alignment.

What are the symptoms of chondromalacia patellae?

Symptoms of chondromalacia patellae are straight forward – knee tenderness and pain, felt most intensely when squatting, kneeling, going up or down stairs and sitting with the knee bent for extended periods of time.  A grinding feeling may be noted when the knee is extended.

Traditional Medicine does not often work for the long term

Since chondromalacia patellae causes the kneecap to scrape the leg bones when the knee is moved, traditional treatment usually involves physical therapy. The treatment includes leg extensions and stretching exercises to help strengthen the thigh muscle, so the patellae or kneecap, tracks better on the femur. Supportive knee braces, arch supports and taping may also be recommended to improve the alignment of the kneecap. The problem with this approach is that it does not do anything to repair the deteriorated cartilage in the patellae and, thus, does not alleviate the chronic pain that people with this condition experience.

Oral steroids, injectable steroids, and anti-inflammatory medications may also be prescribed. Steroids and anti-inflammatory drugs have been shown to produce short-term pain benefit, but both result in long-term loss of function and even more chronic pain by actually inhibiting the healing process of soft tissues and accelerating cartilage degeneration.

Prolotherapy.knee

As pain continues, surgery such as arthroscopy to remove pieces of cartilage may then be the next step. The knee pain patient must realize that with each procedure and each shaving or cutting of tissue, NSAID (non-steroidal anti-inflammatory drug) prescription, or cortisone injection, the risk of developing long-term arthritis is greatly increased. The key to keeping the knee strong is to stimulate the area to heal, not to cover up the pain with a cortisone injection or NSAID therapy. Trying to eliminate the painful area by shaving, cutting, or removing tissue only delays the pain for a few years until the remaining tissue becomes degenerated. Patients and athletes with chondromalacia patellae often succumb to surgical procedures, even drastic ones. A good example of drastic surgery is the recommendation to surgically remove the patella in order to remove the pain. This sometimes does relieve the pain, but at a significant cost to the body. The strength to extend the knee is reduced by about 30 percent, and the force exerted in the knee is increased. There are a host of other risks associated with surgery.

Comprehensively treating Chondromalacia Patellae with Prolotherapy

As pain continues, surgery such as arthroscopy to remove pieces of cartilage may then be the next step. The knee pain patient must realize that with each procedure and each shaving or cutting of tissue, NSAID (non-steroidal anti-inflammatory drug) prescription, or cortisone injection, the risk of developing long-term arthritis is greatly increased. The key to keeping the knee strong is to stimulate the area to heal, not to cover up the pain with a cortisone injection or NSAID therapy. Trying to eliminate the painful area by shaving, cutting, or removing tissue only delays the pain for a few years until the remaining tissue becomes degenerated. Patients and athletes with chondromalacia patellae often succumb to surgical procedures, even drastic ones. A good example of drastic surgery is the recommendation to surgically remove the patella in order to remove the pain. This sometimes does relieve the pain, but at a significant cost to the body. The strength to extend the knee is reduced by about 30 percent, and the force exerted in the knee is increased. There are a host of other risks associated with surgery.

Check out our Chondromalacia Patella research published in Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders.

Think Prolotherapy may be for you? Call us!

Schedule a consultation via email or call us at 708-848-7789, and tell us more about your case to determine if you are a good candidate for Comprehensive Prolotherapy.

Caring Medical is a full time Prolotherapy doctor’s office, with extensive experience and research in dextrose Prolotherapy, Stem Cell therapy, Platelet Rich Plasma, and other regenerative injection solutions. This is why patients travel from across the country and internationally to be treated by our Prolotherapy practitioners, Dr. Ross Hauser and PA Danielle Steilen. The difference is in the care, technique, and experience you get with the team at Caring Medical.

The Prolotherapy treatment regimens suggested here are based on the experience of Caring Medical, and are provided for informational purposes only. They do not apply to every case or condition. A person using these recommendations without the aid of a personal physician does so at their own risk. It is essential to have your condition evaluated by your own healthcare provider. For a consultation with one of our Prolotherapists, please make an appointment.

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