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Great Non-Surgical Treatments for Patella Chondromalacia

  • Writer: OUCH MATCH
    OUCH MATCH
  • Mar 2
  • 4 min read

Updated: Mar 8



Treatments for Patella Chondromalacia

1. Rest and Activity Modification

The first step in managing patella chondromalacia is reducing the stress on the knee. Avoid activities that cause pain or discomfort, such as running, jumping, or squatting. Opt for low-impact exercises like swimming, cycling, or using an elliptical machine to maintain cardiovascular fitness without straining the knee.


2. Ice Therapy

Applying ice to the knee can help reduce inflammation and alleviate pain. Ice the affected area for 15-20 minutes every 2-3 hours in the initial stages of the injury, particularly after any activity that causes discomfort. This can help reduce swelling and control the inflammation that is common in chondromalacia.


3. Physical Therapy

A tailored physical therapy program is one of the most effective non-surgical treatments for patella chondromalacia. A skilled therapist can help you strengthen the muscles surrounding the knee joint, particularly the quadriceps, which play a key role in stabilizing the patella. Strengthening these muscles can reduce the load on the patella, improve its tracking, and ease the pain.


Key exercises that might be included in your rehab program are:

  • Quad sets to strengthen the quadriceps.

  • Leg raises to improve knee function.

  • Straight leg raises to build up your knee muscles.

  • Hamstring stretches to enhance flexibility and reduce tension.


A physical therapist may also teach you techniques for improving knee movement and posture to reduce stress on the patella.


4. Knee Bracing

Using a knee brace designed for patella support can help stabilize the joint and reduce pain during movement. Patellar stabilizing braces are particularly effective, as they help align the patella and minimize abnormal tracking, which is often the cause of chondromalacia-related pain.


5. Footwear Adjustments and Orthotics

Sometimes, the source of the issue lies in poor foot alignment or biomechanics. Wearing shoes with proper arch support can help improve the alignment of the knee and reduce strain on the patella. In some cases, custom orthotics (shoe inserts) may be recommended to correct any abnormal foot mechanics, which can contribute to knee pain and exacerbate chondromalacia.

joint pain
joint pain

6. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

Over-the-counter medications like ibuprofen or naproxen can help manage pain and inflammation associated with patella chondromalacia. While they provide temporary relief, they should be used sparingly and under a doctor's supervision, especially if you have other medical conditions.


7. Corticosteroid Injections

In cases where pain and inflammation are severe and don't respond to other treatments, your healthcare provider may suggest a corticosteroid injection. This injection can provide temporary relief by reducing inflammation directly at the site of injury. However, corticosteroids should be used cautiously, as repeated use may weaken the tissues around the knee.


8. Platelet-Rich Plasma (PRP) Therapy

PRP therapy involves injecting a concentrated solution of the patient’s own blood platelets into the damaged cartilage. These platelets contain growth factors that can stimulate tissue repair and reduce inflammation. Although PRP is still an evolving treatment, many patients with chondromalacia report significant improvements in pain and function following this therapy.


9. Stem Cell Therapy

Stem cell therapy is another emerging treatment for cartilage regeneration. Stem cells derived from your own body (often from fat tissue or bone marrow) are injected into the damaged knee tissue to stimulate healing. While more research is needed, stem cell therapy holds promise for treating cartilage damage and improving long-term knee function.


10. Taping Techniques

Taping methods such as kinesiology taping can provide support and help improve patellar alignment. These techniques are often used in conjunction with physical therapy to offer temporary relief, improve function, and reduce pain during everyday activities or sports.


When to Consider Surgery on Patella Chondromalacia?

In most cases, non-surgical treatments for patella chondromalacia can lead to significant improvements in pain and knee function. However, if conservative methods fail to provide relief and the symptoms are severe, surgery may be considered. Surgical options might include:

  • Arthroscopic debridement  Cleaning out damaged cartilage.

  • Realignment surgery: Repositioning the patella to improve tracking.

    Your doctor will assess the severity of your condition and work with you to determine the best course of action.


Conclusion

Patella chondromalacia doesn’t have to lead to a long-term disability or require surgery. By following a comprehensive non-surgical treatment plan that includes rest, physical therapy, bracing, and sometimes advanced therapies like PRP, most individuals with patellar cartilage damage can achieve a full recovery.

It’s essential to consult with a healthcare professional to create a treatment plan that suits your specific needs. With the right care, you can manage the condition effectively and return to your active lifestyle.


Remember to always consult your healthcare professional before starting any new treatment or exercise regimen to ensure it's safe and appropriate for your specific condition.


References:

  1. Khan, K. M., & Scott, A. (2009). The Management of Patellofemoral Pain Syndrome: A Review. The Physician and Sportsmedicine, 37(1), 10–18. https://doi.org/10.3810/psm.2009.03.1687

  2. Barton, C. J., & Menz, H. B. (2011). Footwear and Patellofemoral Pain Syndrome: A Systematic Review. The Foot, 21(2), 75–85. https://doi.org/10.1016/j.foot.2011.02.001

  3. Crossley, K. M., & Bennell, K. L. (2004). Patellofemoral Pain Syndrome: Assessment and Management. Australian Family Physician, 33(12), 1011–1014. https://www.racgp.org.au

  4. Smith, T. O., & Davies, L. (2011). The Effectiveness of Patellar Taping in the Management of Patellofemoral Pain Syndrome: A Systematic Review. The Journal of Orthopaedic and Sports Physical Therapy, 41(3), 222–230. https://doi.org/10.2519/jospt.2011.3482

  5. Witvrouw, E., et al. (2005). Patellofemoral Pain Syndrome: An Update on the Current Concepts of Treatment. Journal of Orthopaedic and Sports Physical Therapy, 35(7), 325–332. https://doi.org/10.2519/jospt.2005.35.7.325

  6. Wilk, K. E., et al. (2012). Nonoperative Treatment of Patellofemoral Pain Syndrome: A Review of the Literature and a Proposed Algorithm for Treatment. International Journal of Sports Physical Therapy, 7(4), 448–458. https://www.ncbi.nlm.nih.gov

  7. Moseley, J. B., et al. (2002). A Randomized Trial of Arthroscopic Surgery for Osteoarthritis of the Knee. New England Journal of Medicine, 347(2), 81–88. https://doi.org/10.1056/NEJMoa013259

  8. Kramer, D. E., & Minter, J. (2018). Platelet-Rich Plasma (PRP) for Patellofemoral Pain Syndrome: A Review of Current Evidence. Journal of Clinical Orthopaedics and Trauma, 9(2), 79–85. https://doi.org/10.1016/j.jcot.2018.01.006

  9. Chaudhury, S., et al. (2017). Stem Cell Therapy for Cartilage Regeneration: A Review of Current Techniques and Future Directions. Journal of Orthopaedic Surgery and Research, 12, 41. https://doi.org/10.1186/s13018-017-0502-4

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This web site is provided for educational and informational purposes only and does not constitute providing medical advice or professional services. The information provided should not be used for diagnosing or treating a health problem or disease, and those seeking personal medical advice should consult with a licensed physician. Always seek the advice of your doctor or other qualified health provider regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on OUCH MATCH website.

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