Knee Pain : Chondromalacia Patella

When a person is suffering from anterior knee pain or knee cap pain then Chondromalacia is believed to be one of the main causes. The word "chondromalacia" when it is analyzed means cartilage (chondro) softening (malacia). Also referred to as “Runner’s Knee”, Chondromalacia can have a very irritating effect on the knee, preventing people from performing as well as they wish. Ironically, Chondromalacia can effect young, healthy, athletic individuals.Women are more commonly affected with chondromalacia, but the reason for this is unknown.

Where is the pain located exactly?

In Chondromalacia the pain in located in the undersurface of the knee cap. In normal cases, the cartilage present in the knee joint can perform all the functions in a very smooth manner, while you bend your knee. The problem is that when you have Chondromalacia, there are changes of the deepest layers of cartilage, which causes the surface cartilage to blister. Moreover, when the kneecap tends to rub against one side of the knee joint, the cartilage surface can become irritated, and knee pain is the result.

Now-a-days, Chondromalacia is not a commonly used word. Many of the physicians and medical professionals prefer to call it as patellofemoral syndrome. Some of the probable causes that are responsible for the origination of this kind of disease include neuromas, overuse, bursitis, misalignment, and tight iliotibial band and core instability.

The process of diagnosis in this kind of disease is done by direct visualization. Careful examination and the proper evaluation of all the test results are considered to be sufficient to provide the precise results. Normal examination is done with the help of a plain x ray and sophisticated exams like MRI and CT scan is normally recommended if the condition is more severe or the possibility of the presence of any other pathology is there.

What are some methods of treatment ?

It is important to speak with your physician regarding methods of treatment. Some of the available methods of treatment that exist are an exercise program which strengthens the quadriceps muscles (extensors). Stretching the hamstrings helps to balance the forces holding the patella in the femoral groove as well. These exercises should be coordinated by a health professional. Having a well balanced quadriceps muscle also helps to dampen forces that the surface cartilage receives in activities of daily living by absorbing more energy of acceleration and deceleration.
The use of a knee brace can also prove to be helpful to help stabilize the patella. Painful knee movements can be reduced by the support the knee brace can provide. Rest is also another useful method of treatment.

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