Chondromalacia Patella or Patellofemoral Pain
Chondromalacia Patella is an irritation of the
cartilage underneath the knee cap (patella). It
commonly occurs in activities that require
continuous movement, such as running or jumping. It
is also common in older people, who have "worn out"
the cartilage with use. Chondromalacia Patella is
also called patellofemoral pain.
Symptoms of Chondromalacia
The pain occurs with walking up or down stairs, or
prolonged sitting. Kneeling can be especially
painful. Many people describe a dull achy pain with
occasional sharp stabs when climbing stairs.
Sometimes a grinding sensation is present.
Causes of Chondromalacia Patella
In younger individuals, muscle imbalances combined
with prolonged repetitive activities are common
causes of chondromalacia. Overuse, direct injury, or
unusual alignment of the knee cap can also cause
patellofemoral pain. Weak quadriceps muscles and
flat feet can also contribute to the pain.
In muscle imbalance, the lateral quadriceps becomes
stronger than the inside muscles. The stronger
muscle pulls the knee cap toward the side. Instead
of the patella running properly in its groove, the
stronger lateral quadriceps muscle pulls the patella
to the side. This causes patella rub against the
femur bone and aggravate the cartilage underneath
the patella.
Home Treatments for Patellofemoral Pain
Initial treatment at home involves rest, ice, and
anti-inflammatory pain relievers. Avoiding running,
lifting, or kneeling activities which will allow the
cartilage to heal. It often requires several weeks
of rest to make a difference in moderate to severe
cases.
Office Treatments for Chondromalacia Patella
A provider will look to determine the cause of
cartilage irritation. Common treatments for muscle
imbalances include identifying the stronger muscle
and relaxing it. Strengthening the weaker muscles
and improving the proprioceptive ability of the knee
are proper treatments. Physiotherapy will include
decreasing the inflammation and controlling the
pain.
Orthotics are considered for people with foot and
ankle discrepancies. Taping and braces are sometimes
utilized for treatments of Chondromalacia Patella.
In cases that fail to resolve with conservative
treatment, surgery can be considered.
Back to Chiropractic Resources
 Dr. Carson Robertson is in private practice at
Alpha Chiropractic. His clinic services the
chiropractic, massage therapy, and physiotherapy
needs of the Chandler, Ahwatukee, and Gilbert area.
He has a special interest in athletics, running, and
soft tissue injuries. Carson Robertson DC can be
reached at (480) 812-1800. |
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