Chondromalacia Patellae

Symptoms

Symptoms of chondromalacia patellae may include:

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Anterior knee pain

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Difficulty in daily activities and running, squatting, kneeling, or changing from sitting to standing position

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Tenderness on palpating under the medial or lateral border

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Crepitation

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Minor swelling

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Reduced muscle strength

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Effusion of synovial joint

Causes

The causes of chondromalacia patellae include:

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Weakness of the vastus medialis muscle

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High ‘Q’-angle ( Q- angle is 14 degrees for men and 17 degrees for women)

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Vastus imbalance

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Overaction of lateral vasti

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Irregular shaped facets on the patella

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Abnormal high vastus medialis insertion

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Muscular tightness of Rectus femoris, Tensa fascia lata, Hamstrings, Gastrocnemius

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Excessive pronation

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Patella alta

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Trauma

E

Repetitive microtrauma

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Postural distortion

Diagnosis

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Radiographs of the knee shows irregular retro patellar surface

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Arthroscopy is an extremely useful diagnostic technique

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MRI helps to make an accurate diagnosis

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Detailed physical assessment through special tests and neuromuscular examination are the diagnostic methods in physiotherapy. This assessment and rehabilitation programs can prevent minor surgeries of knee and helps the individual to become functionally independent and to lead a stress-free life.

Treatments

Patient education is essential to reduce the further complication by proper rest and limiting the movement in affected side. Modalities such as IFT, TENS and Ultrasound are used for pain management.

Our Arthritis Wellness & Rehabilitation Program incorporates an advanced modality called Pulsed Cell Repair Therapy (PCRT). PCRT directs a series of electromagnetic impulses through injured tissue. Each pulse induces a tiny electrical signal that stimulates cellular repair and harnesses the body’s own ability to heal itself. This natural signal promotes the body to repair damaged or worn tissues/cartilages and to maintain healthy and proper functioning of the joint.

Sometimes, because of aging, injury or disease, signals that are naturally produced by the body is disturbed. When this occurs, the body is unable to repair the damage itself. This results in pain, inflammation, and loss of proper function in the joint. PCRT is unique in that it mimics the body’s natural signal, activating the normal healing process and stimulates the growth and repair of the damaged tissue.

The treatment session is typically 9 to 12 days, first 9 days should be continuous without interval. Because of the regenerative process, patient is advised for rest without any vigorous movements in the joint. If the patient is in pain, we will manage with other electrical modalities and then start with PCRT. After the PCRT sessions, we begin with our muscle strengthening exercises and lifestyle modifications, approximately 3 to 4 weeks after completing the PCRT sessions, which helps the patient become functionally independent. Proper knee rehab program in step wise is needed after PCRT for the complete recovery from chondromalacia patella.

Elements of Arthritis Wellness Program

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Pulsed Cell Repair

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Hyperbaric Oxygen Therapy

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Cryo Therapy

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Exercises

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Nutrition & Diet Management

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Lifestyle Management

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Ergonomics Guidance

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