The 10 Worst Mistakes Made When Treating Chondromalacia Patella Knee Pain
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- Опубликовано: 27 июн 2024
- Treatment mistakes for chondromalacia patella lead to worse knee pain, osteoarthritis, and possibly even an unnecessary surgery.
Most treatment mistakes are completely avoidable, but the general public are not aware of them. Even healthcare professionals that are not specialized in helping people avoid surgery are not taught this information in school.
In this video, Dr. David covers the 10 worst mistakes made when treating knee pain from chondromalacia patella.
🦵Here’s what you should be doing for knee pain from chondromalacia patella:
“13 Best Treatments For Knee Pain From Chondromalacia Patella” • 13 Best Treatments For...
➡️ Learn more about our 28 Day Knee Health & Wellness Boost Program here:
www.epmanualphysicaltherapy.c...
This program is designed to address the root muscle imbalance problem that causes chondromalacia patella.
00:00 The 10 Worst Mistakes Made When Treating Chondromalacia Patella Knee Pain
00:32 Mistake 1 - Ignoring Knee Pain
01:26 Mistake 2 - Resting Too Much
02:24 Mistake 3 - Quad Strengthening
03:52 Mistake 4 - Unfocused Glute Exercises
05:22 Mistake 5 - Neglecting Foot Strength
06:01 Mistake 6 - Focusing On Weight Loss
07:36 Mistake 7- Relying On Medications
08:46 Mistake 8 - Too Many Injections
09:50 Mistake 9 - Getting Surgery Right Away
12:50 Mistake 10 - Not Getting Specialized Help
14:25 How To Properly Treat Chondromalacia Patella
#elpasomanualphysicaltherapy #drdavidmiddaugh
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DISCLAIMER:
Any information available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a physician, medical provider or physical therapist. El Paso Manual Physical Therapy will not be liable for any injuries that happened due to performing any exercises or advice on this channel.
Always seek the advice of your physician or other qualified health care professional with questions about your medical condition or to diagnose any conditions.
Suffering from grade 4 . You helped so much with the glute strengthening exercises. Thanks from India!
Thank you, Dr. David. You are the only one and first one to tell a patient how to recover using the basics. I have made all the mistakes by continuing to exercise even the leg and arm hurt. Thanks a million for telling me to give the body time to heal first before engaging in exercises .
Hey Sophia, you are very welcome! We are so glad we were able to help you understand better!
Suffering from patella tracking .... why do I get the feeling that you are talking directly to me 😊 You have been such a God send to me! Everything you say makes sense. My best friend is an ice pack 🤣 Take care and keep up the good work that you do for us seniors 😊👍
All I can say, spot on! You know your knees. Knowledge holds more value when shared and thank you for sharing!
Great information! Thank you!
You're welcome! 😊
Thx
Thank you
You're welcome! 😊
My doctor and physiotherapist don’t know why I suddenly have knee pain . Doctor gave me pregabalin and dicoflenac sodium and physiotherapist gave me 4 exercises to do that would be okay to do whether I have arthritis or Runners knee. It’s been over a month and I’m basically very limited and it’s starting to affect my mental health. Im so glad I discovered your channel today . I watch a lot of you tube videos lately to find a solution to at least get me to get I my car and drive again. 👩🏻🇨🇦
Hey @louangesaves3481, sorry you've been dealing with this sudden knee pain that's affecting your mental health. It can get really bad at times. You've likely got a muscle imbalance that needs to be addressed so you can treat your current knee problem and so you don't have recurring knee pain.
Did you know about our 28 Day Knee Health & Wellness Boost Program that is designed to address the muscle imbalance of runner's knee? You can learn more about it here:
www.epmanualphysicaltherapy.com/knee-health
If you're sure your have knee arthritis, then you need to learn more about our “Knee Arthritis Recovery Program”
www.epmanualphysicaltherapy.com/knee-arthritis-recovery-program
This man knows.
Almost every other doctor or physiotherapist gives wrong advice. I have listened to many of them.
El Paso Physio gives the best advice and exercise treatments!!
Thank you from Greece. I follow your advices and they are very helpful, I feel less pain.
Great to hear that mariagerouki1499! 😊❤️
I love this guy and this is his first video im watching. especially where he doesnt always recommend surgery.
Dr thank you for true info and exercises. From South Africa.
You're welcome! 🇿🇦😊
Dr.David. been following you now for a month and actually feel better. all that you have said regarding the medical community has been suggested to me such as lose weight, increase advil use, strenghthen quads. other than watching my diet which i feel better doing, i ignored the rest. and NOT jumping to surgery after two visits to ortho. thank you so much.
YAYYYYYYY!!!!!!
This is fantastic to hear Milo!!!!
We're sooo happy that you're feeling better!!!!
Thank you for updating us on your success!!!!
U r just amazing
Thank you!
Damn good 🔥🔥
I learn so much❤
Hey Patricia, We are thrilled to hear that you are learning from our content! 🙌We hope that is providing you with some solutions and offering you healing. In case you are interested we do have additional information and exercises in a playlist we have compiled for knee cap help. You can check it out here: "Knee Cap Pain Help"
ruclips.net/p/PLJVIPiFvv1mYRotMXuS6F94UZkGAIxsb2
We wish you all the best in your road to recovery! Please take care. 🧡
@@epmanualphysicaltherapy thanks 🥰
Hello ! What do you you think do sled pull backwards are useful and safe for chondromalacia patella?
Could you suggest please a toe curling muscle strengthening exercise and an exercise for focused glut exercise? If you have videos please can you point me to them? Thank you!
Mr David, wow thank you! You have really opened my eyes! I'm in my late 40s and this is my first injury - pretty severe CP. I'm feeling frustrated though - as you're saying, no quad strengthening and this is the majority of what my PT has me work on at home. I don't know how to tell them they're wrong, etc... I'm just feeling a little bit lost. Sometimes I think I should just work on this on my own. But it doesn't feel good to just quit PT.
Hey Mike! Sorry to hear that you are having conflicting PT advice. We highly recommend a Virtual Consultation service with one of our experienced doctors. By opting for a Virtual Consultation, you'll have the opportunity to have a one-on-one conversation with our doctors, where they can delve into the details of your condition and provide you with tailored guidance and coaching. This personalized approach ensures that you receive the individualized support and direction you need to make informed decisions about your health. To learn more about our Virtual Consultations including cost please click here:
www.epmanualphysicaltherapy.com/virtual-visit/
I have tricompartmental chondromalacia please do an articlevon that
What do you think if shock wave therapy?
Is it ok to work on the harmstrings?
Dr. El hydrolyzed collagen is good to take for this condition?
Hey doc, I've been doing PT for a couple of months now and even went and got hyaluronic acid + corticosteroid injections. I've seen a certain degree of improvement but nothing drastic. I'd really like to keep up with doing hypertrophy focused leg work in the gym and, obviously, the quads are a big part of that. If I can do a partial range leg extension, do you recommend against that? Same with squats, ex. squatting down at only a slight bend.
Thanks for these videos. When you talk about cartilage healing in this situation (since chondromalacia patella is supposedly a permanent condition as far as the rough cartilage unless surgically changed), what do you mean by healing? I am trying to understand more on this as it was not explained by a doctor and they just pushed pain meds, therapy and talked about eventual injections possibly.
I would greatly appreciate a few answers for better understanding on this condition. I am watching your other related videos as well.
Have you ever treated someone with this condition that had an injury or something that 'flared it up' (is that possible when one has had it most of their life and been actively fine til then?) to where they could no longer do basic things (crouch, squat, use a single stair on affected side(s), deep knee bend even while sitting or laying, sit or stand up from seat) without severe sharp pain, let alone other activities, and then had them be able to return to normal activity levels and things like hiking, biking, jogging (even maybe up stairs if they used to)? Would like to hear if you've had a lot of success with that situation or if it often remains a problem once that bad.
Hi doc, I want to know if swimming is good ! when can I go for swimming currently I have flare up in knee
I have been taking treatments for the past 2 yrs. But my knee pain just progressed to Chondrimalacia despite all efforts 😢
David can I exercise while wearing those sleeves ony knees?
Helloo.. I am a 27 yr old woman recently diagnosed with chondromalacia.. My Dr advised me to do an exercise like sitting on a chair and raising legs while counting 1 to 10...I am doing this every day... Isn't it a good one to correct chondromalacia?😢
Hey man really helpful video I’m 16.7 I got PFPS Oct 2021 till Current day by running and playing too much basketball with weak muscles and neglected the pain for 10 months until Aug 2022 I had enough and entered my 3rd physical therapy place. I did physical therapy 2 times but I just kept playing basketball and running with the same intensity so I never improved well recently I did stop everything and just focused on the pain and icing ect I say massive improvements with PT from Dec-Feb when i stopped and my knee pain was 90% gone. My only issue is I never went back to playing basketball or running not even cycling and now it’s end of March and my PFPS Or chrondomalcia idk if they are different I just assume I have it since it’s pain in knee cap, it hurts only to the touch when I press down on it. Now I worry that I never did anything of exercise so I may have set myself back i ice 3X a day both knees have this issue and it only hurts when I press down with pressure. Any tips and help? I’m desperate I need answers
You should get a MRI to check the condition of the cartilage behind your kneecaps.
If even half of the " Medical Pro's" talked about on this channel are doing it wrong, then we are in real trouble in America !
Hey @flexjay87, we're in serious trouble when it comes to advice on how to recover from problems like chondromalacia patella and avoiding more chronic problems like osteoarthritis. Our medical community is much more focused on surgery and medications. 🔪💊
@@epmanualphysicaltherapy , i may get a chance to prove your theory. My knees are bad from 3 Meniscus surgeries 10- 15 years ago. I have a new appt with an Ortho department in January, so i will be curious as to what they say. Appreciate your channel, and responding to my comment.
PLS HELP Bro what should i do, i have patella alta, chondro malacia gr2, and Luxatio patellae recurrens M22, i never had any problems withy my joints, bones, muscles..., i trained a lot of different sports, and all of a sudden i started getting injured more and more...
Can you recommend any foot strenghtening exercises?
Hey Karen! We have some great content for that! Here is a link to a short playlist we have created to help strengthen the muscles of the feet:
“Flat Feet Help”
ruclips.net/p/PLJVIPiFvv1maDFBa7YUpn_egPHS6zJ-Rn
When I press the glutes when sitting down I notice that the quads do not get involved in that movement.
Thx again.....painkillers ....on 😢minimum
Gt Osteoarthritis behind ...the Patella ...:(
Foot muscle...😢
Im not overweight
OP
Yes or no
Fixable?
Get your video now
Hi Antje, We are so sorry to hear that you're struggling with osteoarthritis and patella issues! Yes, it is fixable with the right type of exercises. We have a Knee Arthritis Recovery Program that would aid in your recovery. It is similar to our in-person treatments minus the manual manipulation.
The Knee Arthritis Recovery Program is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent or help with knee conditions like osteoarthritis, meniscus tears, ligament injuries, cartilage problems and other knee conditions. To learn more please click this link: epmanualphysicaltherapy.com/knee-arthritis-recovery-program
We also have a playlist for foot and ankle help:
"Foot & Ankle Help”
ruclips.net/p/PLJVIPiFvv1mZDFBRPyY3f9Dumk_hjg8H8
“Plantar Fasciitis Help”
ruclips.net/p/PLJVIPiFvv1mbQPkYeRmwiT4VeIah4xMZC
We wish you all the best in your road to recovery. We'd love to hear how you are doing as you progress.🙌 Please take care!
Thank you for the information but recently I met with an accident and tore my ACL completely and dislocated my knee cap which caused little instability in knee cap (i don't have any knee instability caused by an ACL tear, so we chose rehab without surgery) and 1 or 2nd-grade chondromalacia...
So, how should I work on my ACL and chondromalacia without injuring anything more?
Please help
I am having exactly same problem
Do you have any information on Hoffa’s fat pad syndrome?
same issue
I would think one should strength all areas involved prior to surgery.. Will make healing better. Easier.. not that im a fan of surgery but.m
Hai dr, i am from India. I have grade 2 changes in patella...what type of exercise should I do to avoid pain?
R u fine have same problem
I have partial acl tear and grade2 menescius tear and chondromalacia patella ,should i avoid vmo strengthening?
Are you ok now i am also facing same problem
@@kapilhiwale no
I'm really really struggling. I'm 30 years old and my whole life has been turned upside down by knee pain. It's been 6 months now. Loads of MRIs, Xrays and bloods and they can't find anything other than wear and tear behind knee cap and fluid in my right knee and hip.
I can't drive, if I do even a 5 minute journey it sets me into a flare. My other knee is having the same problem now too.
I can't walk my dogs more than the end of my road. Some days I am bed bound by pain.
I did start by resting for 2 weeks then exercising my quads as my physio recommended and now I think that might be part of why it's gone on so long. I was only aggravating it more.
I can't go on like this it's too much. Right now everything hurts. But I will focus on my glutes.
Thanks so much for your videos
Hey Rebecca, so sorry to hear that you are having such a hard time :-( hope our content helps and we would love to hear an update soon!
@ Rebecca Harris-Turner How are you now?
Start with an anti inflammatory diet. Sadly that also means coffee, tea and alcohol. Will let the inflammation settle so you can heal.
@harris-turner any update?
@@TheJollyBot I drastically changed my diet to anti-inflammatory and I'm working with a physiotherapist, unfortunately I'm coming up to a year of being in constant pain in my right knee / leg / hip - however although I have a limit (which a 30 year old shouldn't have) I am walking further than I was able to before, and it is not at the point where I'm bed bound as often as I used to be, so I'm hoping that even though it's slow it might be improving very slightly over time. I am nervous about things going downhill again over the winter. The doctors still don't know what's going on.
I think I have this but not diagnosed. What tests do I need. X-rays do say subtle condrocalcinosos
It won't show up on X Ray. Do MRI and other tests
Is it a good idea to take tendonitis supplements with collage peptide, vitamin c, glucosamine?
Yes..I have been taking supplements and I hardly have any pain doing normal activities
Thank you for this very helpful information! I’m two weeks into my first very painful flare up of Chondromalacia Patella. (I was diagnosed with it when I had an ACL repair but it never caused me any symptoms.) I’ve been trying to avoid ibuprofen so instead I’m using the Donjoy Iceman machine that they gave me for my ACL surgery. The cold water therapy works great for getting rid of the pain and swelling. At first I had to chill my kneecap pretty continuously and now I’m using it on and off throughout the day. I’ve also been taping my knee with KT tape which also seems to help. Using these techniques I’ve been able to start doing my glute and foot exercises several times a day. I’m making steady progress but I still can’t be up on my feet for any great length of time without the pain and some swelling returning.
My question is, are these things okay to do for pain relief and how long does it usually take to recover?
Hey @riariaria, sorry to hear that you're dealing with chondromalacia patella :-(
Yes, what you're doing is the best place to start getting the pain under control. Resting more at this point would be good to speed up your pain relief and decrease your swelling. You need to get off your feet as much as you can to allow the knee cap cartilage to rest and heal. You might even want to get on crutches or a cane for a time. You will be delayed in healing if you keep aggravating it when you stand or walk enough to make it hurt and swell again. It can take anywhere from 1 to 3+ months to heal from this properly.
Once you've been able to tolerate walking and standing for more than 20 minutes without getting worse, then you're ready to start exercising to fix the root problem. Our 28 Day Knee Health & Wellness Boost Program is program is focused on fixing the root problem that causes chondromalacia in the knees. You can learn more about it here:
www.epmanualphysicaltherapy.com/knee-health
Can I swim with chondromalacia ?!
i like you sir thanks for posting this I have a good feeling about u