Does Knee Pain Ever Really Feel Better Once You Have Chondromalacia Patella?
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- Опубликовано: 27 июн 2024
- Is it possible to feel better in your knee pain if you’ve been diagnosed with chondromalacia patella?
Are you going to need knee surgery when you’re older?
Can you ever get back to being active again despite this chronic, achy knee pain?
Absolutely yes!!! Chondromalacia patella is nearly always fixable as long as you go through the right treatment to address the underlying root muscle imbalance.
In this video, Dr. David explains how knee pain from chondromalacia patella can improve enough to get back to doing everything you were before. You might have some noise coming from your knees, but that doesn’t need to stop you!
Glute strengthening exercises:
👍“Top 5 Glute Muscle Exercises For Knee Pain”
• Top 5 Glute Muscle Exe...
👍“Top 6 Standing Glute Exercises To Help Knee Pain”
• Top 6 Standing Glute E...
⚡️Here’s a link to our knee cap help video playlist so you can find more help in fixing the root problem of chondromalacia patella.
"Knee Cap Pain Help" • Knee Cap Pain Help
🦵Learn more about the 28 Day Knee Health & Wellness Boost Program mentioned in the video: www.epmanualphysicaltherapy.c...
00:00 Does Knee Pain Ever Really Feel Better Once You Have Chondromalacia Patella?
00:12 Can it feel better?
01:27 What is chondromalacia patella?
03:08 How does chondromalacia heal?
08:00 Doing the right exercises is very important
#elpasomanualphysicaltherapy #drdavidmiddaugh
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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.
thank you...these will help mum...thank you!!
Thank you so dear doctor! I think you the real doctor who really cares and gaves hope for someone like me, who been suffer from chondromalacia last patella almost 3 years now. I did quads exercises before and they make me feel worse even at the begging I was thinking I feel better but that was false perception and I was end up in devasteted years of knee pain and tears thinking that nothing is going to help me, but now I been doing those gluts exercises for few month and I think I see some progress even it is going slow but at list I have hope that in time I will obtain some good results , as I really want to avoid surgery and I do agree with you that medication and injection are very temporary fix just to mask the pain without addressing the root of the problems ! You are the best doctor regarding knee problems over Internet I come across and I really appreciate your effort to help people who saffer! God bless you
Have you gotten any better?
Thank you so much for this video!! I have been doing wall squats and standing leg extensions 🤦🏻♀️ Stopping those now!
After hiyaluronic shots and then stem cells injected (which I paid good money for) and a physical therapist telling me I need to exercise my quads... I finally found you. I'm really trying but somewhat loosing faith in these 5 years of struggle. I'm scared to get on a bike, scared to cycle and basically hooked on diazepam because of my knees.
Well, cheers and thanks :)
I do appreciate all your advice and will be working on this...what I really enjoyed was the creative other names for chondromalacia patella in the on-screen display: condoleeza...condemnation...quite amusing!
Thx
Excellent info vide0👌👋
Thank you
I have no words for describing how helpful all these videos are! Indeed, every doctor says to "rest", "not move"... I am currently post-injection and looking for ways to improve and get back to some activity!
Too much rest was really bad for me during my knee situation, muscles get weak fast but take longer to build. Then walking can be even more unbalanced and difficult, especially when in pain. Yet using the knees much when they're in pain is hard and problematic too. Seems finding a balance is best, whatever you can without hurting them and maybe as many sitting or laying exercises as you can that don't only work one muscle. Good luck getting back activity! I hope to get back to normal too.
Oh Gosh it makes me feel sooo much better to hear you say that the pain can be alleviated and the condition can be reversed❤ I will follow your advice strictly. Thank u so much!
I got pfps in PE class in Feb 2022 and have had it ALMOST everyday since. I noticed that I had these 2 week periods every few months with zero pain or grinding and then it all returns. Idk but I want those 2 week periods to be permanent!
Thank you for the video. You're the first person to recommend against quad exercises that I've seen for condromalaysia. I did quad exercises for 6 weeks with no improvement. Will be going strictly glutes and hamstrings and hopefully beat this thing!!
Hey Josiah! You're very welcome! Keep working on the glutes and let us know how you improve!
Hey there, have you seen any improvement on your knees?
You are real docor 👍👍👍🙏🙏🙏
Thank you M TACH!!!
Top man
Thx a lot
God bless u
Hey Ajita! You're welcome! God bless!
This is exactly what I needed to hear!
Hey Eat,Sleep,Peak, That is awesome! We're excited to hear that this was able to offer you some help. We have a playlist for chondromalacia patella help. You can access it here:
“Knee Cap Pain Help”
ruclips.net/user/playlistlist=PLJVIPiFvv1mYRotMXuS6F94UZkGAIxsb2
We'd love to hear how you are doing as you progress.🙌 Please take care!
I have been following up your videos and doing the exercises you recommend and somehow I do feel relieved after everything routine Hope my knee pain is going to heal soon
I thank you for all the information you give it has been very helpful
Hey Magiri, you are so welcome! We are so glad that we were able to help with your knee pain! We would love to hear an update in the future!
You are spot on! I love your videos!! I started out with meniscus tears in both knees almost two years ago. After months of PT and tons of front leg raises, I ended up getting PFS- grade 2 Chondromalacia Patella. The front leg exercises just make everything worse. My leg muscles got so tight from all the exercises, and I could barely walk last year. So, then I was dealing with meniscus tears, PFS and I tore my hamstring muscle in PT. I switched PT's and now been through three PT's and they just gave me the same exercises that make it worse. I'm so glad I found you here. You are a Blessing!!! Thank you so much for all your information. I started a lot of the exercises you recommend last week and I'm already feeling a difference. I'm walking so much better too. Using glute muscles instead of quads. The exercise I really love is the standing glute raise. Genius!!! That's a new one for me and so helpful!! Much love and blessings!
YESSS!!!!!!
This is fantastic to hear Lisa!!!! We're sooooo happy to hear that you're already feeling a difference after a week!!!
Thanks for letting us know this worked for you!!!!
We hope you get to 100% as fast as possible!!!
@@epmanualphysicaltherapy Thank you!!!!
@@lisalynnmarie hi, how’s your chondromalecia symptoms now ? How long were you not able to walk last year and is it better now, are you able to walk ? Thanks
@@tr6151 I am 95% healed now. I feel great and so thankful! I ended up seeing a chiropractor and that's why my knee wasn't healing. My back, neck and hip were out of alignment due to an auto accident I had a while ago. The chiropractor gave me stretches to do and I take Turmeric daily. I'm now back at the gym getting stronger and I still do a lot the glute exercises that are recommend here by the doctor and now using some leg weights.
I also took a lot of the advice on here and I think with using a good muscle massager (Bob & Brad) . was massaging daily - sometime twice a day. My hamstring and quads were very tight and was causing a lot of my pain. It's been a long roller coater ride, but I'm so grateful I finally got the right help that I needed.
I had to see the chiropractor for over two months- three times a week to get my hip and back in alignment. If anyone on here is having long term knee pain, please see a good chiropractor also. I think this may be a problem for a lot of people. And yes I am walking pain free now! :)) I'm walking faster than I have in the last two years. I hope this helps and I hope you feel better soon!
@@lisalynnmarie glad you are doing so so well and thank you for sharing your healing journey. Keep up the good work:)
I really enjoy your videos I am currently in physical therapy for this and also PES tendonitis. I'm working my glutes a lot. I have a question for you have you heard of people not being able to wear jeans because of this problem and when they got better with able to wear jeans? I am going absolutely insane
🤣. I'm laughing because I just heard you say "I'm not making this up" I just would not be following you if I thought you were just "making things up"!! 😂 I just got a referral to an orthopedic doctor. I'll go in to see him in about two weeks. Afraid of what he is going to say. If he wants me to do quad exercises, I don't know what I will say if he wants me to exercise my quads. "Well this physical therapist on RUclips says......" I'm sure that's not going to fly with a Dr......I couldn't exercise my quads anyway
Do you have any research supporting the theory of focusing on glutes strenght and not quad?
yeah i was told by my physio to work on my VMO?🤔
Lolol
Hello and thank you very much for your videos. I have chondromalacia patella since over 10 years. I'm from Germany and It's quite shocking that orthopedics specialist don't tell us anything helpful at all. But it seems to be the same in the US. Ten years ago a found a very good physical therapist in Munich who has been working for Bayern Munich and the German national soccer team. It was a totally different world and treatment. Nothing to compare with normal ordinary physical therapists. It's not magic but a proper understanding of biomechanics of the human body. And what they were telling me is exactly what your saying here 👍 normally a physical therapist in Germany is not looking for muscle disbalance, none of doctors, when your are a public health patient. My last visit at an orthopedics specialist was totally useless. It's so frustrating because nobody cares. I will stop training my quads and keep on focusing on the glutes like the PT told me ten years ago
@@joshhazel742Hello, the cartilage behind my knee cap isn't getting any better anymore. since the beginning of 2023 it started on the right knee as well. Currently I am doing something similar as I did ten year ago. I found a good training program in the university hospital in Hamburg. They have a coloration with the local soccer team and the police. It is similar to the training I did back then in Munich. They even know each other :) Its not rocket science. It is mostly about balance, leg axis 🤔 and strengthening the gluts and core muscles. All of the exercises are without machines. You can call it functional training. Unfortunately, it is only about 10 h training and 10 h physiotherapy. I mean this is good in Germany, normally you only get 6 * 20 min from the public health service.
Hope your issue has been improving. I understand as well how frustrating it is when a doctor can't seem to explain things to you or doesn't seem to really care to help. They often just want to throw bandaids on the issue instead of helping to find how to really fix it, and sometimes in the USA that is because insurance companies don't want to pay for further testing or more expensive treatment. But sometimes the expensive stuff isn't always necessary. It can just be hard to find what is really best. We are lucky to have the internet to share stories and information and at least be able to try or ask about different things. A lot of misinformation there too, and conflicting information, but at least it's better than just what a doctor or two say.
Thank you, how fix patella Baja?
This is amazing video.I hipe it will help me a lot I recently got diagnoised with the same problem Doctors were suggested me with knee cap along with some excercise .Is it good to wear knee cap for this condition .please suggest me and I have grade 1 meniscus tear too
As a bodybuilder I think I suffer from this. When I regularly did squats I had no issues with my knees but for the last year I was almost exclusively doing leg presses for my pressing movement. I guess it created some sort of an imbalance
What about if you want bigger quads? I’m into bodybuilding and a getting post traumatic arthritis; CM has literally every health professional telling me to avoid quads. What are some exercises to do, specifically? Maybe a video? I know about avoiding deep squats, but what about sumo squats which target glutes, or partial ROM leg extensions (I know these are the worst for the patella but they are the best for quad growth)
Loved the video, it’s calmed me a lot since getting the diagnosis. Most things I’ve read have just scared me into thinking I’ll be a cripple for the rest of my life. (I’m in my early 20s)
By CM I meant Condromalacia patellae XD
I have the same question. For what its worth the physiotherapist told me shallow squats are ok and also leg extensions, avoid lunges and deep squats. That was recently so I've only done a couple of workout sessions, too early to report back. I have Grade 4 in one knee but only a small spot. The info out there on exercises is really confusing. A lot of the body building channels when they mention knee problems are not necessarily being specific to CM.
Thank you for your excellent videos, but what if the kneecap is gone to the outside not to the inside? this is my case i hvae femoropatellar syndrome and the doctor said i shoyld streghthen the outer knees to pull the kneecap outside
Hi doctor .
The explanation u have given in this video 100 true . I had a minor issue and when I consulted the consultant they start QSE and HSE which made my condition worse . Plus it pushed patella more Towards the joint .
Can u guide me in one thing .
Can I do these exercises at home plus is it ok if I do it more than one time in a single day to get best result in short time .
Ty
Hey bro, thank you for making such helpful content. I was diagnosed with grade 2 and am working through it. What exercises at the gym would you give the OK for leg day while working through this? Would RDLs, for example, be alright?
I have grade 4 his videos are a blessing
Да и у меня 😢
I just got my last cortisone injection yesterday afternoon. I'm wondering how long I'm supposed "take it easy" on my joint.
I have condromalacia patella in my left knee since 2 months, I am doing all the exercises that you recommended along with low resistance cycling , walking . I already see so much improvement. And I am hoping in next 3 months my knee would feel normal. I am doing all the exercises for 1 hr every day and 40 mins cycling and walking . Thank you so much , I will come back once I'm totally normal
how are you now?
Hopefully you got back to totally normal. I am hoping to as well.
@@Sis.Sweets ya I can run now. Still have pain when I squat hoping it'll be alright in 2 more months. Back walking helped me the most.
@@jevgenijszinovjevs1120 I'm totally fine now, I can squat and run both.
What if you have patella maltracking laterally plus superior lateral edema on the fat pad? Will get pads also heal once you fix the patella maltracking as well?
I recently diagnosed chondromalacia pattela ,I'm I'm shocked because I'm young active man , there is no injury...I can't digest...then Dr said tha same strengthen quad muscle,then I search you tube randomly,I saw videos of him ,then I realised I too over work quad muscle,now I'm doing hamstring work out feels better,thank you.
How are you keeping now?
@@SandeepSharma-ue8vu I am perfectly alright only one if I flex and straighten my leg I feel little sound
This is reassuring! What exercises were you given that helped? I’m struggling to find hamstring exercises that help without aggravating my knee
@@oliviacrowe-mr3eh started with back walk,try this...
Did the doctor give you a brace? how long was the recovery time.
I'm going to the doc soon, but not sure what I have. I got a shooting knee pain from squatting exercise after not squatting in a while..But that same knee is also on the same leg where I have heel pain, which may have had some cause..I had trouble going up stairs for a while..I got better after 2 months, and then got the pain again after playing bowling. Have any feedback for me? Great video.. Thanks!
Gm sr, plij can you tell me any best topical massage oil for chondromalecia patela inflammation, 🙏🙏
Hey sir,
I have very athrophied VMO in my right leg - the worse leg of my two kneecaps and I also have very good mind muscle connection for my glutes, also I have a good tonality in them and they are really a dominant muscle for me. My quads however, are very thin and weak. So what now? Can my tight/weak hip flexors be the issue? Thanks!
So true, I was thinking the same , myself , today. That these doctors themselves never had this tormenting, chronic, debilitating pain, and therefore it's easy to say, do strengthen VMO! Isolate it!! U r not exercising correctly, so no relief!!
I have been suffering from this pain for more than a year now and despite many injections and exercises . Nothing helped much in my pain. It feels like, it will never go. When I do intense quads especially try to strengthen VMO, my whole quads get sore for 2 to 3 days and it s all the more painful. I m so frustrated 😢
Hey there Doc, I have an issue where my patella tracks or is being dragged more Medially and can't find much information about this issue online, most time it's the other way around that it tracks laterally? I do have bad quad strength and overall strength in my legs due to unactivity. I'm just curious about how you would adress this issue. Do I need to release the Vmo that's pulling or just get bigger quads in general? When I sit on the ground and flex I notice my Vmo pre-firing over the lateral side.
Your response would be very appreciated!
Greetings from Christoffer Andersson, Sweden.
can the carthilage regrow in thickness?
My physio taped up both my kneecaps to help my ligament tears but this treatment gave me chondromalacia patella grade 1 :(
Just starting on your glute exercises with confidence 👍
I wonder if the taping prevented normal movement of the kneecap. I feel like it makes sense that having it too tight or wearing that or braces too much could do that. When I wore a brace for my injury it often seemed to produce pain at times and still didn't enable me to do things I couldn't during anyway, so I don't like to wear one. Good luck with the recovery! Hope to hear it works. Hoping to get back to normal myself.
@@Sis.Sweets thank you. I'm thinking that the tape lifted the patella up too much and stretched the cartilage causing the damage. The physio acknowledges what happened as a result but still my body is an unusual case with sensitive tissue and lack of strong healing response that he did not anticipate. It's already getting better as long as I commit to my recovery and don't fall into situations which trigger a flare up.
Good luck with your recovery 👍
Kneesovertoesguy is raging right now.
No seriously, I followed Ben Patrick religiously until I got fed up with knee pain, only recently learned it was chondromalacia. Basically his whole thing to get my knees better we’re in fact continuing to worsen my pain. Thank YOU for what you do.
Hi Shakenbacon, You are very welcome!🙌
We are so sorry to hear that you have been suffering from chondromalacia patella issues! We know what a painful and frustrating experience it can be and we can only imagine what you have been through.
To address your chondromalacia we have a program that would be able to benefit your recovery. The 28-Day Knee Health & Wellness Boost 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, ACL tears, ligament injuries, chondromalacia patella, cartilage problems, and other knee conditions. To learn more please click this link: www.epmanualphysicaltherapy.com/knee-health
You will have lifetime access to the program and for peace of mind, we offer a 7-day money-back guarantee from the time of purchase if you feel the program isn't a right fit for you.
We also have other resources on RUclips. In fact, we have a playlist with additional exercises and info for knee cap pain. You can check it out here:
"Knee Cap Pain Help"
ruclips.net/p/PLJVIPiFvv1mYRotMXuS6F94UZkGAIxsb2
We are wishing you a speedy recovery! Please take care.🌟
I wish I had seen this video before being told by an orthopaedic that I needed a surgery for this. It only got worse afterwards…
Thank you!
Hey Dominique, so sorry to hear that the surgery made things worse :( In case you went forward with a knee replacement, we have a great program available to help rehabilitate after a failed surgery. Here is a link to that program with more information:
The Failed Knee Replacement Recovery Program is a comprehensive program designed to help people with treatment strategies that are effective at helping calm down an irritated knee, then guiding you to treat the root problem that sets up knee arthritis and continues to cause knee pain in a replaced knee joint. This program works even for a revised knee replacement. You will learn:
Fast ways to reduce knee pain and swelling so you can quickly get to being able to tolerate sleeping and being on your feet more.
How to gain more motion in your knee joint (if you're missing some motion) without forcing yourself to do aggressive, painful stretches.
Thorough understanding of the root muscle imbalance so that you can apply the information to your specific life situation.
How to get the most out of your replaced knee joint while keeping it healthy for the long-term so that you never have to go back to another knee surgeon.
To learn more please click this link:
www.epmanualphysicaltherapy.com/failed-knee-replacement-recovery/
@@epmanualphysicaltherapy hi thank you! I didn’t have a knee replacement but underwent an arthroscopic surgery for a chondromalacia patellae grade 2/3 and minor meniscus tear. This was recommended by the surgeon… Three years after the surgery I still have more pain than before the surgery… I used to do a lot of sport (triathlon) and can hardly run after the surgery. It is clear that in my case it would have been sufficient to do exercises to rebalance the muscle strength, work on the glutes and hamstrings and do some stretching.
Is Chondromalacia the same as Chondropathy? I have patella chondropathy and not sure what to do to help myself :(
Can stem cell injections heal cmp? And plica ?
Can I kneel, sit on floor etc. After glutes strengthening... Because that is what I am not doing..squatting below 90 degree is what I have not tried...
I have had kneecap disloactions. But I am pain free now. Doc diagnosed with CMP with knee cap moved to one end like u explaine din th video... I can do pain-free walking and stairs.
I dont even know how one gets this condition i have been diagnosed with grade 2 how do u get this?
Hello sir, I hit my knee to the desk very hard and had fracture on femur medial epicondyle 4 months ago. I recovered from fracture and I can walk properly without any pain. However while climbing stairs or jumping or running I have feeling pain on upper side of knee cap. Do you think that can glute exercise help me? By the way, as my doctor said, I am tried to strength my quadriceps muscles since after fraction I lost a lot of muscles.Even I did a lot of exercise, still my muscles are so weak compare to my healthy leg. Sometimes I am being too much pessimistic about being able to run and jump again or being comfortable at stairs.
Sir please answer me as soon as possible 🙏 it's my life's most important turning point if I am not capable to run😢😢😢😢😢
Do you recommend using a knee guard with patella support for chondromalacia patella?
My doctor who diagnosed me prescribed that for me.
Hi Charissa, We are so sorry that you have been dealing with chondromalacia patella issues! 😃 A brace could provide more stability for your knee and help ease some of the discomfort you are feeling. However, you know your body more than anybody even more so than your healthcare provider. If you wear the brace and it is causing you discomfort to stop wearing it. In case you are interested we do have additional information and exercises in a playlist we have compiled for knee brace help. You can check it out here:
"Knee Brace Help" ruclips.net/p/PLJVIPiFvv1mYfCVO5HJsDWdxVDUc3Jbf2
I tore my ACL both meniscii and condromalacia, would I have to modify physiotherapy to fix this? I need to strengthen my quads also but you mentioned strengthening quads makes it worse. How do I work on this? I feel the pain when I do leg extensions and leg squats on my affected leg.I’m 27 years old and my doctor thinks the pain will go away because I’m young
Dear Dr. David. I have been following your videos for general knee pain for a few days now . Though its the forst time i am hearing not to strengthen quads and hams for knee but only gluts...i see the point. I too have knee pain for 3 years now, and been doing the leg raises since that long, but its not healing my knee. Recently i was diagnosed with chondromalacia patallea. I have now stopped doing the leg raises and really working on my gluts. Will update u after a month about my pain. Thank u for all these wonderful videos.
Hi, any progress so far?
Have you experienced any progress after a month?
Yes I am feeling better after almost 2 months now...strengthening my gluteus medius (abductors) as well as gluten maximus (extensors). Just extensors did not help much.
@@prachikolteom It's great you're feeling better. Thank you for sharing your experience 😊
@@prachikolteom how r u now? Even I have chondromalacia n knee pain?has your pain totally gone away?
I just had HA injection yesterday and is it normal to have lots of pain. Also Dr. Said I should see a back doctor to rule out nerves… then he also mentioned TKR potentially for this. Just so scared…thank for all you do Dr. David and team.
My HA injection did nothing for my Grade 4 Chondromalacia 😢
I have chondromalacia grade 4 injections made it worse ! took 6 weeks had a flare up then they advised quad physio made it so bad I was on a crutch for 3 weeks . Watching Dr David I can walk without a crutch and slowly doing tailgating and clams what a difference
I have grade 4 chondromalacia. Is it possible to heal this? Im a personal trainer and i do a lot of glute training but its not improving. I should mention i have bunions. Thank you.
Walking around the block is what always triggers my knee pain?! I was a competitive cheerleader in highschool which is when my knee pain began. I went to an orthopedic surgeon, was told I had tendinitis and to wear knee hands. Fast forward 15 years and still have knee pain. If I rest then, the pain will usually subside. But I love working out and can only do “knee friendly” leg workouts which keep the pain down. But then if I do too much walking or standing, the knee aching is back and lasts days and days. I have 4 small children so I am usually walking. Any advice?
Ok, it's clear from all your videos that you must correct muscular disaligmnents.
But, how can I measure that I'm making progress and the imbalance is being corrected. That is, how can I measure the dialigment?
So far this is the best video explaining this problem. Mine is lateral on both knees, and have lax ligaments. My questions:
1. At the gym should I also stop curl, abduction and adduction weight exercises? Earlier videos I understood to stop only the ones strengthening the front quad.
2. Both knees have equal damage. Why does only the knee that had the surgeries hurt?
3. The better, no pain knee has the weaker side glute. I'm confused. I expected it to be the other way.
Did you heal the knee pain? What did you do?
@@binny9820 I still have the knee pain despite the glute exercises. Maybe I'm not doing enough?
Three weeks ago my right patella dislocated. It took 2-1/2 weeks to heal. This happens bc of my congenital knee condition.
Maybe these exercises help those with developed knee problems instead of born with them.
I still do them. It can only help. And I've shared these videos with others.
I don't want to feel better, I want to back normal. F this life.
I was diagnosed with this in 2015. First it was my right knee then my 2nd knee as well. Now the pain is gone but my knees still crack a lot and are sometimes quite loud (crepitus). I do have some little pain sometimes but it's not a big deal for me.
How did you manage to make the pain go away?
Thank you for the video. I am diagnosed with grade 3 chondro malacia due to sudden high intense workout like 200squats claiming excercise. Now my affect leg knee cap looks little bit high, This will also settled by doing the glutes excercise?
I am doing all the glutes excercise from your channel without the pain
Also can't raise my leg upto 30degres while sitting in the chair it means pain is high wile try do do that will it settled down by working on glutes. Please advise sir
How r u now
Undergone surgery?
I was just diagnosed with mild chondromalacia patella and small joint effusion on my right knee and on top of it I have my left tear meniscus. I’m so overwhelmed and I don’t know how I’ll fix this issue. Any suggestions?
One question - you say the key is to address muscle imbalance and that the typical imbalance is that the quad muscles are too strong vs. other muscles; therefore you say quads do not need to be exercised and the focus should be on the glutes. But, what if the imbalance is WEAKNESS in the quad vs. the other muscles: does that change the treatment approach? In this case, would it not make sense to strengthen the quads (vs. the glutes)? Thanks very much
I've suffered with PFPS for decades and I've had crepitus since childhood. My knee pain just got severely worse last Sunday to the point that it hurts when I lift my leg with my knee at a 90⁰ angle. It hurts just placing a little pressure when cycling on the back leg/pedal. I've never had it hurt like this before. I'm used to the pain then squatting or crouching but not this. Putting on pants is painful. I've tried VMO stuff before and that never made sense to me because it's difficult to isolate. I've also tried glue medius exercises. Nothing worked
Same thing happened with me , I also couldn't lift my leg. But now I can with only little pain . I did exercises which strengthen my gluten hamstrings also I focused on strengthening my ankle and calfs
Omg I'm dealing with this right now. It's been 9 weeks. I was on crutches for 7 weeks. My knee was so swollen and painful I could barely bend or straighten. It seems to be improving finally but it's still pretty bad. My surgeon can't seem to find the cause of my issues even after a MRI. I had no choice but to rest. Your videos are giving me encouragement!! Thank you. I'm watching this one right now on my TV. I wish I lived where you are located so you could treat me!
Hey Heather, we are so sorry to hear you've been dealing with knee pain and swelling :-( Glad to hear you've found ways to make it improve! We suggest watching this playlist and start applying the philosophies and exercises from it:
“Knee Cap Pain Help”
ruclips.net/p/PLJVIPiFvv1mYRotMXuS6F94UZkGAIxsb2
Thank you. I absolutely will. I wish I could get my flexion past 110° !! 😭 But I only started working on it the last two weeks and went from 90 to 110.
I want to go to the military can i go with Chondromalacia
Best way to diagnose? I'm suggested an MRI. My problem in knee occured 2 years ago. Months of rest but getting up from kneeling, doing knee pressed exercise has flared up the knee again.
1. My ortho did rotation, stretch of the knee and leg but I did not scream in pain.
2. I only have a nagging pain in the horizontal part across the knee.
3. Walking sometimes excarbetate pain.
4. Swelling on right knee is so much more prominent.
5. I thought I had bursitis but he hinted at chrondromalacia. Less chances of ligament or meniscus tear.
6. Asked me not to walk or jump or jog on hard surfaces. But how long not to do it?
Hey, any improvement
Sir I have chondromalacia patellae grade 2(medial meniscus)
Can I run normally if yes than told me how much this problem takes time because I have physical efficiency test after 2 months
Help, I have a bakers cyst and this last august pseudogout in my whole left leg, I still have trouble bending it. I’m having PT once a week. 1991 I did have knee surgery after a ski accident, trimmed meniscus, shaved femur condyle, cruishett ligament repair. Medial knee hurt just before pseudogout, then my posterior thigh hurt. Now it’s stuck, won’t bend.?surgeon wants to do TKR. I just want to start with a partial…. If that….scared. Your thoughts… plus, I had 2 PRP treatments, while I’m taking low dose aspirin ( massive MI 2008)
I don't understand why Bakers cyst aren't really treated. I have one too and I can feel the small soft lump where it is. They said ",it's a small one" I don't know why it hurts so much. They also say that I have. "little" knee arthritis. Omgosh sometimes I can't even walk on it! I hope my new orthopedics Dr will have more options for my "little" bit of knee arthritis!
Can I show you my MRI report via email or somewhere? I want to get recommendation for exercises.
Hey Saqib! We'd love to take a look at your MRI! Here is the link to set up a virtual consultation so we can give you specific exercise recommendations :-)
Virtual visit link
www.epmanualphysicaltherapy.com/virtual-visit/
Hi my doctor suggested me that I have grade -4 Condrolomaliciya patela so he tell me that Cartlege transplant in focal area please tell these types of sergery is helping to recover Graft net sergery he tell that many part of knee cartlege is not use in knee so we harvest and plant that area...after that sergery you do rehabilitation excercise so he is curable so what you think is cruble...i have also crondmalacia is another knee....he tell me after 1 year we do another sergery for another knee it is helping me to recover please tell
4:27 This is surprising to hear since every other PT seems to say that strengthening your VMO is the #1 priority to helping fix chondromalacia patella.
Hey Mike! Unfortunately, your VMO is not a functional muscle. Throughout your normal daily life, you are not going to use it very often. So even if you strengthen it, you will not be using it. The idea behind strengthening the VMO is that if it pulls your patella to the inside more, it will be able to counteract the stronger muscles on the outside of the knee. Even if the VMO is strong, you will not be using it enough throughout the day to make a difference. Instead, we take an alternative approach that focuses on decreasing the overuse of all of the thigh muscles. This will put less force through the patella and knee joint, therefore decreasing pain and inflammation in the area. Hope this helps!
Thanks for the reply! I go in for an MRI tomorrow, so we'll see what's really going on soon! For now, I've been doing the glute exercises you've suggested. Cheers!@@epmanualphysicaltherapy
I had an X-ray and doc said looks good with no signs of arthritis. Would this show up on an MRI because based on symptoms I’m thinking I have this or bursitis. I’m more inclined to think this because this is the first video I’ve seen that mentions throbbing at rest which I usually have daily now at some point. If I have this can I avoid surgery?
Yes, I'm exactly the same, I had a knee x-ray, which was fine, but I still have what I call a toothache in my knee!
Hi brother, i have been diagnosed for chondromalacia patella 2 years ago will this ever heal completely so i can run and play football again. I cant put weight on my right knee without having pain on it. I cant climb and go down the stairs in a normal way.
Hey @linagacha1164, sorry to hear about your chondromalacia of 2 years :-(
Whether or not you can get back to running and playing football again depends on how much you're able to heal. It sounds like your knee is very flared up right now since you cannot put weight on it, climb or go down stairs normally. You might need to rest it a bit until it feels well enough for you to do glute exercises without making your knee hurt more.
The potential for your recovery depends on how much you can strengthen your glutes and reverse your muscle imbalance to take pressure off your knee cap cartilage.
How definitive is an mri for diagnosing this problem? Especially compared to xrays?
MRI is much better
Mri shows everything soft tissue cartiledge
Pls pls anybody suffering from charcomandela pattela and got recovery permanently pls inform me i m suffering from this thinking about future........
Dr . If possible give some live example it could be more helpful for us.............
what if l have chonramalacia patella because of it band syndrome?
Hey Palin, Chodromalcia patella can be linked to IT band issues. Without a proper evaluation, we can't provide customized or personalized advice but we would be happy to offer some general guidance. Some gentle stretching and movement would be helpful for the area. We have a playlist that we have compiled for IT Band Help that could be beneficial to you. You an access it here: “IT Band Syndrome Pain Help”
ruclips.net/p/PLJVIPiFvv1mZUkmp_Vahu2yuGNPa9D43T
We have a 28-Day Knee Health and Wellness Boost Program that addresses knee cap pain along with IT band issues. The 28-Day Knee Health & Wellness Boost 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, ACL tears, ligament injuries, chondromalacia patella, cartilage problems, and other knee conditions. To learn more please click this link:
www.epmanualphysicaltherapy.com/knee-health
Manual Physical Therapy would also be a great option to treat your situation. Dr. Davd's techniques and philosophies are very unique so it difficult to be able to provide you with a recommendation, however, In the US, you can find a physical therapist trained similarly to Dr. David at this website: aaompt.org/Main/Public_Resources/Find-A-Fellow/Main/Member_Resources/Find-A-Fellow.aspx?hkey=108c9a56-f793-45e4-b3ed-cefe5d871a94
We wish you all the best in your recovery!
why no treatment? your video always for reliefing pain
Hey Eyan! This specific video was primarily for education but we have many great videos on treatment! We recommend glute strengthening for Chondromalacia Patella! Here are some great glute videos we have! :-)
“Top 5 Glute Muscle Exercises For Knee Pain”
ruclips.net/video/NXdCjT2QtJA/видео.html
“Top 6 Standing Glute Exercises To Help Knee Pain”
ruclips.net/video/jD7IRBfJ-mM/видео.html
“Walking & Stairs Advice For Painful Knees, Hips, And Ankles”
ruclips.net/p/PLJVIPiFvv1mZqQdy7MnE2Q1H_Xfgxi5zH
Hi Sir! I m from Pakistan. I had met an accident 3 years ago. I did X-Ray of my right leg and orthopadic doctor told me that passage of time it will be well. I still can't go to stars when I step my right leg I feel pain on my knee and when I push up straight my leg on chair and I can't and feel so much pain on my knee. But now I check up physiotherapy doctor. He diagnosed these below..
1-Quads hamstring calf
2- weakness
3-quads inbalance
4- pattelar restricted
Physio doctor advised me diognose
i- quads weakness
ii- extension
iii- total muscles weakness
__________________________
Please advise me excercises. I will wait for Ur reply..I had physiotherapy doctor prescription I want to send u.
Hi Sir! I m from Pakistan. I had met an accident 3 years ago. I did X-Ray of my right leg and orthopadic doctor told me that passage of time it will be well. I still can't go to stars when I step my right leg I feel pain on my knee and when I push up straight my leg on chair and I can't and feel so much pain on my knee. But now I check up physiotherapy doctor. He diagnosed these below..
RTA,
1-Quads hamstring calf
2- weakness
3-quads inbalance
4- pattelar restricted
Physio doctor advised me diognose. I m also doing excerses now.
Diagnose
i- quads weakness
ii- extension
iii- total muscles weakness
Hi, I have chondromalacia patella. I don’t have strong quads as I am recovering from a total knee replacement which I had about 6 months before. What exercises do you recommend?
Sorry I just repeated the same thing about three times in my comment
Hi Dr,
I hope you are well.
I appreciate you are busy.
I have Patellar Chondromalacia and there is also an intra-articular loose body, a small structure around four millimeters in size, which may be a detached fragment of the articular cartilage. The articular cartilage injury is graded as four, The ligaments and menisci appear normal, and I have a Patella Alta, which is a slight elevation of the kneecap that may or may not contribute to the altered biomechanics and erosion of the articular cartilage. The report also mentions minimal fluid within the joint space, which is not of much concern. I see online You are to be the best around when it comes to Chondromalacia so any advice how to best treat it will be much appreciated as I’m fit 44yrs old and I’ve just got a HA injection but don’t think it’s helped. Again, I appreciate you are busy and you might not have time to respond. Thanks Colin
Colin Carrick
Hello Colin,
Sounds like your knee is giving you some bothersome problems. Your Patella Alta is defiantly changes the biomechanics. That slight elevation is telling you that your quads are overactive. Here are some videos that will help you out.
Knee Pain Exercises, Stretches, Advice, & Tips Playlist
ruclips.net/p/PLJVIPiFvv1mY02hvFckRQO55HfAqDtWrM
"Walking Advice For Painful Knees, Hips, And Ankles"
ruclips.net/p/PLJVIPiFvv1mZqQdy7MnE2Q1H_Xfgxi5zH
“Top 5 Glute Muscle Exercises For Knee Pain”
ruclips.net/video/NXdCjT2QtJA/видео.html
“Top 6 Standing Glute Exercises To Help Knee Pain”
ruclips.net/video/jD7IRBfJ-mM/видео.html
@@epmanualphysicaltherapy thanks for the reply and tips.. very much appreciated.
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