Chondromalacia patellae - The 4 stages and their treatment explained

In this video Prof. Dr. Bellemans explains what can be done about chondromalacia patellae, and how the treatment is influenced by which stage you are in.
You can find my book on sport-injuries (only available in dutch) in the link down below:
www.standaardb...
If you would like an english version let me know in the comments.
gritsportsclin...
arthroclinic.be
Infographics: / gritsportsclinic

[@justinklenk]

I have chondromalacia and have just learned more about its physiological progression than I have in 40 years of having had it - thank you. 👍

[@ashleytavizon2770]

10 years for me and just learned what it ACTUALLY is! Going to doctor asap.

[@michelegiannone7403]

40 years????

[@justinklenk]

@@michelegiannone7403
It's been intense. 👍 You bear the pain through life and skiing and sport.

[@johnpetry2541]

Great explanation as usual! This seems to be a "knee topic" not discussed very often, so thanks for adressing it. I hope there's enough interest in this topic to go further in depth on causes, such as prevalence among certain professions, injuries like repeated patellar subluxations, and Q angle variations--both genetic and between the sexes. And of course, the surgical approaches like chondroplasty, tendon releases, retinacluar imbrications, maquet procedure, etc.

[@frezzingaces]

Thanks for this video. I've read a lot of explanations about the different stages of chondromalacia patellar, but this is very clear about the mechanics.
I'd love to know more about the long-term management of chondromalacia patellar. I can't help feel like I'm on a long-term track to osteoarthritis and then a knee replacement. But I hope with proper management I can avoid that for decades.
And I would be interested in reading your book about sport injuries if you make an English translation! Maybe just a digital release?

[@nnnyuy88yhj]

4:18 thank you for saying that. I was scared that my stage 2 chondromalacia was wrongly diagnosed because of how much pain it has been causing me. I was afraid it was stage 3 or 4, but the MRI luckily showed it's only stage 2.

[@redblacktichy7713]

How old are you?

[@nnnyuy88yhj]

@@redblacktichy7713 i am 20

[@carolines9440]

I developed cmp when I was 10 yrs old, dislocated the knee when working so had my 1st surgery at 19 and then again at 29yrs old. It's been really bad for the past 3yrs so had an x-ray for the first time since diagnoses. I have been told on the last surgery that it'll be a reconstruction if it plays up again and not even 40.

[@arturrakoczy1516]

Awesome video. Thank you Doctor.

[@GiantSucker]

Thank you, the quality of your MRI scans is amazing. I looked into chondromalacia after my doctor told me I had it (later it turned out to be cartilage damage due to plica which required surgery in both knees. Cartilage indeed heals slowly, but now I am back on the bike!)

[@Bandana928]

So u heald it surgically

[@rollinjohnson2234]

I have or had it in both knees left was grade 3/4 in left knee and right was 2/3.this was back in 2021 when I had mri done. Had my left knee replaced in 2023.And had another mri done in July and know I am grade iv.so back to ortho Dr nxt week. I have been dealing with runner's knee since I was in the service back in the early 90s

[@SEROBERT]

Excellent presentation!

[@pallypollock]

I have stage 4 in both, and the specialists tell me just do physio. Makes sense as i need to move my kneecap so it sits in the groove better.

[@katrinadawnnn]

I'm curious of prevalence of connective tissue disease amongst those who suffer with this and similar injuries.

[@shahemabb7373]

Is cycling help for chondromalacia ?

[@bamburify]

Where can I get an English version of your book?

[@salimmansuri8242]

Can swimming help ?

[@PhysioYogaFlow]

Fabulous thank you!

[@MUGIWARAxLUFFYx]

Is the training same as your tendoinsist video?

[@shahemabb7373]

I’m still 27 years old in and I have chondomalacia before 2 years and nothing helps my knee I tried everything

[@melsidagrmelsidagr]

Dear Dr. Bellemans, is Chondromalacia patellae the same as chondropathy of the knee joint. And if yes, what exact exercises /sport would be beneficial ? Please assist.

[@brianbanks3044]

i have incorporated an exercise program that includes a stationary recumbent bike that i do everyday for 5 minutes...not a lot of resistance but just enough to get the knees moving and lubricated...is it true that Motion=Lotion in regards to knees???? and cartilage possible regeneration????

[@Dorr234]

I injured myself cycling with the wrong fit lol

[@shahemabb7373]

Is cycling help in chondromalacia ?

[@LucaAliberti]

What stem cells did you use please

[@kevinkreleger1119]

Tried to get in touch by email. Hope to get a reply soon

[@ZaheerAnsari-fb3mb]

Stage 2 PRP 1 2 3 hau

[@herbertarnold1912]

😩 *Promosm*

[@yannamarouche8832]

In patellofemoral pain, the cartilage is the first thing checked but, in fact cartilage isn't innervated ... Why this paradigm ?

[@manuelmartens7759]

The underlying subchondral bone contains sensory nerve endings and gives pain sensation;

[@shag813]

THANK YOU!

[@XIskandarX]

THANKS FO THE INFO

[@himshikhasingh4675]

Is chondro malacia pattela also called arthritis ? Or it's different from arthritis?