Chondromalacia Patella - Everything You Need To Know [Diagnosis & Treatment]
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- Опубликовано: 27 июн 2024
- Knee pain from chondromalacia patella can be so severe it hurts to knee or squat down. In some cases it just throbs and aches when sitting for too long.
This usually leads to knee arthritis if left untreated for years! But it is very manageable and people can almost always get back to being active again without worrying that the knee pain will come back or turn into knee arthritis one day.
Chondromalacia patella is an (apparent) thinning of cartilage between the thigh bone and the knee cap. We say apparent because it doesn’t always mean that your cartilage will stay thinned out forever. It can return to normal if the root problem is addressed correctly.
In this video, Dr. David tells you everything you need to know about chondromalacia patella. He answers the question “what is the difference between patellofemoral pain syndrome and chondromalacia patella.”
He covers how to fix chondromalacia patella by addressing the root problem.
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 Chondromalacia Patella - Everything You Need To Know [Diagnosis & Treatment]
01:00 What does chondromalacia patella mean?
02:36 Chondromalacia patella vs patellofemoral pain syndrome
04:54 How to diagnose Chondromalacia Patella
09:26 Common Treatments For Chondromalacia Patella
13:30 Root problem of 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.
Thank you for this excellent explanation.
Great advice. Thank you so much for sharing your knowledge with us. Blessings 🙏🏻
Thank you!
I’m 69 female active I have OA a slight tear in my meniscus kneecap pops and tracks to the outside. I have been doing physiotherapist somewhat contrary to your suggestions VMO and all. Thank you for your suggestions!! ❤
I fell and hit my knee cap many years ago. At age 56 my X-ray of my right knee in 2020 showed high grade chindromalacia and chronic patellar Retinaculum tear. Very painful at night when I try to sleep and very stiff. I plan next year seeing a knee specialist in another state with better technology because in Miami , Fl I am not getting any help. I am not going to live with this any longer. I am wasting what Years I have left. I want to be pain free or at lease half pain free. I used up all my treatment injections and PRP ing already. Only seem to be getting worse . I love your informative videos . I’ll keep learning from you. TY
Thank you for this video. I have been coping with intense, practically 24/7 pain in both of my knees and was diagnosed via MRI with Chondromalacia patella (though mine was traumatic, caused by an accident and not athleticism) for almost 3 whole years now. I went through almost all of these stages except for surgery. While my PT group were really great and well-intentioned, I’ve gone for many months and only gotten worse. They’ve had me focused on my thigh muscles and doing these awful deep squats, wall slides, leg press, and quad stretches. I haven’t gotten better and actually have only gotten worse. I’m only 25 years old, and had pretty much decided I’ll just have to live in this pain forever before seeing your video. I’ll try out your glute exercises and hope for the best. It feels like none of my doctors have taken this seriously. I’ve even lost 27 pounds trying desperately to relieve some of this pain to no avail. Wish me luck.
Good luck dear... Everything will be fine...
Any improvements?
any improvements???
@@DivyaJoy-tv4kb Unfortunately not. I have discovered deeper issues than just my Chondromalacia and they have decided that I require surgery.
@@partyp Are you having knee surgery? And wishing you a very speedy recovery! 💖💖
I was just diagnosed with this and MRI shows missing cartilage in the weight-bearing portion of my kneecap. No one ever suggested physical therapy or resting! ( I also am a floral designer and stand for 8 hours a day 35 hours a week. I've been doing this job for the past 30 years ) They just immediately are talking about cortisone injections and surgery! I am 50 pretty active, and not overweight. I am so glad I found you and that I've been doing my own research instead of just following their recommendations blindly! It's so frustrating! Also the surgery that they wanted to do was micro fracturing. When I looked that up I saw how pathetic the results were! Anyway, I feel very relieved and hopeful after watching some of your videos. Thank you so much
Hi I'd be grateful if you could tell how you are now and what did you do about your condition as I am in the exact same state right now
Yet again I learn from you Dr David, those glutes are so important
I have been feeling this exact knee pain only going down stairs, I thank you for the info,
Hey Shamila! You're very welcome! Here is a great playlist on walking and stairs advice for painful knees! Hope it helps!
“Walking & Stairs Advice For Painful Knees, Hips, And Ankles”
ruclips.net/p/PLJVIPiFvv1mZqQdy7MnE2Q1H_Xfgxi5zH
Thank you doctor🙏
Hello from Uk
Thanks a lot for the useful information! I'm 66 year old now and am almost sure that I'm suffering from chondromalacia patella for many years now. In that time there have been made X-rays, a MRI, a CT scan and a scintigraphy. Also have done many kinds of exercises, but all the things I have done only made my ;problem worse. I think you are spot on about how to address this problem. I hope that your approach and exercises will help to relief my pain and that I will get mobile again and get a part of my life back.
Hey Alexander! Sorry to hear that you've been dealing with chondromalacia patella for so long 😢
We hope you give our approach a good try, we're confident that when done properly it can make a massive difference in improving chondromalacia patella and preventing the development of knee arthritis.
Just in case you need it, here is a playlist of all our videos that can help you with chondromalacia patella:
"Knee Cap Pain Help"
ruclips.net/p/PLJVIPiFvv1mYRotMXuS6F94UZkGAIxsb2
@@epmanualphysicaltherapy Thank you for your kind reaction. I will let you know how I get on. Greetings from Alexander, The Netherlands
This is exactly my problem. My knee injury had made my kneecap not align in the groove the right way. So now it has rubbed and worn off some of my knee cartilage. My doctor had been sending me to physical therapy and told me I could go for my walks (I would walk a mile every day). In doing this it caused the wear on my kneecap. I didn't know this at the time. I kept telling him my kneecap was not in the right place. You could see by looking at it that it didn't match my other kneecap. He kept telling me it was where it should be. I wish I had been able to go to a good doctor because this one I feel has caused me a lot of needless damage. This information is really helpful in understanding my situation. Thankyou :)
Same problem with me knee cap is also not the right position after my injury and i am still suffering i couldnt able to walk regularly ...
@@toobanaz5548 I feel for you. Its not a good place to be in.
It's insane how you explained how this condition typically starts because it started for me in highschool after football practice. Walking for the field to the bus and it was like the power to my knee went out. Then came back on. I've always blamed it on Coach having us take a knee to talk to us.
Could you continue to play sports?
How often should someone run the gamut of these glut muscle exercises doc??
Thanks a lot for this video.. I was doing quad strengthening exercises and knee pain was not getting better. I see why now..
I was diagnosed by doctor as having chondromalacia patella but I am curious if knee stiffness a symptom of it. I ask this as I am not sure if I should start the glute exercises with knee stiffness or wait until it gets better.. thoughts?
Doctor I called down in my room on my front body and after 10 month my ortho said mri show cartrrage damaged what you advise me to do which exercises you advise and do bone broth, glogosimin and msm will help?
Awesome video thank you! Using it for our daughter who has this diagnosis from being a competitive dancer. Where can we find the 28 day program?
Hey Pamela! Absolutely, here is the link to the program :-)
"28 Day Knee Health & Wellness Boost Program" www.epmanualphysicaltherapy.com/knee-health
If i am understanding well does this means that i just have to strengthen my glutes ? Isnt it make imbalance by making the glutes stronger than the other muscles ?
Hey Dr David, do you think that chondromalacia patella causes a baker cyst? Thank you for this video :)
Did you find out about this? I also have tightness and pain in the back of the knee preventing full flexion.
Не будете ли вы добры ответить мне - можно ли реабилитировать хондромоляции 4 степени?
I still can’t put my hand on the difference between PFPS and chondromalacia patella ? I’m 21 and the dr diagnosed me with chondromalacia just from the Clark’s sign is that normal or should I consider it PFPS
I used to live in a place where I had to use the stairs more than 10 times a day for more than 10 years . I am 24 years old now, and an MRI scan recently showed that I have grade 1 chondromalacia. I used to do bodybuilding and TRX exercises without any pain, but occasionally I would experience severe pain which I ignored. I haven't been able to exercise for a year due to my studies, and a few weeks ago I had severe knee pain and had an MRI.
Should I completely avoid using stairs?
I weigh 72 kilograms and I am 168 centimeters tall. Has my overweight condition exacerbated my problem?
Is cycling harmful for me?
Thank you so much for your help, I have chondromalacia patella stage 2 may be even worse for almost 3 years now, part of which I did those quad mascles exercise and it make me feel worse, so now I am doing gluts ones for awhile but my knee still hurts , still I do beleive doing gluts are proper path to go and I will continue follow your advise making my gluts stronger to get better with chondromalacia patella but I also had knee cup dislocation very painful which is how my chondromalacia starts at the beginning and it keep somewhat sliding and painful while I standing and walking do you think I need to use tapes to keep it in proper position or use brace? I try sleeve bra ice but it compress my knee cup too much and other braces are very uncomfortable too so I am doing taping now around knee cup and put it little bit up releasing some space between knee cup and thigh bone it is decompres it little bit but still hurts , could you please gave me some suggestion what to do about it I do not want to do surgery . Thank you so much again for your hard work to helping others!
How are you now??
these exercises helped you or not
@@ManojKumar-ti9lb Hi! I been doing those exercises for 1.5 years and I am really thankful that I found them ! My situation is very difficult, but if not for those exercises I would probable can’t walk or walk very little . Before I found this amazing doctor through the internet I did quad exercises and as he keep saying that they are very wrong for my condition. I do believe that quad exercises can do more harm than good, and ones I start other ones it feels definitely better , but you need to do them every day to the rest of your life and they will help you to maintain your problems. To me those exercises Is God blessing and I do really appreciate and thankful for this amazing doctor who really care if other people .If you have similar problem or problems which doctor mention in him videos you will benefit from them , take care
MRI showed cartillage defect in my knees. Therapy isnt helping at all. I will be getting PRP shots. However, if they dont work, surgery is the only route. Can you live pain free with torn cartilage? If not, then surgery is the only option.
Do you have any exercises to strenghten knee after surgery, I was told I have chrondopathy (it rattles in my knee when I bend it) after arthroscopic surgery of my patella last year (because it dislocated twice) but it’s been more than a year since that surgery, I can walk but I still can’t run and feel secure when I walk…
Hey The Musical Lover! We are saddened to hear that you're still dealing with pain and weakness a year plus after surgery! We know this can be discouraging and limiting in all you want to do. To answer your question, we would suggest putting your efforts into strengthening the glutes. By focusing on doing so, you will be removing excess pressure on the knee joint and potentially allowing it to recover and getting it stronger over the long term.
Here are some exercises that could be helpful for you:
“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
“3 Big Reasons Your Glute Muscles Won’t Work Well For You”
ruclips.net/video/TamXorqxCAk/видео.html
Also, here are all the info we currently have on knee cap pain:
“Knee Cap Pain Help”
ruclips.net/p/PLJVIPiFvv1mYRotMXuS6F94UZkGAIxsb2
We would also like to inform you about our knee meniscus recovery program if you would be interested in a more structured and comprehensive approach to potentially improving the issues in your knee. You can learn more about it here:
"Knee Meniscus Recovery Program"
-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 meniscus tears or trouble after meniscus surgery.
www.epmanualphysicaltherapy.com/meniscus-recovery
We hope to hear about your progress in the near future! 🙌
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 Dr, 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 sir I just came across ur video today, and u have just explained whatever am going through right now. I have been diagnosed with stage 4 chondromalacia patella with geode formation and edema around for left knee and same with right knee though haven’t done a MRI yet.. doctor has prescribed vigorous Physio for a month followed by by diagnostic arthroscopy if pain persists. I had been doing actively yoga since a year which could have worsened it to stage 4. kindly provide the right exercise video for my sake🙏🙏🙏🙏
Hi Anum, We are so sorry to hear about the struggles from stage 4 chondromalacia patella. We can only imagine the pain and frustrations you’ve had to deal with. We hope that you feel better soon.
We must note that we cannot offer individualized medical advice/diagnosis without a proper evaluation. We do offer Virtual Consultations, providing you with an opportunity for 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 Please click here: www.epmanualphysicaltherapy.com/virtual-visit/
We do have some general resources that may be helpful for your recovery:“Knee Cap Pain Help”
ruclips.net/p/PLJVIPiFvv1mYRotMXuS6F94UZkGAIxsb2
We hope that you found this information helpful. Wish you all the best on your road to recovery!
@@epmanualphysicaltherapy
Thank u so much sir for taking time and replying patiently for my queries, I would definitely follow ur videos and check out the links sent by you. Thanks a lot for the concern 🙏
We are grateful for the opportunity to help!
Does swimming or static cycling help with treatment of chondromalacia patella ?
Hi Swati, Swimming and cycling will be helpful if you can get your glutes to work rather than your quad muscles during the exercise. If you feel you are using your quads more than your glutes while swimming, then you will likely make your knee problem worse.
We have a chondromalacia patella help playlist you might find beneficial:
“Knee Cap Pain Help”
ruclips.net/p/PLJVIPiFvv1mYRotMXuS6F94UZkGAIxsb2
We'd love to hear how you are doing as you progress.🙌 Please take care!
Doctor I get the surgery and I have more pain than before PLEASE IF some is watching this video reas my comment don’t ever get a surgery I’m have been crying the last 4 months this hell
I AM so Sorry your going though hell! You deserve a quality of life!!! Is there anyway they good do a knee replacement? Just to give you your life back. This pain in beyond awful!
Which surgery u had
I have been diagnosed with Chondromalacia Patella recently and I terribly have to loose my weight. Can I do cross trainer and cycling as part of my cardio routine in gym? And what more weight loss exercises you can suggest. Thanks and Regards from India 🇮🇳
Hey how is your pain..Did you take any medicine?
@@sagarisbusy hey there! Yes my pain has gone significantly. I have been taking physiotherapy sessions locally in my city. And also started to lose weight. Medicine will only help you for a sometime. But for long term relief you need to be persistent with your lifestyle
Can bone broth help heal the cartilage?
Chondromalacia patella is life Time problem? I am 22 grade 1 chondromalacia patella i had feeling depressed 😔😔😔
Hey Rama, We are so sorry to hear that you are suffering from chondromalacia patella symptoms. We know how uncomfortable it can but there are exercises that you can to do ease the pain. In case you are interested we do have additional information and exercises you can view in the playlist we have compiled for Knee Cap Pain. You can check it out here: "Knee Cap Pain Help"
ruclips.net/p/PLJVIPiFvv1mYRotMXuS6F94UZkGAIxsb2
We hope you that can feel some relief soon! We'd love to hear how you are doing as you progress.🙌 Please take care!
@@epmanualphysicaltherapy sir it is life time problem?
@@ramakrishna-ri3sx this typically is not a life time problem. I’m 18 and have had knee pain for about 15 months and it has progressed to chondromalacia stage 1. It can be fixed but can also progress through all 4 stages and enter into osteoarthritis😢
@@joshhazel742 no use doctor done PRP and viscous injections still now use. The pain levels are still same I am not putting more stress on legs. I stop workouts. Life is very difficult can't even sit in Indian Tolites using Western. I changed the doctor he suggested me physiotherapy but still no use. Spending nearly 12k rupees per month but still no recovery. 😞😞😞
@@ninjabrycelee3066Did you end up fixing it?
If you notice that your quads are sore from a workout, should you massage/roll out those quad muscles so that they are not pulling as tightly on the knee cap?
What a load of rubbish! Please ignore everything he's saying. It's not evidenced based and so dated. He's drumming up business, not helping anyone!
What would you suggest?
Please elaborate. Are you a doctor?
@@tonyteh Internet provides a lot of good things, but also a lot of bad...