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Doctors Lounge - Orthopedics Answers
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| brew
- Tue Jun 29, 2010 8:42 pm |
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What are the best treatments for Chondromalcia Patella? I've tried physical therapy and exercises but it only worsens the pain. It's getting to the point that I can barelly walk without my knees swelling an throbbing with pain. What do I do? Is surgery the next best option?
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| Tom Plamondon PA-C
- Fri Jul 09, 2010 1:31 pm |
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 Hello,
In severe cases, the patella surface can be resurfaced with a prosthesis or by allograft (osteochondral allograft).
Also, if the lateral retinaculum is tight and causing chronic dislocation or subluxation, a release of this tight tissue can be done.
Otherwise conservative treatment focuses on maintain range of motion, quadricep strength and hamstring length, bracing and NSAIDs (to decrease inflammation).
Take care.
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