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Date of last update: 10/01/2017.

Forum Name: Degenerative Bone Diseases

Question: chondromalcia Patella; treatments

 brew - Tue Jun 29, 2010 8:42 pm

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?
 Tom Plamondon PA-C - Fri Jul 09, 2010 1:31 pm

User avatar 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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