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Author Topic: High-Grade Chondromalacia  (Read 8588 times)

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Offline silverswan54

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High-Grade Chondromalacia
« on: June 17, 2012, 02:45:07 AM »
Hi everyone,

I've been diagnosed with chondromalacia and other than what I can find on the internet, which is all gibberish to me, the only thing I know for sure is that I'm in pain almost all of the time, trying to stand up from a sitting position is not only extremely painful but takes all the strength I can muster, and walking is getting more and more difficult.

I'm starting to worry...is this permanent?

Also I would so appreciate it if someone could help translate my MRI results for me.  The results were:

1.  High-grade chondromalacia in the anterior and medial compartments.
2.  Myxoid degeneration of the anterior cruciate ligament.
3.  Joint effusion.

I've been referred to a specialist.

I've had pain in the back of my knee radiating down to my ankle for months.  They did an x-ray and told me it was arthritis.  I knew it wasn't.  I knew I had a bit of arthritis in my knees, but this pain was severe and came on suddenly.   The pain became so bad I could barely walk, so they finally decided to do an MRI.

I have elderly parents out of state and I need to call them with the results, but I would really like to be able to tell them exactly what the results are....because truthfully even I have no idea.

Thanks much,
Brenda [email protected]

Offline lynnq29607

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Re: High-Grade Chondromalacia
« Reply #1 on: June 17, 2012, 03:56:37 PM »
Hey Brenda

You're about in the same boat as me.  I've had an MRI on my left knee and I go to the OS tomorrow.  Mine is tricompartmental chondromalacia which from my understanding its all over my knee.  My history is that I had no knee issues until last Aug.  It all started when I hit the bottom part of my right knee on the corner of my desk drawer.  It was swollen and started to bother me so I went to the dr.  After awhile of limping around and no releif I was referred to the OS.  he tried a couple of injections with a couple of rounds of physical therapy.   Didn't help.  After months on compensating and limping in November I blew out the meniscus. He then sent me for an MRI.  Ended up with arthroscopic.  I went through about 4 months of PT after the surgery and the pain got so bad in my left knee!!!!  It pounded with every heart beat I had.  I begged for a shot and was pretty much ignored and told to keep up with my PT and it should get better.  I got worse.  6 weeks later I had another appt. with the OS he then gave me shots in both my knees, thank goodness.  But more or less the story is I had surgery on my right knee and all the limping and compensating I done has now affected my left knee.  I don't know if this was something I had in my knee and all the compensating, etc.. just brought it out before it's time.  The OS told me that on my right knee that yes I had a little arthritis but the injury in Aug. and then the torn meniscus in Nov. just made it show it's ugly face before its time.   I will let you know what my OS says tomorrow concerning this issue.
Lynn
 

Offline kneepaincure

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Re: High-Grade Chondromalacia
« Reply #2 on: June 17, 2012, 04:03:38 PM »
@Brenda: It sounds like there's a lot of wear and tear in your knee. Joint effusion indicates cartilage damage that should be fixed. High grade chondromalacia is the beginning of arthritis. I am not certain about the degeneration of the ACL part.

Try not to stress too much about it, and wait till you see your specialist. Let us know how things go with him/her. Good luck!
Have had tilted kneecaps for many years, and occasional patellar tendinitis.

Offline LAS

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Re: High-Grade Chondromalacia
« Reply #3 on: June 17, 2012, 04:11:39 PM »
This compensating is nasty stuff.   I never realized how much so until you have your own problems.   It sounds like both of you are compensating back and forth from right to left.   Maybe some PT will help before surgery.   It didn't help me but with others it has.  Check with the Dr.  and if he didn't alreadly mention it ask because I have found sometimes that you need to push a little bit.   Good luck   LAS

Offline lynnq29607

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Re: High-Grade Chondromalacia
« Reply #4 on: June 17, 2012, 04:15:30 PM »
Also meant to mention that while I was in PT for my right knee I done a lot of cycling, lunges and squats.  Since then I have been trying to study online since my knees are dictating my life.  I have read several articles that says these are some of the exercises to AVOID when you have chondromalacia.   Maybe that was where the pounding of my knee was coming from???

Offline Lottiefox

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Re: High-Grade Chondromalacia
« Reply #5 on: June 17, 2012, 09:21:59 PM »
Lunges............nooooooooooooooooo.....................not at your stage and with your pain.....

Squats....................can be useful but only with good muscle control and strength........

Cycling......depends on the individual, I find it very beneficial but the bike must be set up 100% correctly for me or my kneecaps scream...

the problem with most PT is that they fail to assess your underlying muscle strength and the balance of your legs - and thats everything from the posterior chain...back...hips, butt..legs...feet.....they just trot out lunges and squats. Ouch.

Try not to panic. Everyone is different and hopefully you'll see good specialist. I have pretty bad wear and tear but have got my legs very strong and my pain is vastly improved as is my function. The degeneration of the ACL might need some addressing - if your ACL isn't functioning then your knee lacks stability in certain directions and that can impact on areas and create wear and tear or make existing areas more painful. Ask WHY it seems to be degenerating and what the possible options are. Can I ask how old you are? Any injuries or sporting history?

Good luck

Lottie  :)

Bilateral patella OA since 2009, no surgeries.
Euflexxa working well x3 to current
Right forefoot CRPS post fusion surgery 2011
Refusing to let the ailing parts stop me....

Offline LAS

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Re: High-Grade Chondromalacia
« Reply #6 on: June 17, 2012, 10:16:03 PM »
I have chrondromalacia in both knees and the stationary bike aggravates my knees and they start to ache and throb.   I have been using the elliptical at the gym and that doesn't seem to aggravate it so much.   Also if I feel any pain while I am exercising I stop.   LAS

Offline kneepaincure

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Re: High-Grade Chondromalacia
« Reply #7 on: June 18, 2012, 02:52:45 AM »
What level do you set the seat height to? If your knees bend less than 90 degrees while pedaling it is bad for the knees, otherwise cycling is usually not harmful for people with kneecap issues.
Have had tilted kneecaps for many years, and occasional patellar tendinitis.

Offline lynnq29607

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Re: High-Grade Chondromalacia
« Reply #8 on: June 18, 2012, 11:28:54 PM »
Brenda

Seen my OS today and he said the chondromalacia is wear and tear, arthritis, etc.  Said building up the muscles will help and occasional injections.  He highly recommends swimming I guess because its less stress on your knees.  I have a pool in my neighborhood and its always full of 2 to 5 year olds.  I might try to start going up there in the evenings maybe they'll be gone, lol.  I may have to end up getting a second opinion because this is workers comp and it's so strange to me that i had NO knee problems before the first injury.  Let us know what your doctor suggests.  I hope you get to feeling better soon  :)  I think I'm going to go in there once every six months lay out on the table and say inject every joint!!!

Offline kneepaincure

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Re: High-Grade Chondromalacia
« Reply #9 on: June 19, 2012, 12:13:45 AM »
You're not serious about the injections thing right? If you are talking about steroid injections, they will cause cartilage degeneration at that frequency.
Have had tilted kneecaps for many years, and occasional patellar tendinitis.

Offline lynnq29607

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Re: High-Grade Chondromalacia
« Reply #10 on: June 19, 2012, 12:30:03 AM »
No, I won't go unless I'm in a lot of pain.  But I didn't know that injections can cause that.   I'm learning alot from this forum.

Thanks!!

Offline Vickster

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Re: High-Grade Chondromalacia
« Reply #11 on: June 19, 2012, 03:13:37 AM »
You're not serious about the injections thing right? If you are talking about steroid injections, they will cause cartilage degeneration at that frequency.
you want hyaluronic acid visco supplementation for arthritis, articular cartilage as in this case. Steroids for soft tissue inflammation.
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline LAS

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Re: High-Grade Chondromalacia
« Reply #12 on: June 21, 2012, 03:39:28 AM »
kneepaincure:   I didn't know that setting the seat incorrectly would cause issues.  I will check to make sure it high enough.   Thanks for the info.
Even the ortho doc doesn't think the stationary bike should hurt me but he never said anything about the seat being too high or low.   

Lynne I know what you mean about the injections.   After I got 1 injection of cortisone I wanted to keep some in my trunk or something.  The relief was almost immediate.  I don't know if he will do another.   I also didn't know that these injections can cause cartilege degeneration.   I thought you could keep getting them for a while.   I have had both Synvisc in L. knee and cortisone in the other and the cortisone worked better for me.   
« Last Edit: June 21, 2012, 04:00:47 AM by LAS »