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Author Topic: Chondromalacia Patella + Patellar Tendinosis  (Read 34901 times)

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Offline vickster

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Re: Chondromalacia Patella Pain
« Reply #60 on: August 22, 2014, 03:55:54 PM »
I don't know if soft cartilage crunches, you need to discuss the pathology and physiology with a doctor

Grade 1 doesn't necessarily progress to full OA (grade 4)  but it is the start of the process.  My surgeoon has never used the word arthritis with respect to my knee (fortunately as it would affect my insurance cover)

There's a good arthritis primer in the information hub ^^^

Injection risks, allergic reaction, infection, pain, inflammation, doesn't help...but as things go, pretty benign but it's still a pharmaceutical product being injected into the body through a decent sized needle.  PRP is natural but there are still risks
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline papasmurf1978

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Re: Chondromalacia Patella Pain
« Reply #61 on: August 25, 2014, 10:50:26 PM »
Can anyone comment on this:
Unlike the damage to cartilage caused by arthritis, damage caused by chondromalacia can often heal. Conservative treatment is usually recommended first since rest and physical therapy may eliminate the symptoms

I found it on:
http://www.cedars-sinai.edu/Patients/Health-Conditions/Chondromalacia.aspx

Is that possible?
August 2014 MRI:
Mild Chondromalacia Patella in both knees
Normal cartilage thickness in both knee caps

Offline papasmurf1978

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Re: Chondromalacia Patella Pain
« Reply #62 on: September 10, 2014, 08:04:10 PM »
Can anyone tell me what this sound is and is it serious? No pain associated with it.

https://onedrive.live.com/redir?resid=D014C516ECE065DC!133&authkey=!ALOu4P-EU7mGYB4&ithint=folder%2cmp4

August 2014 MRI:
Mild Chondromalacia Patella in both knees
Normal cartilage thickness in both knee caps

Offline vickster

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Re: Chondromalacia Patella Pain
« Reply #63 on: September 10, 2014, 08:45:10 PM »
Have you asked a knee specialist?  Probably more likely to give you an answer.  Joints creak, however if there are no symptoms, there's nothing usually to worry about or do
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline papasmurf1978

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Re: Chondromalacia Patella Pain
« Reply #64 on: September 10, 2014, 09:39:33 PM »
My pt said its the air escaping capsule. I will see orthopedic surgeon on friday and will ask. I have no pain or swelling associated with it.
August 2014 MRI:
Mild Chondromalacia Patella in both knees
Normal cartilage thickness in both knee caps

Offline thommo404

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Re: Chondromalacia Patella Pain
« Reply #65 on: September 26, 2014, 04:26:37 PM »
I've read through the entire thread and I can't see why you would even be considering any kind of surgical options.  Maybe one of the injections at the most but even then I wouldn't think you need it.  To me it seems like all you have is a tight ITB or quads/hamstrings. 

I think you need to go and find yourself a good physio and follow whatever they decide for you.  Going by your MRI results you have very, very minor issues.


Yo me reading your posts it looks like you are trying to find a reason to have surgery.  It should be the last thing on your mind.  Once you have it you can't go back.

Offline papasmurf1978

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Re: Chondromalacia Patella Pain
« Reply #66 on: September 26, 2014, 06:00:59 PM »
Hi thommo404,

thanks for your reply.

You are right on the ball as well as others who wrote me. I finally accepted and understood that I do not need surgery. A simple case of patella maltracking leading to some wear and tear of the knee caps. My last orthopedist said the same thing. I have very tight IT band and quads and hamstrings tightness. Also, my glutes are extremely tight as well so I'm working on that. My PT said recently that my right VMO is completely shut off and does not fire and thus not providing patella with proper tracking. This is on the menu to fix.
August 2014 MRI:
Mild Chondromalacia Patella in both knees
Normal cartilage thickness in both knee caps

Offline papasmurf1978

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Re: Chondromalacia Patella Pain
« Reply #67 on: September 26, 2014, 06:07:16 PM »
Here's what my knees look inside as of last MRI in end of July.
August 2014 MRI:
Mild Chondromalacia Patella in both knees
Normal cartilage thickness in both knee caps

Offline vickster

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Re: Chondromalacia Patella Pain
« Reply #68 on: September 28, 2014, 01:23:03 PM »
Good to hear you have something to work with from your doctor :)  Listen to the physio and follow their instructions on form and frequency with the exercises and stretches :)
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline papasmurf1978

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Re: Chondromalacia Patella Pain
« Reply #69 on: September 28, 2014, 01:56:35 PM »
Thanks Vickster for your support. Ill be updating here on the progress. At this point stretching is the priority and right vmo activation.
August 2014 MRI:
Mild Chondromalacia Patella in both knees
Normal cartilage thickness in both knee caps

Offline vickster

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Re: Chondromalacia Patella Pain
« Reply #70 on: September 28, 2014, 03:24:48 PM »
Maybe try a high quality sports massage too from a recommended practitioner to try to loosen everything up :)  You may need to do this regularly
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline papasmurf1978

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Re: Chondromalacia Patella Pain
« Reply #71 on: September 28, 2014, 09:20:14 PM »
I was wondering since i have pain in the tissue on lateral side of patella would femoral nerve block relieve pain forfew months? My pain is nagging and chronic
August 2014 MRI:
Mild Chondromalacia Patella in both knees
Normal cartilage thickness in both knee caps

Offline vickster

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Re: Chondromalacia Patella Pain
« Reply #72 on: September 28, 2014, 09:30:43 PM »
I wouldn't personally, too many risks, should be a last resort for nerve issues (someone posted about the risks earlier if you look through the recent posts).  It seems a very extreme solution to a relatively minor issue, even if uncomfortable.  Try steroid or PRP first (even a proper course of a decent NSAID).  What did your doctor suggest when you saw him?  Is the pain uncontrollable / unmanageable?  I would be very surprised if any doctor would do this - are you under the care of a pain specialist now?  I think here in the UK, that is something only an anaesthetist would do, possibly a neurologist/nerve specialist after every other option has been exhausted.  You could try a course of gapapentin or similar if it's nerve pain?  What sort of pain is it - achy, sharp, pinching, dull, burning?

You should really given the prescribed physiotherapy a proper go first - injections won't do anything for your tight muscles, could even make them worse
« Last Edit: September 28, 2014, 09:34:26 PM by Vickster »
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline papasmurf1978

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Re: Chondromalacia Patella Pain
« Reply #73 on: September 28, 2014, 10:58:54 PM »
I was onnaproxen for two weeks which didnt calme the nerve. The pain is like a pinched nerve pain. 2 out of10 scale. Sometimes it stops hurting, sometimes its all the time. Orthopoedfic surgeon said its probably some tissue damage because of patella maltracking. I ice itbut it doesnt cool the pain at all.
August 2014 MRI:
Mild Chondromalacia Patella in both knees
Normal cartilage thickness in both knee caps

Offline ChelseaSoccer

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Re: Chondromalacia Patella Pain
« Reply #74 on: September 29, 2014, 11:10:31 AM »
I also have been diagnosed with maltracking because of tight muscles.

What kind of stretches are you doing?















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