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The 10 years of activity restriction was tough to endure and I never did learn to cope well with my restrictions - I was constantly railing against them and trying to improve, to the extent that I didn't give other areas of my life the focus they deserved. I feel like cartilage restoration technology is not yet sufficiently developed to be considered a reasonable alternative so in my opinion for my type of patello-femoral damage it's conservative (non-surgical) treatment or PFJR, with nothing useful in between. Sorry - a bit gloomy. Regards.