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Idiopathic Cystic Chondromalacia
Chondromalacia is a condition in which joint cartilage slowly erodes. Cartilage provides the smooth surface which lines the joint surfaces and allows for ease of movement. Erosion most frequently occurs secondary to injury or overuse. Chondromalacia is quite common in the knee, where it is known as chondromalacia patella. Females are most often affected by this condition. Common symptoms of this problem include swelling, stiffness, pain, and grating to the involved joint. This common condition cannot be cured, but its effects can be treated when exacerbations occur. Chondromalacia in the knee will often be exacerbated by hill or stair climbing.
Treatment involves compressive dressings (Ace wrap), rest, elevation of the joint, and anti-inflammatory agents (ibuprofen) for pain. Chondromalacia in the knee joint may be reduced significantly through conditioning and strengthening of the quadriceps muscles on the front of the thigh. Patients who are overweight, or deconditioned from inactivity, will have a strong tendency toward developing chondromalacia in the knee joint. Weight reduction and quadriceps exercises are strongly commended .
EXERCISES FOR CHONDROMALACIA PATELLA
Lying supine (on your back) and performing leg lifts, can help strengthen the quadriceps muscles. This can be performed with or without 2-5 lb. ankle weights. Another useful exercise can be performed by placing a towel between the knees and squeezing the knees together for several seconds. This will build up the medial (inner) aspect of the quadriceps muscle and restore a more normal relationship between the patella (kneecap) and the knee joint. These exercises, when repeated daily, can dramatically lessen the symptoms of chondromalacia patella. Avoidance of stair and hill climbing will also decrease the progression of chondromalacia patella. An Orthopaedic Surgeon can assist you planning an effective exercise program to treat this problem.
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