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Chondromalacia Patellae and Physiotherapy
Chondromalacia patellae (abbreviated to CMP) usually referred to 'soft cartilage under the knee cap', and it tends to affect
young and healthy athletes/active individuals.
causes of chondromalacia patellae
The main cause of chondromalacia patellae is simple the
irritation beneath kneecap surface.
cartilage under the kneecap glides smoothly and without kinks, but in some individuals,
the knee cap may rub/friction against side of the knee joint, leading to irritation
and inflammation in the cartilage surface.
Gradually, pain will develop.
The thing is, pain in and under the knee caps is pretty common in young adults, especially with individuals who
play soccer, who enjoys cycling/rowing/volleyball/marathon/runners/ballet dancers/dancers/etc.
Chondromalacia patellae pain is usually experienced after a
period of resting/immobility e.g. after sitting in for a meal/drink/movie, then trying to stand.
often get chondromalacia patellae injury and pain in their non-dominant
leg because of the way skateboarding is: constant
kicking and twisting motion that the non-dominant legs has to go through
during skateboarding (same for Muay Thai/kicking/soccer etc)
of course, this condition can also be caused by direct or indirect traumatic force, like
- an acute
injury e.g. a fall, vehicle accident or a hit, or
- by long term pressure at the patella and
the femoral groove where it passes during motion of the knee
flexion-extension (running, sprinting, cycling, ball games etc).
Some other possible causes and aggravators of chondromalacia patellae pain may be
- iliotibial band (ITB) tightness
- weak or unstable
- misalignment of the knee
- traumatic forces
chondromalacia patellae physiotherapy
interventions during the acute phase:
- getting the patient to rest the painful/injured knee as much as possible,
cold packs (cold therapy)
- compression + elevation to decrease
inflammation, swelling and pain
- on top of their pain and anti-inflammatory
medication from the physician.
After the acute
stage and as the swelling and pain subsides, our senior physiotherapists will start active physiotherapy intervention doing
- joint manipulation and mobilization
- deep tissue release and stretching
- scar tissue
- strength training
- ultrasound therapy to accelerate soft tissue healing
- gradually progress to sports/life-specific exercises
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