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Chondromalacia patella (patellofemoral syndrome)
Chondromalacia patella facts
chondromalacia patella is the most common cause of chronic knee pain.
chondromalacia patella has also been called patellofemoral syndrome.
the pain of chondromalacia patella is aggravated by activity or prolonged sitting with bent knees.
abnormal 'tracking' allows the kneecap (patella) to grate over the lower end of the thighbone (femur), causing chronic inflammation and pain.
treatment involves improving the alignment of the patella during contraction of the thigh muscle.
What is the chondromalacia patella?
Chondromalacia patella is abnormal softening of the cartilage of the underside the kneecap (patella). It is a cause of pain in the front of the knee (anterior knee pain). Chondromalacia patella is one of the most common causes of chronic knee pain. Chondromalacia patella results from degeneration of cartilage due to poor alignment of the kneecap (patella) as it slides over the lower end of the thighbone (femur). This process is sometimes referred to as a patellofemoral syndrome.
What causes chondromalacia patella?
The patella (kneecap) is normally pulled over the end of the femur in a straight line by the quadriceps (thigh) muscle. Patients with chondromalacia patella frequently have abnormal patellar' tracking' toward the lateral (outer) side of the femur. This slightly off-kilter pathway allows the undersurface of the patella to grate along the femur, causing chronic inflammation and pain. Certain individuals are predisposed to develop chondromalacia patella: females, knock-kneed or flat-footed runners, or those with an unusually shaped patella undersurface.
What are the symptoms and signs of chondromalacia patella?
The symptoms of chondromalacia patella are generally a vague discomfort of the inner front of the knee, aggravated by activity (running, jumping, climbing or descending stairs) or by prolonged sitting with knees in a moderately bent position (the so-called' theater sign' of pain upon arising from a desk or theater seat). Some patients may also have a vague sense of 'tightness' or 'fullness' in the knee area. Occasionally, if chronic symptoms are ignored, the associated loss of quadriceps (thigh) muscle strength may cause the leg to 'give out' besides an obvious reduction in quadriceps muscle mass, mild swelling of the knee area may occur.
How is chondromalacia patella diagnosed?
Chondromalacia patella is suspected in a person with anterior knee pain, especially in teenage females or young adults. With manual compression of the kneecap, while the quadriceps muscle is tightened, there can be pain. This is referred to as the positive 'shrug' sign. Generally, there is no associated swelling (knee joint effusion).
X-rays or MRIs may be done to confirm the inflammation on the posterior part of the patella.
I have overweight of 81 since six months and my body suffering from swallowing and bone joint pain, please suggest how to lose overweight?
My grandma's age is 70 she is having severe knee joint pains she used several medicines ointments consulted several doctors but there is no result still she is having pain now she is complaining that she has nerve pain along the knee joint the pain is just like someone is pulling her nerves at that area. I want to know which doctor to consult to obtain good solution to her pain.
I am 32 years old. From past 6 months I am getting pain in my feet and ankle after a long sleep or rest. Please tell reason and solution. Thanking you.
The shoulder is one of the most important joints in the body that uses a ball and socket to join the arm to the rest of the body. Any pain can make it difficult to carry out motion in a comfortable manner. The shoulder consists of the long arm bone called the humerus, the collarbone or the clavicle, as well as the shoulder blade called the scapula. A layer of cartilage provides essential padding to the bones in this area and its two main joints. There are a number of issues that can cause shoulder pain.
Let us get to know the six most common ones.
- Rotator Cuff Injury: This is the most common cause of shoulder pain and it occurs when the four muscles or the tendons are injured. These muscles and tendons usually control the movement of the arm. This injury can involve strains and tears which may also be caused by constant lifting of heavy objects.
- Rotator Cuff Tendonitis: This condition affects the tendons and muscles that help in moving the arm freely. This usually happens due to inflammation in the tendons. It is commonly experienced by patients who are actively involved in sports and other heavy physical pursuits in their line of work.
- Frozen Shoulder: This is a debilitating condition that restricts the free movement of the arm and is also known as adhesive capsulitis. When the shoulder tissues become too thick, it leads to the growth of scar tissue that hinders proper movement and causes pain.
- Osteoarthritis: Osteoarthritis is a condition that comes as part of aging bones that also become hollow and brittle over the passage of time, which leads to joint and bone pains in various parts of the body. It is a degenerative disease that is caused due to prolonged wear and tear as well as other factors including family history and sports injury.
- Bursitis: This condition is known to affect the fluid-filled sacs that lie in between the joints. These are known as bursae. When the bursae suffers from swelling, the effect usually shows up as pain in the joints.
- Tendon Sheath Inflammation: The fibrous tissue that connects the bones and the muscles is called a tendon. The presence of the tendon makes it possible to pursue activities like running, jumping, lifting, gripping and more. It is protected by a sheath known as synovium, which also lubricates the same. Any injury or tear to this sheath can cause shoulder pain.
Acute and persistent pain that does not abate and gets even worse should be treated with immediate medical intervention. If you wish to discuss about any specific problem, you can consult an orthopedist.