How to effectively treat chondromalacia patellae

Generally speaking, there is no definitive statement regarding the most effective treatment for chondromalacia patellae. Causes of chondromalacia patellae include aging, obesity, patellar overuse, knee trauma, and arthritis. Treatment options include physical therapy to strengthen muscles and improve joint stability, medication to relieve pain and inflammation, surgical intervention when necessary, and lifestyle modifications to reduce stress on the patella. If abnormalities occur, timely medical consultation is recommended. Detailed analysis is as follows:

1. Aging: With age, the elasticity and wear resistance of the patellar cartilage gradually decline, making it more susceptible to injury and wear, which can lead to chondromalacia patellae. Treatment mainly involves medication, such as oral nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate pain and inflammation, combined with physical therapy, such as heat application and massage, to promote local blood circulation and restore joint function.

2. Obesity: Obese individuals experience increased weight-bearing on the patellofemoral joint, greater friction between the patella and femur, and accelerated cartilage wear. Knee pain is more common in obese patients and is often more severe. Weight loss through healthy eating and appropriate exercise can help reduce the burden on the patellofemoral joint. Using joint supports or orthotics can help distribute pressure on the knee joint.

3. Patellar Overuse: Long-term overuse of the knee joint, such as frequent jumping and squatting movements in athletes, can cause excessive wear of the patellar cartilage, leading to chondromalacia patellae. Symptoms may include knee pain, weakness, and a feeling of instability. Treatment mainly involves medication and physical therapy to relieve symptoms. Medications such as ibuprofen tablets, diclofenac sodium sustained-release tablets, and bone peptide tablets should be used under a doctor's guidance. Physical therapy includes heat application, massage, and rehabilitation exercises. Additionally, lifestyle modifications are needed to reduce excessive use of the knee joint.

4. Knee Trauma: Knee injuries, such as fractures or dislocations caused by accidents or overuse, can damage the patellar cartilage, leading to chondromalacia patellae. Symptoms may include knee pain, swelling, and limited mobility. Trauma management, such as reduction and immobilization, is necessary. Subsequently, physical therapy or surgical treatment may be performed depending on the severity of the injury. Physical therapy includes rehabilitation exercises and muscle-strengthening training.

5. Arthritis: Osteoarthritis is a degenerative joint disease that causes increased inflammatory responses within the knee joint, accelerating the wear and degeneration of the patellar cartilage, thereby causing chondromalacia patellae. Accompanying symptoms include knee pain, swelling, and stiffness. Medications such as glucosamine sulfate tablets, glucosamine hydrochloride tablets, and Gukang capsules can be taken as directed by a physician to alleviate symptoms. Physical therapy includes heat application, massage, and joint mobilization techniques. Patients with severe arthritis may require surgical treatment to restore joint function.

During treatment, patients should maintain a positive mindset and actively cooperate with the doctor's treatment plan to promote recovery.