Chondromalazie grad 2

grade 2 - surface fraying or focal defects involving less than 50% of cartilage thickness; grade 3 - defects involving more than 50% of cartilage thickness, without bone edema; grade 4 - full .

Chondromalacia

The goal of treatment is to reduce the pressure on your kneecap and joint. Resting, stabilizing, and icing the joint may be the first line of treatment. The cartilage damage resulting in runner’s knee can often repair itself with rest.

Your doctor may prescribe several weeks of anti-inflammatory medication, such as ibuprofen, to reduce inflammation around the joint. If swelling, tenderness, and pain persist, the following treatment options may be explored.

Physical therapy

Physical therapy focusing on strengthening the quadriceps, hamstrings, adductors, and abductors can help improve your muscle strength and balance. Muscle balance will help prevent knee misalignment.

Typically recommended are non-weight-bearing exercises, such as swimming or riding a stationary bike. Additionally, isometric exercises that involve tightening and releasing your muscles can help to maintain muscle mass.

Surgery

Arthroscopic surgery may be necessary to examine the joint and determine whether there’s misalignment of the knee. This surgery involves inserting a camera into your joint through a tiny incision. A surgical procedure may fix the problem. One common procedure is a lateral release. This operation involves cutting some of your ligaments to release tension and allow for more movement.

Other surgical options may involve smoothing the back of the kneecap, implanting a cartilage graft, or relocating the insertion of the thigh muscle.

You can help reduce your risk of developing runner’s knee by following these recommendations:

  • Avoid repeated stress to your kneecaps. Wear kneepads if you have to spend time on your knees.
  • Create muscle balance by strengthening your quadriceps, hamstrings, abductors, and adductors.
  • Wear shoe inserts that correct flat feet by increasing your arch. This will decrease the amount of pressure placed on your knees and may realign the kneecap.

Finally, excess body weight may stress your knees. Maintaining a healthy body weight can help take pressure off the knees and other joints. You can take steps to lose weight by reducing your sugar and fat intake, eating plenty of vegetables, fruits, and whole grains, and exercising for at least 30 minutes a day, five times a week.