13 Best Treatments For Knee Pain From Chondromalacia Patella
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- Опубліковано 1 чер 2024
- Treatment for Chondromalacia patella and patellofemoral pain syndrome can be confusing. There are so many recommendations and options to choose from. The reason for that is because there are many factors that influence chondromalacia patella.
We’ve found that using 3-4 different options at a time are best for comprehensively treating chondromalacia patella.
In this video, Dr. David covers 13 treatment options to get relief from knee pain due to chondromalacia patella.
Below are links to videos and products that Dr. David mentioned in this video:
👍 Glute Exercies For Chondromalacia Patella
“Top 5 Glute Muscle Exercises For Knee Pain” • Top 5 Glute Muscle Exe...
“Top 6 Standing Glute Exercises To Help Knee Pain” • Top 6 Standing Glute E...
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Dr. David’s favorite Olukai shoes (Amazon) - amzn.to/3iK2gh1
➡️ Learn more about our 28 Day Knee Health & Wellness Boost Program here:
www.epmanualphysicaltherapy.c...
00:00 13 Best Treatments For Knee Pain From Chondromalacia Patella
00:22 Ice And Heat
01:42 Massage (massage gun)
02:55 Exercises That Circulate Knee Joint Fluid
04:24 Knee Sleeves Can Help
05:50 Taping
06:52 Relative Rest
08:31 Stop Exercising Quads
10:58 Glute Exercises
12:21 Arch Supports
14:07 Get Stronger Toes
15:45 Injections
16:50 Surgery
18:16 Work With A Specialist Therapist
#elpasomanualphysicaltherapy #drdavidmiddaugh
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👟 Because we've had so many comments about what shoes Dr. David is wearing, here's a link to the shoes on Amazon:
Dr. David's Shoes With Insoles - Olukai Brand
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💆♀️The massage table Dr. David uses can be found at this link:
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DISCLAIMER:
Any information available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a physician, medical provider or physical therapist. El Paso Manual Physical Therapy will not be liable for any injuries that happened due to performing any exercises or advice on this channel.
Always seek the advice of your physician or other qualified health care professional with questions about your medical condition or to diagnose any conditions.
Thank you and God bless you for helping humanity
You're welcome Overcome588 😊❤️ God bless you too!
I am dealing with this issue currently. I have learned more from your videos than I have from my primary care provider, orthopedic specialist and physical therapist combined over the last couple months. You explain things in a way that makes it easy to comprehend. Thank you thank you thank you!!
that's an understatement.
He likes what he does and he cares. I do PT and it's encouraging to know other PTs actually use physics to figure out mm imbalances.
I’m a cyclist and a runner .Most of the time I’m ok and I’m so glad to have found your channel, because you’ve confirmed everything I believe about my patellar pain.
I nearly got a knee replacement but so pleased I didn’t.
I would like to be able to walk downstairs without looking like a 90 year old which I find very depressing, seeing as I’m a competitive athlete 😂
Thank you!
So helpful, thank you!
Your videos are very helpful. Thank you
The knee strap with a silicone u helped me immensely. I was able to walk with min pain
Thank you! Thank you! Thank you! ❤
Hi Annelise, you are very welcome! In case you are interested we have a playlist for chondromalacia patella help. You can access it here: “Knee Cap Pain Help”
ua-cam.com/play/PLJVIPiFvv1mYRotMXuS6F94UZkGAIxsb2.html
Thank you!!
You're welcome! 😊
Knee sleeve is really helpful
God bless this man and his family. You are a hero ❤
I have been doing only glutes excercises so far and I am definitely feeling better, hope I will start feeling great soon!
You got this! 😊
How are you feeling 3 weeks later? I’ve had this problem for over 6 months, and my doctor and PT say my quads are stronger, yet my pain is worse. I’ve also been doing some glute work, and my balance is better, but I’m thinking I need to do more and of course, stop working the quads as much.
@@MsQuartermaine my doctor just scratches his head. Thank goodness for UA-cam.
I tape and wear my yoga tights over the taping during the day with flare ups. Helps a ton, along with your helpful videos! I'm so thankful for you!
Thank-you!
Hi B C Man! THanK YOU for your support! 🙌
Thx
Soo much
Great video
Hi Antje, you are welcome! We have a chondromalacia patella playlist if you are interested. You can access it here:
“Knee Cap Pain Help”
ua-cam.com/play/PLJVIPiFvv1mYRotMXuS6F94UZkGAIxsb2.html
We'd love to hear how you are doing as you progress.🙌 Please take care!
Your glute exercises have helped me so much! My left knee goes inward! Is their anyway to help that! Thank you for all your videos!
Love this video. I need to watch again & write them down.
Hi Robyn, we are so glad we could help! We'd love to hear how you are doing as you progress.🙌
We do have a chondromalacia patella playlist you might find helpful:
“Knee Cap Pain Help”
ua-cam.com/play/PLJVIPiFvv1mYRotMXuS6F94UZkGAIxsb2.html
We wish you all the best in your road to recovery!
Thank you so much 🙏🙏🙏
You're most welcome! 😊
Thank you so much for explaining. I have watched almost all videos about this topic. I can't express how thankful I am. I got diagnosed yesterday and I have pain for 3 years and I was exercising quads a lot and it made it worse😢
Thank you so much. Can walking stick help in reducing knee pain.?
Thank you for this video. I love all the relief options you included in this. Would any natural joint support supplements help along with these? Any suggestions?
What are your thoughts on backwards walking for this condition?
Another great video. I spent about a week doing your glute exercises.. It took a bit to become used to isolating that muscle. WOW, did those wipe me out once I figured them out. SO, I feeling pretty good, got
on my spinning,,,QUADS....after 4 days of spinning,,,Yep, my knee gave out while just walking up stairs and I feel like I'm back to ice and heat before I can get going again. It's been 48 hours and hopefully by tomorrow I can get back to listening to your recommendation. Do you have any ideas on how to turn back
time?
I am trully grateful finding your videos coz it has informed me so much about my knee problem due to osteoporosis and osteoarthritis.. your exercises has helped me to move without medication.. god bless you in helping a lot of people❤
great video! I was curious.....when I went to PT, the guy recommended these inserts that that actually forced my knee the opposite direction because I was having pain on the inside of my knee. Your video mentions to get the arch supports to get your knees inline more. Looking at my x-rays..I am or have lost a lot of cartilage..more so inside my knee. should I get arch supports instead of the other inserts?
Thank youuu 🙏😭
You're welcome 😊
Dear doctor, your channel is priceless! I thank Universe for this gift! I found it in my despair, when my chondromal-a patella and meniscus got dramatically worse after long awaited improvement. Wrong walking, wrong exercises...nobody told me how to do it right in my clinic(
Your videos are a life saver. I wish your practice was in my state.
Hello Shannon!
Thank you so much, we appreciate you! 🧡
Thank you for this video I don’t like it when doctors just push drugs and surgery I’d rather avoid it if necessar. This is helping!
Thanks for the video. I did ask this in another related video, but you again mention 'healing' the chondromalacia patella here, and I wonder exactly what you mean by healing, since that rough/bumpy uneven cartilage (especially if you've had it for a long time) supposedly doesn't actually go away without surgical intervention.
Hello sir. I can use recumbinet cycle if i have grade 2chondromalacia. Thank you
Massage gun is to be done before or after the strengthening exercises?
Doctor I thank u soooo much I am working along with u @ my knee is feeling much better thanks.
Glad to hear your knee is feeling better Maisie!
Is there any research out there on peptide injections for this problem ? I’ve been suffering with front of knee pain from this for around 6 years. 3 months ago I started extensive physical therapy to help the muscle balance / tracking issues. Made great progress but I feel like exploring adding in injection based therapies.
Hi Dr! You had mentioned that it is due to muscle imbalance that chondromalacia occurs. But what about if I had injured my knee and as a result I have chondromalacia?
What is the best position to be in bed for sleeping? My knee hurts when I’m laying down. I don’t want to make it worse. My physical therapist is giving different info. Your videos have helped so much more. Thank you.
Hello Dr.David,
first of all, thank you for all your content and ideas that are more progressive than the classic medicine approach (holds true for Germany as well).
I (33y old, hobby sports guy, did a lot of running, marathon and volleyball) injured my already not super healthy knee during a turnament, where I hit my foot and knee. According to the MRIs there is more liquid in the knee, but only a minor damage to the cartilage due to overusage and maybe the accident, however I lived in significant pain the last two years, even if not moving the knee at all.
After adopting your "glute vs quad muscle imbalance ide" as well as feet/ankle training into my worout and finally feel like Im on the right path. Now, after two years of pain following an sport accident (knee and foot) I get to a level, where, when I use kineso tape, I do not have significant pain anymore during my daily life.
Now my question: would you suggest that I could start playing a little volleyball again with kineso tape as long as the pain is not significantly higher afterwards (same day or days after), or would you suggest that I first need to reach a pain free level without the tape/sleeves before slowly returing to jumping/runnning sports?
Thank you for your time and any help :)
Hi Pascal,
We're sorry to hear you're dealing with knee pain. It's great to hear that you've found some relief with the strategies you've been implementing, especially considering the challenges you've faced over the past two years.
Regarding your question about returning to volleyball, it sounds like you've been making significant progress, especially with the kinesio tape helping to manage the pain during your daily activities. While we understand the desire to get back into sports, it's crucial to prioritize your recovery and avoid exacerbating any discomfort.
We would recommend proceeding cautiously and gradually reintroducing volleyball into your routine. Starting with kinesio tape as support is a good idea, but it's essential to pay attention to how your knee feels during and after playing. If you find that the pain remains manageable and doesn't worsen significantly, it could be a positive sign that you're on the right track.
However, we would also advise striving for a pain-free level without the tape or sleeves before fully engaging in jumping and running sports. This may require some patience and continued dedication to your rehabilitation exercises, but it's crucial for ensuring long-term joint health and preventing further injury.
Ultimately, listen to your body and trust your instincts. If you experience any significant discomfort or pain, it may be a sign to take a step back and focus on strengthening and stabilizing your knee further before returning to more strenuous activities.
We wish you all the best with your continued recovery and return to sports!
What is the best position for sleeping. My knee hurts more when I lay down. I use pillows to relieve reassure but I don’t want make my knee issue worse. Any suggestions?
Hey doc, my patella is slightly laterally offset due to a fall years ago , is there anyway I can fix it so the alignment is normal again. As I get pain when running etc
Sir I have atrophy in my quads...should I focus more on quads than glutes ?
Love Bob and Brad
Thank you
Hey Challengedollar, you are very welcome! Just in case you're interested, we have a chondromalacia patella playlist you might find helpful. You can check it out here:
“Knee Cap Pain Help”
ua-cam.com/play/PLJVIPiFvv1mYRotMXuS6F94UZkGAIxsb2.html
Wishing you all the best on your road to recovery! We'd love to hear how you are doing as you progress.🙌 Please take care! 🧡
thank you @@epmanualphysicaltherapy
My orthopedic doctor stated I had only 10% of hyaluronic acid remaining in my right knee which swells up on the outside of the knee when I do a lot of walking. What is the best therapy for this situation?
Thanks,
Aaron
Every thing you say in Vedio is vital important 🙏🏼🙏🏼
Thanks @thenanima2121!!!
Can chondromalacia patella heals permanently?
what about PRP injections?
It is so cool to see passionate professionals who are serious about their jobs. Thank you.
Hey Leonardo, thank you for the support and you are very welcome! We love to offer this service to people all around the world!
I feel that my side muscles on my knees feel like they come out of place if I move a certain way. Yes 👏👏 my Arch support my foot tend to go in words okay thanks you so much 😊
You're welcome! 😄
What about the vmo
Hi
I hope you are well.
I appreciate you are busy.
I have Patellar Chondromalacia and there is also an intra-articular loose body, a small structure around four millimeters in size, which may be a detached fragment of the articular cartilage. The articular cartilage injury is graded as four, The ligaments and menisci appear normal, and I have a Patella Alta, which is a slight elevation of the kneecap that may or may not contribute to the altered biomechanics and erosion of the articular cartilage. The report also mentions minimal fluid within the joint space, which is not of much concern. I see online Dr, You are to be the best around when it comes to Chondromalacia so any advice how to best treat it will be much appreciated as I’m fit 44yrs old and I’ve just got a HA injection but don’t think it’s helped. Again, I appreciate you are busy
Colin Carrick
Hey Colin, sorry to hear that you have chondromalacia patella :-( especially at such a young age! This is likely due to overusing your quads for a long period of time. There is a muscle at your knee that not many people know about called the articularis genu, which pulls the patella up causing Patella Alta! This muscle is part of the quads. So, the best advice is to massage your quads very well and get them to relax a bit more while simultaneously working on improving the use of your glutes. Your glutes will commonly be relatively weak when you are overusing your quads and it will help restore muscular balance to your knee. This can help chondromalacia patella by allowing any damage that has been done to slowly heal over time. This needs to become a daily practice for you! Here are some videos for activating your glutes properly in case you are interested in learning more:
“Top 5 Glute Muscle Exercises For Knee Pain”
ua-cam.com/video/NXdCjT2QtJA/v-deo.html
“Top 6 Standing Glute Exercises To Help Knee Pain”
ua-cam.com/video/jD7IRBfJ-mM/v-deo.html
“Does Walking Help Knee Pain?”
ua-cam.com/video/3ttv66it9x4/v-deo.html
Your exercises and advice have really helped and reduced my knee pain but I always have pain when going from sitting to standing. The worst is if I’m sitting at the table eating and always have difficulty when initially standing. Please can you help with this Dr David
Thank you for all your videos.
I've been having the same problem.
I have some of the tape, but I can't get it to stay on. Does anyone know how to get the tape to stick?
I’ve noticed how few answers there are to people’s questions which I for one would’ve liked to have learnt.
Hi Derek, We receive thousands of comments per day along with emails, and other comments from other platforms and we try to respond to as many as we can. We thank you for your patience. If you have a general question please feel free to email us at info@epmanualphysicaltherapy.com.
If you have a specific question or you are requesting a diagnosis we would need to do a proper consultation. By opting for a Virtual Consultation, you'll have the opportunity to have a one-on-one conversation with our doctors, where they can delve into the details of your condition and provide you with tailored guidance and coaching. This personalized approach ensures that you receive the individualized support and direction you need to make informed decisions about your health. To learn more about our Virtual Consultations including cost please click here:
www.epmanualphysicaltherapy.com/virtual-visit/
We have a chondromalacia patella playlist you might find helpful. You can access it here:
“Knee Cap Pain Help”
ua-cam.com/play/PLJVIPiFvv1mYRotMXuS6F94UZkGAIxsb2.html
We wish you all the best on your road to recovery! 🧡
How do I find more information on the 28 days fix for your knees?
Hey @dianecraig4004, you can learn more about the 28 Day Knee Health & Wellness Boost Program here:
www.epmanualphysicaltherapy.com/knee-health
I think I'm also suffering from this I even can't sleep in night because of inflammation my health condition is worst need a therapist like you
Which of your programs do you recommend for someone that has chondromalacia patella and a torn meniscus in the same knee ? Thanks
Hi Bonnie, we would suggest our Knee Meniscus Recovery Program. The Knee Meniscus Recovery Program is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent or help with meniscus tears or trouble after meniscus surgery. To learn more please click this link:
www.epmanualphysicaltherapy.com/meniscus-recovery
I have grade 3 kneecap arthritis. My IT band is painful and lumpy and so are my quads and adductors all the way to my hips. It hurts to walk. This all became symptomatic after falling on my kneecap in September 2023. I’m not sure where to start my rehab. I have a torn hip labrum on the same side. Can you tell me which video of yours to start with. I don’t want to have exploratory surgeries to figure this out. Thank you and blessings.
Hey Terri, we are so sorry to hear about your arthritis and IT band pain :( We have a couple of playlists that could help:
“Knee Arthritis Pain Help”
ua-cam.com/play/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i.html
“IT Band Syndrome Pain Help”
ua-cam.com/play/PLJVIPiFvv1mZUkmp_Vahu2yuGNPa9D43T.html
In case you need it, here is the link to our Knee Arthritis Recovery Program:
epmanualphysicaltherapy.com/knee-arthritis-recovery-program
Can PRP therapy also help?
Prp is a hoax and won’t solve the problem long term with physical therapy
E3 rehab would disagree on arch supports, injection, PRP, and surgery
I have patella degeneration and I don’t feel pain, but I swelled up once. I’m trying to learn how to keep it from swelling up. I walk around 13 miles a day for my job. I’m trying to change jobs, but that could take a month. In the meantime, I’m trying to learn how to keep my knee from swelling during that time.
Hey Jennifer, so sorry to hear you have been dealing with patella degeneration and constant swelling :-(. We are hoping you are succesful in finding a job that adjusts to your needs ASAP! In the meantime, some of the strategies you can implement are: improving the way you walk, strengthening your glutes, finding ways to allow your thigh muscles to relax and not takeover your motions. Here are some playlists and videos that could be of help! Check them out:
“Knee Swelling Help”
ua-cam.com/play/PLJVIPiFvv1mb17SwpI5eM0Uca2qvg7gsC.html
“Walking & Stair Advice For Painful Knees, Hips, And Ankles”
ua-cam.com/play/PLJVIPiFvv1mZqQdy7MnE2Q1H_Xfgxi5zH.html
“Knee Cap Pain Help”
ua-cam.com/play/PLJVIPiFvv1mYRotMXuS6F94UZkGAIxsb2.html
Best of luck! Keep us posted!
Thank you so much!
Does prp heal the cartilage in chondromalacia patella ?
Prp is a hoax and won’t solve the problem long term
@@davidolatunji119 then what will heal the cartilage?
@@Singerswapnillive stem cells, but stem cell research is banned in the US because of religion
Hello. I have a 1cm x 0.5 cm cartilage defect in the central part of the patella. Chondromolation stage 3 to 4. I play football, I am 28 years old. I haven't played football for 6 months. In 2 months I should have knee surgery (microfracture). My condition is improving now, I can slowly run. I'm interested when you say that quads should not be trained. When can you start training your quads and hamstrings, because I can't play soccer without it.. I want to be a fully active athlete, I also play tennis. That's why I'm wondering when it's time to start training other muscles as well?? Do you think surgery is necessary or not?? I also currently have hyaluronic acid in my knee.. thanks for the reply :)
Hey Ervin, sorry to hear about your cartilage defect behind your patella :-(
You can start to train your quads after your muscles are in better balance. You know your muscles are in balance when you're confident that you use your glutes very well in nearly all physical activity. If you're afraid you're going to hurt your knee more because it's already starting to hurt a bit or swelling, then your quads are too strong and your muscles are out of balance. More glute muscle strength is needed.
Most cases like yours can get by without surgery, but its always a personal decision that you have to weigh based on your needs and belief of how well you can heal. It's great that you got hyaluronic acid, hopefully it's helping you.
It often takes 3 to 12+ months of training the glutes to get the imbalance properly fixed to take pressure off the knee cap and allow you to confidently play sports. Without seeing you in the clinic to accurately diagnose and treat you, the best advice would be to hold on surgery and go through fixing the muscle imbalance to see how much you can improve. Microfracture surgery has mixed results and you'll need to fix the imbalance anyway or you'll end up injuring the cartilage again even after you've healed from the surgery and return to sports.
We highly recommend learning more about our 28 Day Knee Health & Wellness Boost Program. It's focused on fixing the root muscle imbalance that leads to knee cap cartilage problems. You can learn more here: www.epmanualphysicaltherapy.com/knee-health
This info is helpful.. however for me it's too late already. I am only 36 and already have a small narrowing of my knee joint space and a lot of pain to come with it. Not seeing a bright future for myself 😢
Hey Stefaan, sorry to hear you are experiencing decreased joint space :( The good news is you are young enough that you can turn it around! We have some other great videos that can help improve the health of your knees in case you are interested in learning more. Here are some videos that may be able to help you regain the joint space in your knee:
“Top 5 Glute Muscle Exercises For Knee Pain”
ua-cam.com/video/NXdCjT2QtJA/v-deo.html
“Top 6 Standing Glute Exercises To Help Knee Pain”
ua-cam.com/video/jD7IRBfJ-mM/v-deo.html
“Does Walking Help Knee Pain?”
ua-cam.com/video/3ttv66it9x4/v-deo.html
If you are interested, we also offer a knee health and wellness program that sounds like it would be great for you. Here is a link with more information in case you are interested:
The 28-Day Knee Health & Wellness Boost Program is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent or help with knee conditions like osteoarthritis, meniscus tears, ACL tears, ligament injuries, chondromalacia patella, cartilage problems and other knee conditions.To learn more please click this link:
www.epmanualphysicaltherapy.com/knee-health
Correcting the imbalance can get more complicated depending on the muscle imbalance a person has. If it's more caused by movememts in the transverse plane you will have too much femoral external rotation on one side and internal on the other. So the focus will be on different exercises and stretches to balance things out.
An example of sports that could cause this are surfing, golfing, tennis, snowboarding etc. All acruvities that require rotation predominately in one direction.
Often times in rotational sports the primary imalance causing issues is going to be imbalances of the anterior and exterior obliques muscles. Research the anterior and posterior obliques slings to get a bettet understanding.
Chapter 4 - 4:20 knee sleeves can compress patella and cause irritation, when quads strength not recommended since it compress patella then how the knee sleeve … please 🙏 anyone enlighten me
My knee is so painful and my leg is now bowlegged is there an exercise that can correct this
Can the bow leg be corrected without surgery??
Can Chondromalacia stage 4 be healed without surgery?
Hi Partita, It can but we it also depends on the severity of the situation. We do have additional information and exercises in a playlist that discusses this topic. You can check it out here:
"Knee Cap Pain Help"
ua-cam.com/play/PLJVIPiFvv1mYRotMXuS6F94UZkGAIxsb2.html
We also have these 2 short videos that have exercises that can help heal chondromalacia patella issues:
"Chondromalacia Patella CAN HEAL 100% If You Do The Correct Exercises"
ua-cam.com/users/shorts2if3AHgXmes?feature=share
"Chondromalacia Patella CAN HEAL 100% If You Do The Correct Exercises Part 2"
ua-cam.com/users/shortsb5-zjsxKiM8?feature=share
We hope you find this information helpful and you find relief soon. We'd love to hear how you are doing as you progress.🙌 Please take care! 🧡
I exercised my quads and my other knee started hurting and the one that hurt got worse 😮
Your videos are helpful
I'm 25 and since 1 month suffering from knee pain
I wanted to show you x ray flim of my knee yo know if I'm suffering from osteoarthritis kindly provide any mail id if possible
hey your so young I have the exact same problem.
The doctor said even if we have it we can be pain free xx
Walkin good chondromalacia pattela my age 39
How can I contact you?
Hello Tanush! We have an option for a virtual consultation if you are interested in discussing your condition. Here is the link:
www.epmanualphysicaltherapy.com/virtual-visit/
Is Chondromalacia patella 100% curable?
it doesnt have a cure you can recover
Thank you so much, so glad I found your videos. Just got diagnosed with patella alta and chondromalacia (grade 2) caused by it. Every doctor that I went to suggested strengthening my quads is a way to solve the issue...which, I see now, will only worsen the problem by dragging patella up even more.. Will definitely start doing glute exercises and relaxing my quads right away since I don't really feel any pain right now just some tightness in the knee zone. Racket sports is a huge part of my life, can't really imagine not being able to play them. Hoping I will find some relief and eventually solve the issue. Thank you for sharing your knowledge!
How is your pain now ?
Eccentric quad ex?
Hey Paula! This method of exercise has shown benefits for some people. However, what we have seen a lot of is overuse of the quads. If this is the case, then transferring the muscular dominance to the glutes may be a more effective method of dealing with chondromalacia patella. Hope this helps!
@@epmanualphysicaltherapyok, makes sense
Why do my bone make noise
8:36
✅🌹❤️🌺🌸👍💖
😊
But knees over toes guy.....
Hey Abe, you’ve got to put these methods to the test and see what works for you!