Patello-femoral Pain (Commonly Called Chondromalacia Patella)

Chondromalacia meaning softening of the patellar cartilage, is a common misdiagnosis. Softening of the cartilage can only be detected by directly visualizing the cartilage during surgery. The correct diagnosis for pain and swelling originating from under the kneecap is Patello-femoral Pain.

Treatment includes pain relief with rest, ice, compression, and elevation. Swelling must be controlled. Anti-inflammatory medications, bracing, and physical therapy are often helpful. Progressive strengthening of the quadriceps is essential. Occasionally, foot orthoses may be helpful. Rarely, surgery is required to assist in realigning the kneecap by releasing the tight structures on the outside of the kneecap and reefing the inner structures.

Possible Treatments

• Aerobic/Endurance Exercise 
• Core Strengthening 
• Cryotherapy or Cold Therapy 
• Electrotherapeutic Modalities
• Gait or Walking Training 
• Knee Active Range of Motion 
• Knee Joint Mobilization 
• Knee Passive Range of Motion 
• Knee Resistive Range of Motion 
• Plyometrics 
• Proprioceptive Neuromuscular Facilitation (PNF) 
• Proprioception Exercises 
• Physical Agents
• Soft Tissue Mobilization 
• Stretching/Flexibility Exercise 

Possible Treatment Goals

• Improve Balance
• Decrease Risk of Reoccurrence
• Improve Fitness
• Improve Function
• Optimize Joint Alignment
• Improve Muscle Strength and Power
• Increase Oxygen to Tissues
• Improve Proprioception
• Improve Range of Motion
• Self-care of Symptoms
• Improve Tolerance for Prolonged Activities

Additional Resources

• 3d Anatomy of the Knee
• Knee Info from Medline Plus
• Kneecap Pain