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Chondromalacia Patella (Patellofemoral Pain)

Normally defined as softening and degeneration of the soft tissue underneath the kneecap leading to pain associated with bending and straightening of the knee.

Risk Factors

  • more common in young adults
  • affects more women then men
  • common in runner's or anyone involved in a sport that stresses the knees by overuse or overloading
  • history of knee dislocation or fracture
  • Symptoms

  • knee tenderness
  • front knee pain that worsens after prolonged sitting
  • pain or discomfort that worsens with stairs or arising out of a seated posture
  • sense of grinding in the knee whenever it is bent and straightened
  • Treatments

  • rest
  • ice
  • non-steroidal anti-inflammatory drugs (NSAIDs)
  • physical therapy
  • increasing strength of quadriceps, adductors and iliotibial (IT) band while stretching hamstrings
  • soft tissue therapies / massage
  • cortisone injections
  • surgery
  • Prevention

  • stretch and warm-up prior to activity
  • perform regular exercises to improve strength and flexibility of the quadriceps, hamstring, adductor and IT band
  • avoid activities that are stressfull to the knee
  • increase activity level gradually
  • lose weight
  • wear proper shoes for the activity


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    2475 Bethel Rd. SE, Ste 102, Port Orchard, WA 98366         Tel: 360.895.4844         Fax: 360.895.4834      

    The information contained on this page is not intended to diagnose or treat any condition but is provided for information only.
    Contact your health care provider if you have any questions.