Physical Therapy Nest

Diagnosis typically involves:

• Medical history review (activity level, sports, repetitive motions).

• Physical exam testing kneecap tracking, tenderness, and movement mechanics.

• Movement assessments like squats or step-downs to reproduce pain.

• Imaging (X-rays or MRI) may be ordered to evaluate cartilage changes and rule out arthritis or fractures.

Physical therapy is the most effective treatment for chondromalacia, focusing on improving alignment and reducing stress on the kneecap. Treatment may include:

• Manual therapy to improve kneecap tracking and reduce stiffness

• Strengthening exercises for the quadriceps, hips, and glutes to support proper movement

• Stretching routines for tight muscles like the IT band, hamstrings, and calves

• Taping or bracing to guide kneecap movement during activities

• Pain management using ice, heat, or electrical stimulation

• Education on footwear, training modifications, and proper mechanics

Common signs of chondromalacia patellae include:

• Dull, aching pain at the front of the knee (behind or around the kneecap)

• Pain that worsens with running, squatting, climbing stairs, or prolonged sitting

• Grinding, popping, or cracking sounds when moving the knee

• Knee stiffness after activity or rest

• Mild swelling in some cases

To lower the risk of chondromalacia patellae or prevent recurrence:

• Strengthen quadriceps, glutes, and hip muscles regularly

• Stretch hamstrings, calves, and IT band to maintain flexibility

• Wear supportive footwear appropriate for activity

• Avoid sudden increases in mileage or training intensity

• Practice proper squat and lunge form

• Address knee pain early to prevent cartilage damage from worsening