Pain in the Knees: Chondromalacia

Little kids often come running to their parents cryingprone to excessive and uneven pressure brought
over some bruises om their knees.  But as theseupon by the physiological changes that comes with
kids grow up, they are exposed to running the riskthe growth spurts of puberty.  Adults over 40 may
of getting more serious injuries, brought about bydevelop this condition as part of the wear-and-tear
their chosen lifestyles.  process, possibly resulting in arthritis of the kneecap
Knee-related injuries and medical conditions areor osteoarthrities of the knee joint.  chondromalacia
among the common reasons many people visit theirmay also be caused by accidents and trauma, or
doctors nowadays. Some people may consider kneeabnormal pressures on the knee-joint, as experienced
pain as a minor problem, but it can lead to seriousby athletes.
discomfort and acute disability, depending on thePain and swelling caused by chondromalacia of the
severity of the damage.  Several knee injuriespatella are felt in the front or inside of the knee. 
happen due to chronic overuse, alignment problems,The kneepain becomes worse when seated for long
active sports, failure to warm up and stretch beforeperiods, such as while getting up from a chair and
exercise, or even daily household chores that wouldwhen climbing stairs.  A grating or grinding sensation
require extra physical effort. Other knee-relatedmay be noticed everytime the knee is extended or
problems can also result from trauma, such as a carstraightened.
accident, a fall or a direct blow to your knee, as wellMost of the time, conservative treatments for
as due to medical conditions such as arthritis, gout orchondromalacia are exercise programs designed to
chondromalacia.strengthen the muscles around the knee and to bring
Much has been said about arthritis and gout.  Butback the normal alignment of the knee cap.  These
what about chondromalacia?  Is this a new type ofexercises must be approved by a physical therapist
malady? What causes it and who gets affected byto selectively build the thigh muscles (the quads) and
it?  Chondromalacia is a knee-joint condition thatrealign the knee cap.  
needs serious attention and requires properA great number of patients usually improve with
treatment.conservative treatment alone and without much
Chondromalacia of the patella, also calledfurther need for other therapy.  Only a small number
patellofemoral pain, is a term that refers to painof cases where kneepain persists or worsens would
arising between the patella (kneecap) and theknee joint surgery be required.  While it may not be
underlying thighbone (femur).  The softening of thepossible to avoid chondromalacia, certain measures
cartilage beneath the kneecap results in small areascan be taken to reduce the risk of trauma and
of breakdown and pain around the knee.  Instead ofinjuries, as well as abnormal stress on the knee.
gliding smoothly over the knee, the patella rubsRehabilitation programs focusing on flexibilty and
against the thighbone everytime the knee moves. strength training of the muscles that control your
These changes vary from mild to total erosion of thekneecaps can greatly help in the prevention of its
cartilage.  development in many cases.  Non-steroidal anti
This condition is usually prevalent among younginflammatory drugs and other arthritis pain relief
women, especially those who have a slightmedications may be prescribed to alleviate suffering
misalignment of the kneecap.  Teenage girls arefrom pain and inflammation.
usually at high risk because the knee cartilage is