The goal is to stretch specific muscle groups, strengthen and adjust the patella.Īnd which treatment method will be suitable for patients with chondromalacia of the patella, i.e. The patient performs them under the watchful eye of a physiotherapist, but also independently. Simply exercises are the key to improvement. There is no room for physical therapy, i.e. Doctor Luboinski emphasizes that the rehabilitation program is based on exercises only. Exercises are aimed at increasing the activity of the medial head of the quadriceps muscle, stretching the iliac-tibial cord, the lateral head of the quadriceps, and also on stabilizing the pelvis. The patient works under the watchful eye of a physiotherapist. It brings great results in as many as 85 percent! Rehabilitation involves changing the work of the muscles, reeducation of the lower limb muscles. In these patients the first step in the treatment is rehabilitation. The most common ailments of the patellofemoral joint are lateral patella support and knee pain syndrome caused by abnormal traction of the kneecap, wherein there is no dislocation. Can this be prevented? “If we diagnose these changes early enough and undertake surgical treatment, which would be changing of patellar fraction, changing its position in the patellofemoral joint, further degeneration can be avoided - adds the doctor. This is a problem that affects people between 40 and 50 years of age” - explains doctor Lukasz Luboinski. the complete disappearance of the cartilage, when only the bare bone is left. The third group includes degenerative changes, where cartilage losses occur, and thus the real 4th degree chondromalacia of the knee, i.e. They occur in people aged 20-30 and lead to overload as a result of poor sports activity or inappropriate training habits.īoth diseases may or may not lead to cartilage damage on the kneecap. The second group includes changes related to the malfunction of the kneecap (not related to instability). The cause of such dislocation is genetic predisposition to this type of injury. The problem concerns teenagers between 12-16 years of age, when the first dislocation occurs. The first group is traumatic changes and instability (dislocation) of the patella. Its pathologies can be divided into three groups. The patella (kneecap) is the most anterior part of the knee. It may be a completely different disease called lateral supra or increased lateral patella suppression - says doctor Łukasz Luboiński from the Carolina Medical Center. Meanwhile, patellar problems and pain are not always associated with the so-called chondromalacia, i.e. This is a mistake! It is an anachronism defining all sorts of pain of the anterior knee compartment. Very often patients complaining about annoying pain in the area of the knee suspect chondromalacia of the patella. As many as 80 percent of "knee patients” are people with problems around the patella. The most frequent knee pathologies occur between the patella and the femoral bone. Can nuisance pain in the knee be a consequence of chondromalacia of the patella? What exactly does this mysterious term mean? What other problems do “knee patients” face? What methods are used to treat patellofemoral joint pathology? Doctor Lukasz Luboinski, orthopedist and traumatology specialist at Carolina Medical Center, answers these and other questions.
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