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What is the difference between chondromalacia and patellafemoral syndrome? |
I have been diagnosed with patellafemoral syndrome, but was wondering what the difference is between these two? Also, I have been doing physical therapy for about 5 weeks now, and adamently doing my exercises at home. We started the bike and treadmill during my sessions, but had to stop both times due to pain. Has anyone else experienced this? Why am I not getting better? Patellafemoral syndrome refers to pain that occurs due to misarticulation of the patella....this can be caused by a tight quadiceps, weak quadriceps, abnormal angle between the hip and knee, poor foot alignment, as well as a number of other things. Chondromalacia patella refers to changes on the underside of the patella, causing it to "soften." Chondromalacia patella is usually caused by patellafemoral syndrome...chronic misarticulation causes these changes. This is not a no pain no gain situation...as painful exercises may only further exaccerbate your condition. Once chondromalalica patella occurs, it usually takes a couple months for the majority of the pain to go away, but could take up to 3-6 months of continuing the home exercise program. It requires a delicate balance between doing too much and doing too little. Different treatment option in physical therapy include: stretching/strengthening of deficiant muscle groups, addressing any foot anomalies, bracing or taping techniques, etc. All of these would best be discussed with your PT since he or she has completed the evaluation. Source(s): PT They are about the same thing. I have had a knee surgery on each knee due to chondromalacia. Not only do you need to do your exercises but you don't need to hold back to much as far as daily activities go. Try to stay active. I know it hurts but I had my second surgery after my kids were born and I am a single parent so I was in pain alot but still had to function and I think that is what made me recover quicker. Take Ibuprofen to keep the swelling down. PS If it hurts try to go until it is unbearable. You keep adding stuff on me. The best thing for cardio while you knee is down is to walk on a elliptical trainer. It is the lowest impact of anything I have ever used. Here is the website for chondromalacia/petellafemoral syndrome. http://www.medicinenet.com/patellofemora... Chondromalacia is the fraying of the knee joint and patellafemoral is changes in the knee joint due to physical or biological factors. My neighbor is going through physical therapy for her shoulder pain, and told me that she is actually crying some of the times during therapy. So I guess the answer is, no pain, no gain. I'm sorry you are having to go thru this, and hope the therapy helps in time. |
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