Femoral-Patellar Syndrome (Chondromalacia)

Causes

• Incorrect alignment of the patella in the femoral gutter
• Anterior or repeated knee injury
• Flat or pronated feet
• General misalignment of the lower limb
• Abuse of exercises (“too much effort, too early” syndrome)
• Sports involving racing and jumping
• Weakness of the quadriceps and muscles stabilizing the pelvis
• Muscles stretched on the outside and at the back of the knee

Treatments

1. Reduction of inflammation
2. Improvement of the dynamic ratio between the femur and the patella

• Rest and change of activities
• Sports to avoid: volleyball, basketball, running, football, racquetball, squash
• Decreased inflammation with ice and complementary therapies such as neurocrystal therapy and kinesio taping.
• Articular manipulations and soft tissue work (Active Release Techniques and Graston) to correct knee biomechanics and reduce scar tissue
• Stretching and strengthening exercises to stabilize the knee
• Drugs (anti-inflammatory) as needed
• Plantar orthoses and knee orthotics possible
• Cortisone injections as needed
• Surgical procedures very rarely indicated