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
- Reduction of inflammation
- 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
