Femoral-Patellar Syndrome (Chondromalacia)
- In 50% of cases, secondary injuries are due to exercise abuse.
- Result of irritation of the external portion of the patella following a compression against the femur.
- Emphasized by the flexion movements of the knee involving the quadriceps.
- It manifests itself very often in children and adolescents and almost always disappears with age.
- Dull pain that seems to originate inside the knee.
- Usually presents without trauma but can follow a knee injury.
- Shows up and down stairs after prolonged sitting, kneeling, jumping or wearing high-heeled shoes.
- Without proper treatment, this condition can become recurrent and chronic. Dislocation of the patella is possible and arthritis at the joint may develop.
- 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
- 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