Runner’s Knee Treatment Options

Most cases of chondromalacia can be effectively managed with conservative treatments:

Activity Modification: Avoid activities that worsen symptoms (e.g., running on hard surfaces).

Rest and Ice Therapy: Ice the knee for 15-20 minutes several times a day to reduce inflammation.

Physical Therapy:

• Strengthening the quadriceps, hamstrings, and hip muscles to improve patellar tracking.
• Stretching the iliotibial (IT) band and hip flexors to relieve tension around the knee.
• Correcting biomechanical issues through gait and movement training.

Bracing or Taping: Patellar stabilizing braces or kinesiology tape can help improve patella alignment.

NSAIDs (Nonsteroidal Anti-Inflammatory Drugs): Ibuprofen or naproxen may help relieve pain and swelling.

If symptoms persist despite conservative treatment, surgical intervention may be necessary:

• Arthroscopic Surgery: Used to remove damaged cartilage or realign the patella.
• Lateral Release Procedure: Involves loosening tight ligaments to improve kneecap movement.
• Cartilage Restoration Procedures: Techniques like microfracture or autologous chondrocyte implantation (ACI) to regenerate cartilage.

Recovery from chondromalacia depends on the severity and treatment approach:

• Mild cases: 4-6 weeks of physical therapy.
• Moderate cases: 2-3 months with structured rehabilitation.
• Post-surgery: 3-6 months, with a focus on strength and mobility restoration.

A gradual return to activities is essential to prevent re-injury.

To reduce the risk of developing chondromalacia, consider the following strategies:

• Strengthen the quadriceps and hip muscles: Maintain proper knee stability and patellar tracking.
• Maintain flexibility: Stretch the hamstrings, hip flexors, and IT band regularly.
• Avoid excessive knee stress: Use proper form when exercising and avoid repetitive high-impact activities.
• Wear supportive footwear: Properly fitted shoes can help reduce knee strain.
• Modify training intensity: Gradually increase workout intensity to avoid overuse injuries.