Chondromalacia patellae - The 4 stages and their treatment explained

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Күн бұрын

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@justinklenk 9 ай бұрын

I have chondromalacia and have just learned more about its physiological progression than I have in 40 years of having had it - thank you. 👍

@ashleytavizon2770 6 ай бұрын

10 years for me and just learned what it ACTUALLY is! Going to doctor asap.

@michelegiannone7403 3 ай бұрын

40 years????

@justinklenk 3 ай бұрын

@@michelegiannone7403 It's been intense. 👍 You bear the pain through life and skiing and sport.

@michelegiannone7403 Ай бұрын

@@justinklenk i justik i am really depressed but hearing you give me strength...hasnt got worse...still like first day or some get better

@justinklenk Ай бұрын

@@michelegiannone7403 Well, it progressed from street skating as a kid then pounding on it wrestling (when first diagnosed) in high school, then heavy weightlifting for years (worst part), then skiing (also worst). Don't aggravate it too much, and do everything you can to be in alignment with well-tracking knees, and make sure you always have strong vastus medialis muscles - and get plenty of collagen and protein, for your whole life. Learn all you can about it - and do what sport/physical activity you love, just because you love and need to do it anyway. I can't imagine not snowboarding - f that.

@johnpetry2541 9 ай бұрын

Great explanation as usual! This seems to be a "knee topic" not discussed very often, so thanks for adressing it. I hope there's enough interest in this topic to go further in depth on causes, such as prevalence among certain professions, injuries like repeated patellar subluxations, and Q angle variations--both genetic and between the sexes. And of course, the surgical approaches like chondroplasty, tendon releases, retinacluar imbrications, maquet procedure, etc.

@CookieMonster-b3m 16 сағат бұрын

Stage 4 in agony and knee giving way, ouch 😣 went to a&e to get tramadol

@lucasjay1000 Ай бұрын

I’m stage 2 and got prp and have done physical therapy for nearly 2 years working with multiple specialists. I have bad pain and swelling even though mri does not look bad

@frezzingaces 5 ай бұрын

Thanks for this video. I've read a lot of explanations about the different stages of chondromalacia patellar, but this is very clear about the mechanics. I'd love to know more about the long-term management of chondromalacia patellar. I can't help feel like I'm on a long-term track to osteoarthritis and then a knee replacement. But I hope with proper management I can avoid that for decades. And I would be interested in reading your book about sport injuries if you make an English translation! Maybe just a digital release?

@nnnyuy88yhj 6 ай бұрын

4:18 thank you for saying that. I was scared that my stage 2 chondromalacia was wrongly diagnosed because of how much pain it has been causing me. I was afraid it was stage 3 or 4, but the MRI luckily showed it's only stage 2.

@redblacktichy7713 6 ай бұрын

How old are you?

@nnnyuy88yhj 6 ай бұрын

@@redblacktichy7713 i am 20

@pilotyz4318 Ай бұрын

Great video , thank you dear . I need your advise: I experience a tingling and warm sensation when I sit in a chair at the office. Let me elaborate: from 8 a.m. to 12 p.m., I don’t have any issues. However, after 12 p.m., this warm, tingling sensation begins in the middle of my knees (around the patella). It doesn’t go away unless I start moving around. Last year, the sensation was different, as follows: whenever I felt sleepy, my knees would start tingling, sending signals to my brain, which would cause my adrenaline to spike. I’d wake up frightened due to an accelerated heartbeat. I visited several doctors at that time, and they said, based on their assessment, that everything seemed normal with my knees. Some suggested that the sensation might be due to wear and tear, as I am 47 years old and have partial tears in my ACL and meniscus, but nothing major. I’ve read many articles about knee problems, but none described the symptoms I have. I run three times a week (5 kilometers each time) and do light leg exercises. I also tried physiotherapy, but it didn’t help much. In Aug, i visited a good Dr and he diagnosed my case as apears in the MRI as Chondromalacia in both knees , he suggested physiotherapy and then PRP if did’t work.physiotherapy did’t work so i had to take PRP,with that being said i did’t see any improvment, therefore, the Dr gave me another PRP .so lets see. He said i’m in stage two, i can share my MRI.

@barbarawierczynska4551 Ай бұрын

I would love it if the book were available in English pretty please!

@pallypollock 3 ай бұрын

I have stage 4 in both, and the specialists tell me just do physio. Makes sense as i need to move my kneecap so it sits in the groove better.

@WryReaper Ай бұрын

Great explanation!

@brianbanks3044 9 ай бұрын

i have incorporated an exercise program that includes a stationary recumbent bike that i do everyday for 5 minutes...not a lot of resistance but just enough to get the knees moving and lubricated...is it true that Motion=Lotion in regards to knees???? and cartilage possible regeneration????

@Dorr234 7 ай бұрын

I injured myself cycling with the wrong fit lol

@Mmp2001 Ай бұрын

What would you recommend for prominent full-thickness chondral loss at the median patellar ridge and partial-thickness along the medial patellar articular margin

@carolines9440 4 ай бұрын

I developed cmp when I was 10 yrs old, dislocated the knee when working so had my 1st surgery at 19 and then again at 29yrs old. It's been really bad for the past 3yrs so had an x-ray for the first time since diagnoses. I have been told on the last surgery that it'll be a reconstruction if it plays up again and not even 40.

@mdarafatislam9591 Ай бұрын

Hello sir I am 25 years old boy I have been stage 2 chondromalacia My question it is can regenerate normal If I get hya.. injection ???? Is it regenerates????

@bamburify 3 ай бұрын

Where can I get an English version of your book?

@BigBoss-rf1pt 2 ай бұрын

Can cycling regenerate the cartilage in the knee if it’s in stage 1?

@katrinadawnnn 4 ай бұрын

I'm curious of prevalence of connective tissue disease amongst those who suffer with this and similar injuries.

@MUGIWARAxLUFFYx 3 ай бұрын

Is the training same as your tendoinsist video?

@yannamarouche8832 9 ай бұрын

In patellofemoral pain, the cartilage is the first thing checked but, in fact cartilage isn't innervated ... Why this paradigm ?

@manuelmartens7759 4 ай бұрын

The underlying subchondral bone contains sensory nerve endings and gives pain sensation;

@melsidagrmelsidagr 7 ай бұрын

Dear Dr. Bellemans, is Chondromalacia patellae the same as chondropathy of the knee joint. And if yes, what exact exercises /sport would be beneficial ? Please assist.

@shahemabb7373 3 ай бұрын

Is cycling help in chondromalacia ?

@ParitoshSingh-r1y 2 ай бұрын

@shahemabb7373 2 ай бұрын

@@ParitoshSingh-r1y are you sure ?

@ParitoshSingh-r1y 2 ай бұрын

@@shahemabb7373 yes , it will get worsen. Good exercise is swimming and no load bearing exercises . I am suffering with same problem and it took me more than 8 month to reduce my knee pain, I stopped climbing stairs and cycling , I am using ayurvedic medicine as well . Hope you will recover soon

@OmkaR-lg2nt 2 ай бұрын

@@shahemabb7373My doctor suggested cycling. I have stage 2 chondromacia

@nicholasscott7901 Ай бұрын

Yes, with very little resistance and focusing on glute activation.

@himshikhasingh4675 4 ай бұрын

Is chondro malacia pattela also called arthritis ? Or it's different from arthritis?

@salimmansuri8242 8 ай бұрын

Can swimming help ?

@ParitoshSingh-r1y 2 ай бұрын

Yes swimming help alot , I am suffering since 2023 and started swimming, during swimming I use life jacket so that I can walk in water , I do it for 2 hrs and my pain is very minimal now . Note - don't do cycling and stairs climbing for 3 month you will get better.😊

@jonathanfargalla5427 10 күн бұрын

Wonderful

@shag813 4 ай бұрын

THANK YOU!

@LucaAliberti 7 ай бұрын

What stem cells did you use please

@SEROBERT 8 ай бұрын

Excellent presentation!

@XIskandarX 5 ай бұрын

THANKS FO THE INFO

@arturrakoczy1516 6 ай бұрын

Awesome video. Thank you Doctor.

@neerajaanupama5270 2 ай бұрын

I'm a Bharatanatyam dancer battling with the same issue. Last year I got an MRI done and I have Grade 2 CMP. Every time I prep for a program it gets worse. I have a program coming up and around two months of regular practice the pain started aggravating. It's so sad that I'm not able to do something I absolutely love doing. I'm so scared to do it now. I feel something worse will happen.

@rathanrao1437 2 ай бұрын

Me too suffering the same since 6 months. I'm the martial artist