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[RC] Noisy Knees - A. Perez

I too have noisy knees. Going upstairs the go CRNCH, CRUNCH,
CRINCH. They get very sore if I sit for extended periods of time
(bad news for a desk-bound person).  Stepping down from a hieght
can sometimes cause excruciating pain in the supporting knee.

The condition is called Chondromalacia. Here is an article from
the web (http://healthlink.mcw.edu/article/926052680.html)
describing it an treatment options:


Chondromalacia


What Is Chondromalacia?
Chondromalacia (pronounced KON-DRO-MAH-LAY-SHE-AH), also called
chondromalacia patellae, refers to softening of the articular
cartilage of the kneecap. The disorder occurs most often in
young adults and may be caused by trauma, overuse, parts out of
alignment, or muscle weakness. Instead of gliding smoothly
across the lower end of the thigh bone, the kneecap rubs against
it, thereby roughening the cartilage underneath the kneecap. The
damage may range from a slight abnormality of the surface of the
cartilage to a surface that has been worn away completely to the
bone. Traumatic chondromalacia occurs when a blow to the knee
cap tears off either a small piece of articular cartilage or a
large fragment containing a piece of bone (osteochondral
fracture). 


What Are the Symptoms of Chondromalacia? How Is It Diagnosed?
The most frequent symptom of chondromalacia is a dull pain
around or under the kneecap that worsens when walking down
stairs or hills. A person may also feel pain when climbing
stairs or during other activities when the knee bears weight as
it is straightened. The disorder is common in runners and is
also seen in skiers, cyclists, and soccer players. A patient's
description of symptoms and a followup x ray usually help the
doctor make a diagnosis. Although arthroscopy can confirm the
diagnosis of chondromalacia, it is not performed unless the
condition requires extensive treatment. 


How Is Chondromalacia Treated?
Many doctors recommend that patients with chondromalacia perform
low-impact exercises that strengthen muscles, particularly the
inner part of the quadriceps, without injuring joints. Swimming,
riding a stationary bicycle, and using a cross-country ski
machine are acceptable as long as the knee is not bent more than
90 degrees. Electrical stimulation may also be used to
strengthen the muscles. If these treatments fail to improve the
condition, the physician may perform arthroscopic surgery to
smooth the surface of the articular cartilage and wash
out” cartilage fragments that cause the joint to catch
during bending and straightening. In more severe cases of
chondromalacia, surgery may be necessary to correct the angle of
the kneecap and relieve friction involving the cartilage or to
reposition parts that are out of alignment. 


Information provided by the
National Institute of Arthritis and Musculoskeletal and Skin
Diseases
National Institutes of Health

Article Created: 1999-05-06
Article Updated: 1999-05-07





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