Efficacy of conservative treatments for anterior knee pain with chondromalacia patella

Anand AR, Naveen K, Kumar MA, Rauniyar S, Kalyan HK

Pdf Page Numbers :- 257-261

Anand AR^1,*, Naveen K¹, Aravinda Kumar M¹, Smita Rauniyar¹ and Hemant K. Kalyan²

¹U.R. Rao Satellite Centre, ISRO, Old Airport Road, Bangalore – 560017, India

²Department of Orthopedics, Manipal Hospital, Old Airport Road, Bangalore – 560017, India

*Corresponding author: Dr. Anand AR, U.R. Rao Satellite Centre, ISRO, Old Airport Road, Bangalore – 560017, India. Email: aranand@ursc.gov.in

Received 30 March 2024; Revised 9 May 2024; Accepted 18 May 2024; Published 30 May 2024

Citation: Anand AR, Naveen K, Kumar MA, Rauniyar S, Kalyan HK. Efficacy of conservative treatments for anterior knee pain with chondromalacia patella. J Med Sci Res. 2024; 12(3): 257-261. DOI: http://dx.doi.org/10.17727/JMSR.2024/12-48

Copyright: © 2024 Anand AR et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Chondromalacia of patella (CMP) is a condition in which cartilages under patella and underlying surface soften and tear resulting in anterior knee pain that worsens especially while flexing and climbing stairs. Conservative treatments can delay or prevent the need of surgical interventions. The prime objective of this paper is to demonstrate the efficacy of certain conservative treatments for symptomatic relief from anterior knee pain due to CMP on a single case. A 45-year-old male diagnosed to have symptomatic CMP of grade-IV with anterior knee pain in both the legs sequentially and difficulty in flexion and climbing stairs has been treated conservatively with nutraceutical supplement, physical rehabilitation, and combined platelet rich plasma (PRP) and hyaluronic acid (HA) intra-articular (IA) injections. Knee flexion angle (KFA) and kneeling ability score (KAS) are considered as clinical evaluation parameters for demonstrating the efficacy of the conservative treatments. The conservative treatments with collagen peptide nutraceutical supplement and rehabilitation exercises for the right knee and the same along with combined PRP and HA IA injections for the left knee sequentially are found to be effective in symptomatic relief from the knee pain to a great extent with significant improvement in the knee joint flexibility as demonstrated on a single case. Thus, the treatments are remarkable for significant alleviation of the knee pain and improvement in the knee joint flexibility.

Keywords: Chondromalacia patella; anterior knee pain; conservative treatments; kneeling ability; knee flexion