Chondromalacia in my left knee

QuentinFederer

Professional
Hi everyone, I have recently developed chondromalacia in my left knee. Between the age of 10 and 14 I had it bad in both knees, but for the last 7 years I have been pain free. Since early Decembehas slowly been getting worse and I'm starting to worry that it might be with me for a a while.

Has anyone else had this before or have any recommendations for treatment/recovery?

Thanks,
QF
 

Shroud

G.O.A.T.
Hi everyone, I have recently developed chondromalacia in my left knee. Between the age of 10 and 14 I had it bad in both knees, but for the last 7 years I have been pain free. Since early Decembehas slowly been getting worse and I'm starting to worry that it might be with me for a a while.

Has anyone else had this before or have any recommendations for treatment/recovery?

Thanks,
QF
Yes. Had it in my 20s and for the last few years. But i beat it. In my case there were small muscles on the left knee to the left side of the knee cap that were just always tense. Massaging them with a rolling pin was the ticket. It is gone know. YouTube chondromalacia and IT band and you will find some vids. They focus more on the quads but may help

Fwiw that super tense muscle i never felt until i put my fingers on it. I had no clue it was so tense and pulling on the knee cap till i touched it.
 

QuentinFederer

Professional
Yes. Had it in my 20s and for the last few years. But i beat it. In my case there were small muscles on the left knee to the left side of the knee cap that were just always tense. Massaging them with a rolling pin was the ticket. It is gone know. YouTube chondromalacia and IT band and you will find some vids. They focus more on the quads but may help

Fwiw that super tense muscle i never felt until i put my fingers on it. I had no clue it was so tense and pulling on the knee cap till i touched it.
Thanks for the great advice, I really appreciate it :)
I'll definitely give it a go. I'm not sure what the cause is this time, so it's worth trying. When I had it last time the physio thought it was due to an imbalance in my leg muscles with my inner thighs not quite being as strong as the others.
I'm going to try to visit a physio and find out what the cause is this time. I am yet to get it officially confirmed that it's chondromalacia again, but it is the exact same pain.

I'm really not sure what the issue could be, apart from the fact that I switched to a platform stance serve last year and through October/November I spent a lot of time practicing it. It is only my left knee so maybe I've just been putting too much pressure on it. I was working really hard on getting a deeper knee bend.
 

movdqa

Talk Tennis Guru
A knee-sleeve can help to alleviate the pain in the near-term (I have used Futuro gel style).

The cause is usually attributed to a muscle imbalance between left and right muscles above the kneecap where one is stronger than the other. This results in the kneecap tracking to one side and wearing down the cartilage between the knee and the kneecap. So core work to balance the muscles helps to solve the problem longer term. I had not heard about massaging because one muscle is too tight before but that could be another cause of this problem.
 

tennis347

Hall of Fame
Once you have so called chondromacia which is softening of articular cartilage on your knee joints, it never goes away. You can do exercises to strengthen your the muscles around your knees, however the condition gets worse as you get older. I recall my first real knee problems at 35 and had a consultation with an Orthopedist. I was told that I had Grade 1 chondromalcia in my right knee. Chondromalcia is a degenerative condition which is really a form of early stage arthritis. I did excercises to strengthen my quads and hamstrings. Things improved for a couple of years. When I turned 43 I developed a small tear to the medial meniscus which caused pain while playing tennis. I then underwent arthroscopic surgery. Luckily, it was a small tear and only about 4 percent of my medial meniscus had to be removed. However, during the surgery my Doctor came across some rather significant chondromalcia to the trochlea which is at the bottom of the patella which was actually the cause of my pain. My doctor told me I had grade 4 chondromalcia to the trochlea which only could be smoothed out during the surgery and arthritis will set in. It has been 7 years since I had the surgery and some minor arthritis has set in. I still my strenghtening excercises to my core, quads and hamstring. It does help so I can still continue to play singles a few times per week.

The point I am making is don't think that because you built the muscle imbalances that the pain will not return. The pain will always be there. You have to know your limitations because when you are young you can only get away with it for only so long.

Chondromalcia is a form of arthritis that can be controlled to a point and you can develop this condition at a young age. The Doctors don't want to tell that you have arthritis!
 

QuentinFederer

Professional
A knee-sleeve can help to alleviate the pain in the near-term (I have used Futuro gel style).

The cause is usually attributed to a muscle imbalance between left and right muscles above the kneecap where one is stronger than the other. This results in the kneecap tracking to one side and wearing down the cartilage between the knee and the kneecap. So core work to balance the muscles helps to solve the problem longer term. I had not heard about massaging because one muscle is too tight before but that could be another cause of this problem.
I bought a knee support this weekend and it definitely helps. I've got an appointment to see the doc tomorrow and hopefully I can get to see a physio too.
 

QuentinFederer

Professional
Once you have so called chondromacia which is softening of articular cartilage on your knee joints, it never goes away. You can do exercises to strengthen your the muscles around your knees, however the condition gets worse as you get older. I recall my first real knee problems at 35 and had a consultation with an Orthopedist. I was told that I had Grade 1 chondromalcia in my right knee. Chondromalcia is a degenerative condition which is really a form of early stage arthritis. I did excercises to strengthen my quads and hamstrings. Things improved for a couple of years. When I turned 43 I developed a small tear to the medial meniscus which caused pain while playing tennis. I then underwent arthroscopic surgery. Luckily, it was a small tear and only about 4 percent of my medial meniscus had to be removed. However, during the surgery my Doctor came across some rather significant chondromalcia to the trochlea which is at the bottom of the patella which was actually the cause of my pain. My doctor told me I had grade 4 chondromalcia to the trochlea which only could be smoothed out during the surgery and arthritis will set in. It has been 7 years since I had the surgery and some minor arthritis has set in. I still my strenghtening excercises to my core, quads and hamstring. It does help so I can still continue to play singles a few times per week.

The point I am making is don't think that because you built the muscle imbalances that the pain will not return. The pain will always be there. You have to know your limitations because when you are young you can only get away with it for only so long.

Chondromalcia is a form of arthritis that can be controlled to a point and you can develop this condition at a young age. The Doctors don't want to tell that you have arthritis!
I'm seeing my doctor tomorrow and hopefully he'll be able to advise me on it. I'm really hoping that it isn't chondromalacia, but I don't know what else it could be. It's identical to the pain that I experienced previously. For the last 8 years I have been pain free, but my knees have always been stiff if I sit/kneel for a while.

I just hope that I can get back on the court again soon and play free of pain. I'm so worried that I might have to repeat my previous 4 year recovery.
 
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