Chondromalacia patella – what you need to know

What is patellar chondromalacia?

Patellar chondromalacia is a condition where the cartilage on the underside of the kneecap softens and begins to degenerate. Under normal circumstances, this cartilage is smooth and elastic, allowing the knee joint to move fluidly. However, with chondromalacia, the cartilage becomes softened, develops fissures, and may even start to wear away completely. This leads to pain and discomfort, especially during physical activities.

Is patellar chondromalacia dangerous?

While patellar chondromalacia is not life-threatening, ignoring the symptoms can result in serious issues within the knee joint. As the condition progresses, cartilage damage may worsen, causing increased pain, limited mobility, and potentially leading to knee osteoarthritis.

Can patellar chondromalacia be cured?

Whether patellar chondromalacia can be fully cured depends largely on the severity of the condition. In the early stages (Grade I and II), conservative treatment such as physiotherapy, quadriceps strengthening exercises, and modifying physical activity can bring significant improvement, and in some cases, even complete recovery. In more advanced stages (Grade III and IV), treatment may involve intra-articular injections (such as hyaluronic acid or platelet-rich plasma) or surgical interventions like arthroscopic chondroplasty.

Is cycling allowed with patellar chondromalacia?

Yes, cycling?especially on a stationary bike?is often recommended as part of rehabilitation for people with patellar chondromalacia. This activity helps strengthen the muscles surrounding the knee without putting too much strain on the joint. However, it?s essential to adjust the saddle height properly and avoid fully extending the knee during pedaling. It?s also wise to start with short, regular sessions and gradually increase the intensity under the guidance of a physiotherapist.

How to sleep with patellar chondromalacia?

To minimize pain and discomfort while sleeping, avoid lying on your stomach, as this may lead to excessive knee flexion. Sleeping on your back with a pillow under your knees can help keep them slightly bent, reducing strain. If you prefer sleeping on your side, place a pillow between your knees to keep them aligned naturally and relieve joint pressure. Always remember to choose a functional, orthopedic mattress?such as the Polish-designed Osaka Air mattress?which provides optimal support for your body and joints during the night.