Treatment of patella malacia in rehabilitation center

1. Condition analysis: according to your description, chondromalacia patellae causes knee joint pain, which is caused by the wear of patellofemoral joint surface
Guidance: pay attention to keep warm at ordinary times, avoid fatigue, apply plaster externally, you can use a certain treasure patella shungu paste, physical therapy and hot compress can relieve symptoms

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3. Early knee pain or accompanied by swelling of the knee, should pay attention to rest, and appropriate exercise, to straight leg up exercise, try to avoid weight-bearing knee flexion and extension activities. If there is reactive inflammatory thickening or spasm of fat pad or soft tissue around patella, physical therapy, Chinese medicine hot compress or massage are feasible. Most patients with chondromalacia patellae can be relieved by conservative treatment. If conservative treatment is ineffective and the symptoms are still aggravating, surgical treatment should be considered. Tibial tubercle elevation has been recognized as an ideal treatment for chondromalacia patellae, and its excellent and good rate can reach 86%. At ordinary times, excessive compression and friction on patella surface should be avoided. For those who are over 50 years old and obese, it is more important to avoid repeated training of knee joint half flexion position. Adhere to the exercise of knee flexion and extension and quadriceps femoris under non load.

4.

Chondromalacia patellae is a degenerative change caused by cartilage injury of patella, including a series of symptoms caused by cartilage swelling, fragmentation, shedding and corrosion. Finally, the articular surface corresponding to the femur and patella also has the same changes, and graally forms reactive hyperplasia of patellofemoral joint, and later will form osteoarthritis. Chondromalacia patellae is the injury of patellar cartilage. It can ince pain when bending knee, and it is often obvious when going up and down stairs. There are some patients will appear knee ring, because of pain, knee weakness, soft and so on. Can be used externally - patella Shun Gu An Yu tie - conditioning

The patients with chondromalacia patellae should pay attention to the following points:

1. Full joint movement before exercise can stimulate all parts of the patella articular surface, and the nutrient components of synovial fluid can penetrate into the cartilage tissue evenly to enhance the lubrication of the joint

2. Avoid strenuous exercise. Avoid continuous squatting and strenuous exercise, such as mountain climbing, stair climbing and so on. Avoid changing the intensity of exercise suddenly, and increase the strength and enrance graally

3. Appropriate weight can rece the gravity acting on the knee joint, obesity will increase the risk of degenerative diseases of the knee joint, forming a vicious circle, the larger the weight, the heavier the pain; On the contrary, the lighter the weight, the lighter the pain

4. Supplement cartilage nutrition. Eat more foods with vitamins and protein, such as fruits, vegetables, meat, seafood, etc< br />

5. Chondrochondrosis (CP), chondrochondrosis of patella, patellar cartilage inflammation is a common disease of the knee. It is common in young alts. It is especially common among athletes and sports enthusiasts. Incidence rate of female is higher than that of men.
1: first, immobilize the knee joint for 1-2 weeks, carry out anti resistance exercise of quadriceps femoris to increase the stability of the knee joint,
2: cold compress when swelling and pain aggravate, wet hot compress and physical therapy after 48 hours,
3: external application (patella soft
bone
square paste)
4: surgical treatment when necessary. I hope my suggestions can help you, and I wish you a speedy recovery!!!

6.

Chondromalacia patella is mainly e to the damage of patellar cartilage, resulting in some knee pain, limited activity of these symptoms. The main reason for the formation is some intense exercise, as well as trauma. Avoid changing the intensity of exercise suddenly, and increase the strength and enrance graally. Keeping the right weight can rece the gravity on the knees and wear shoes that help maintain balance and balance. If you have the habit of running, it's better to wear shock absorption shoes when running. Combined with (patella, shungu, Anyu paste), it's mainly to exercise the strength of quadriceps femoris, including static squatting, straight leg lifting exercise, static resistance knee extension. Step by step, from less to more, from easy to difficult, from static exercise to dynamic exercise, from simple action to complex action

precautions

1. Active and full joint movement should be carried out under the condition of no load, such as lying on the bed, actively extending and flexing the knee joint, once in the morning and once in the evening, 10 minutes each time. Full joint movement can stimulate all parts of the patella articular surface, and the synovial fluid nutrients can evenly penetrate into the cartilage tissue, And it can enhance the lubrication of the joint

To prevent the continuous compression of patella articular surface, the pressure on patella in flexion position is greater, which is easy to damage the articular surface, so the pressure on patella articular surface in continuous squat position should be avoided

When plaster fixation or lower limb traction treatment, quadriceps femoris exercise should be carried out actively. Quadriceps femoris can move the patella up and down when it is relaxed, which is concive to the nutrient infiltration of cartilage and rece the continuous compression of patellofemoral joint surface

It is better not to wear high-heeled shoes. When walking or running, wear shoes that help to maintain body balance and balance. If you have the habit of running, you'd better wear shock absorption shoes when running, and you should also pay attention to changing shoes regularly

To prevent the continuous compression of the articular surface of the patella, the pressure on the patella in the knee flexion position is greater, which is easy to damage the articular surface. To avoid continuous squat pressure on patellar joint surface, such as ck step, keep knee joint in painless range

Do not run downhill unless you have developed quadriceps

7. The main joints should keep warm and should not get cold, so it is better to wear kneepad

7. Patellofemoral joint is composed of patella and femoral condyle. In normal patellofemoral joint, the two parts of patellofemoral joint are relatively normal, and the force on each joint surface is relatively uniform
non surgical treatment can make osteomalacia self repair in a few months, such as patella Shun Gu An Yu paste, Tao Bao you. If the treatment is ineffective, surgery is needed to remove the inflammatory tissue around the cartilage
suggestions: raise your legs, lay them flat on the bed, or lay them flat on the ground, straighten your legs, lift them gently, make your legs form a 30 degree angle with the bed, 10-20 times for 10 seconds, and stop your muscle soreness when you feel it.

8. Here is the treatment of chondromalacia patellae

1. Surgical treatment: the treatment of chondromalacia patellae by surgery is easy to cause postoperative complications, and the side effects are very large, and it is not a necessary method for the treatment of chondromalacia patellae. Now the preferred method for the treatment of this disease is the method of traditional Chinese medicine, which is recognized by doctors and many patients< External application therapy: external application therapy is considered to be the first choice for the treatment of chondromalacia patellae. External application therapy is a green and safe therapy with no side effects. It can dredge the meridians, quickly relieve the pain symptoms of chondromalacia patellae, enhance the flexibility of articular cartilage, restore the movement function of bone and joint, and carry out bone nourishing and collateral dredging together, so that the treatment of chondromalacia patellae does not recur

3. Physical therapy: when swelling and pain suddenly worsen, cold compress should be used first, and then hot compress or physical therapy should be used 48 hours later. This method can only temporarily relieve symptoms, but not cure the symptoms, which can not achieve long-term effect

4. Oral proct therapy: this method can relieve pain and inflammation, but it can not inhibit the development of pathological process. And many oral procts contain hormone or analgesic ingredients, the side effects are very big, bad for the body, can not be taken for a long time

chondromalacia patella not only brings harm to the body and mind of patients, but also brings inconvenience to the life of patients. So we must actively treat, and do a good job in diet therapy, patients with chondromalacia patella should eat more food containing vitamins and protein, these foods are rich in glia, which can well protect the joint parts. Once suffering from this disease, please see a doctor in time and go to a regular hospital for treatment.

9. Strengthening the leg muscles is the best treatment. The most scientific method of rehabilitation is to take a horse step, once in the morning and once in the evening, 20 minutes at a time. When you take a horse step, you must get up when you really can't stand it. After two minutes of rest, you can continue to take a horse step again. After three months, you will feel less symptoms. Remember to stick to it. I am also a patient with patellar malacia. I went to Beijing Third Hospital to see him. The doctor told me that the medicine can only play a temporary role. This method is a radical cure. I have persisted for more than half a year. I can tell you responsibly that now I have basically recovered.

10.

Direct knee trauma can cause patellar cartilage or osteochondral fracture, or multiple injuries, such as sports injury, cause cartilage degeneration, cartilage surface roughness, tarnish, serious cartilage shedding, bone exposure, the relative femoral articular surface is also damaged. Most of the injured sites were in the center of patella. The main symptoms are pain behind the patella of the knee joint, varying in severity. Generally, the symptoms of walking on flat ground are not obvious. The pain is aggravated after squatting, standing up, going up and down stairs, going up and down slope, or walking a long distance

The treatment of chondromalacia patellae should avoid catching cold, continuous squatting position and strenuous exercise, such as mountain climbing, stair climbing and so on

2. We can do some rehabilitation training, more exercise will be better, and the symptoms will be alleviated slowly with the application of Taobao patella shungu Anyu paste

3. Oral analgesics, such as ibuprofen and diclofenac sodium, and blood activating drugs

Change bad posture, avoid overwork and cooperate with acupuncture treatment