What is considered high grade chondromalacia?
What is considered high grade chondromalacia?
Grade 1 is least severe, while grade 4 indicates the greatest severity. Grade 1 severity indicates softening of the cartilage in the knee area. Grade 2 indicates a softening of the cartilage along with abnormal surface characteristics. This usually marks the beginning of tissue erosion.
What is a Grade 3 chondromalacia?
Grading System for Chondromalacia Patella Grade 3 shows the thinning of the cartilage along with the active deterioration of the tissue. Grade 4 is the most severe and indicates full degradation of the cartilaginous surface exposing bone on bone rubbing.
What is Grade 4 chondromalacia of the patella?
Grade 4 – Grade 4 chondromalacia indicates that there is complete loss of cartilage with exposed subchondral bone. Grade 4 changes can be focal (involve a small area of cartilage), or it can be diffuse where it affects a large surface area.
What is chondromalacia of the Trochlea?
Chondromalacia is the softening of the articular cartilage that eventually leads to the breakdown of the cartilage. The breakdown can begin as small fissures are created in the surface. Over time with continued stress on the cartilage, the fissures become wider and deepen.
Is chondromalacia a disability?
A disability rating in excess of 20 percent for chondromalacia patella of the right knee is denied. A separate disability rating of 10 percent for degenerative joint disease with noncompensable limitation of extension of the left knee is granted, subject to the provisions governing the award of monetary benefits.
What is the best treatment for chondromalacia patella Grade 4?
Standard treatment includes:
- Weight loss: 1 lb.
- Regular non-weight-bearing exercises, such as cycling, rowing or swimming.
- Cartilage and bone nutrients like glucosamine, chondroitin, calcium and vitamin K twice per day.
- Tylenol and/or anti-inflammatory medication (i.e. Diclofenac/Voltaren or Ibuprofen/Motrin).
Does chondromalacia get worse?
Chondromalacia patella can always get worse. This is because it can be a progressive problem. Avoidance of the reason why it happened in the first place, which is commonly overuse due to repeated squatting or lunging-type activities, is a good way to slow down the progression of chondromalacia patella.
What should you not do if you have chondromalacia patella?
The best treatment for patellofemoral syndrome is to avoid activities that compress the patella against the femur with force. This means avoiding going up and down stairs and hills, deep knee bends, kneeling, step-aerobics and high impact aerobics. Do not wear high heeled shoes.