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Having tightnes with swelling and pain in the knee. Treatment?

I am a disabled veteran because of knees problems. Never had surgery, now 13 years later still having pain every know and then, my right knee has been going out a lot. Usually after a day it loosens up and I can walk normal and no pain. Yesterday early it went out again and it hasn t got any better. In fact it Jet s worse today and when I walk my knee goes inward and the back right side of it is very tight with swelling and painful. This isn t the first time this has happened but usually it s gone by now not worse. Could it just be that finally my knee is giving out . If I remover correctly they said when I was in the military that I have grade 4 chrondromalachia patella .
Asked On : Sun, 2 Dec 2012
Answers:  1 Views:  31
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Orthopaedic Surgeon, Joint Replacement 's  Response
Feb 2014
Thanks for posting your query.

In chondromalacia, there is softening or wearing down of the articular cartilage on the back of the patella (kneecap) or other bone surface in the joint. Grade 4 is the worst stage .

Treatment for grade 4 Chondromalacia depends on your symptoms. If you have severe pain and are limited in daily activities or can't play sports like you want to, then you have to consult an orthopedic surgeon about surgery.

Surgery can include microfracture procedure if it's limited to a small area or cleaning up the joint and smoothing the surfaces via scope.

You can also treat it conservatively including physical therapy, RICE, taking a break from activity, strengthening, etc.

Wishing you good health
Dr Saurabh Gupta
Answered: Mon, 3 Dec 2012
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