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Tests show Chondromalacia, osteoarthritis at the patellofemoral articulation. Suggestive course of treatment?

There is severe chrondomalacia patella . This is associated with subcortical cyst formation adjacent to the articular cortex of the patella predominately involving the medial patellar facet. The appearance is consistent with mild to moderate osteoarthritis at the patellofemoral articulation. No other cortical contour or bone marrow signal is abnoramlility is identified. There is no joint effusion . Impression: Chrsonodmalacia and istearthritis are identified at the patellofemoral articulation. can you give me a course of treatment ie physiotherapy type of surgery?
Asked On : Sun, 16 Dec 2012
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General & Family Physician 's  Response
Patellar chondromalacia along with osteoartritic changes at patello femoral articulation only should be treated palliatively to start with.
Weight reduction,mild knee exercises,anti inflammatory drugs like Acetoamenophen, hydrotherapy, knee braces, acupuncture .
In case it does help, Orthoscopic surgery with cartilage transplant would help.
Answered: Mon, 6 Jan 2014
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