Non-surgical treatment of chondromalacia patellae and related precautions

  Chondromalacia patella is an injury lesion of the articular cartilage, based on the basic lack of blood and lymphatic fluid supply to the cartilage, once the damage is more difficult to repair, even if the repair will not be complete, most patients are stage I, II lesions, combined treatment of Chinese and Western medicine has a better effect, can delay the destruction of cartilage, improve the symptoms.  The specific methods: restrict the knee joint activity for 1-2 weeks during the acute attack, perform resistance training of the quadriceps muscle, take oral non-steroidal drugs (diclofenac sodium, etc.), take oral COX-2 inhibitors (celecoxib, etc.) for those with peptic ulcers or elderly people to reduce pain, fumigation with Chinese medicine, and ionization with Chinese medicine can eliminate synovial inflammation and promote fluid absorption. Intra-articular injection of sodium hyaluronate and oral administration of glucosamine sulfate can protect and repair cartilage and regulate the intra-articular environment. The patellar chondromalacia belongs to the category of “paralysis” in Chinese medicine and can be treated with Yanghe Tang plus or minus according to the symptoms.  The first thing that should be noted in the treatment: 1, try not to use plaster external fixation, if possible, can use brace. 2, do not use or less hormone intra-articular injection, is not conducive to cartilage repair. 3, should be oral glucosamine sulfate, the effect is better than glucosamine hydrochloride. 4, for quadriceps training at the same time for inward kicking exercise, enhance the strength of the internal muscles, not less than 60 times a day. 5, the acute period of attack do not do squatting action The first thing you need to do is to reduce your activity and weight bearing.