Many times, people will use the term "chronic knee dislocation" to express the fact that their knee cap (patella) migrates or dislocates. It is different from a traumatic dislocation, which is a very serious matter, usually caused by severe trauma to the knee. With a traumatic knee dislocation, the upper and lower leg bones are separated at the knee, and significant damage is usually sustained to the structures both in and around the knee joint (i.e. torn ligaments, vascular injury, etc.). A traumatic dislocation is extremely painful, generally requires immediate medical attention, and often requires surgery to repair the damage to the joint. If you feel like you have had a traumatic knee dislocation, there is no doubt that you should speak with your physician right away. A chronic knee dislocation, on the other hand, is also quite painful, but in many instances, can be treated more conservatively.
With chronic knee dislocation, the knee cap (otherwise called the patella) slips out of place and generally causes irritation, inflammation and a sensation that the knee is weak or "giving out". Basically, the triangular bone we know as the kneecap is designed to move smoothly over the top of the femur (upper leg bone), staying within a certain groove which nature designed for that purpose. When chronic knee cap dislocation occurs, the cap strays outside of that groove, adversely affecting the other structures (i.e. muscles, tendons, ligaments, etc.) in and around the knee. As a result, the knee does not bend as fluidly, and can feel more stiff. Fluid build up (edema) and discomfort may set in as well. When moving your knee, you may hear a "popping" noise. This condition may come and go as the cap slips in and out of the groove, and the pain from chronic knee dislocation may vary in intensity.
Generally, if the condition becomes severe enough and if it significantly interferes with your activities, you may need to discuss your options, including possible surgery, with your physician. However, in the interim, the use of a brace may help relieve the condition and allow you to function more normally without experiencing frequent chronic knee dislocation.
Knee braces are available in different sizes and styles. Generally, though, one of the main purposes of a knee brace in this instance, is to keep your kneecap in its proper position within the femoral groove. A knee brace can also help lend support to the knee joint so that the pressure and stress that might contribute to chronic knee dislocation are somewhat relieved, making it less likely that the kneecap will be pulled out of alignment. Braces do allow for movement, and you can likely perform most, if not all, of your usual activities while wearing one. They are adjustable to fit most knees, are easy to use, and are relatively affordable, especially when compared to other treatment options, such as surgery or extensive therapy.
An extra, helpful aspect of knee supports is that they will help you feel more support physically, which transfers over to a more secure mental outlook as well. The mental support a brace can help provide is very helpful when you are trying to get on with your daily activities, instead of focusing on your disclocating kneecap.
Pain Under Knee Cap
1.) Signs and Symptoms of Chondromalacia Patella
The pain that is associated to Chondromalacia Patella is usually located over the front of the knee cap. It can be described as a deep aching pain. The discomfort can also accompanied by swelling and is usually worse when the knee is bent for long periods of time. The pain can get even worse during activities such as squatting, kneeling or stair climbing, either up or down stairs.
Some patients have reported a grinding feeling in their kneecap stating that they can feel tender as well. This problem affects more females than males especially after a growth spurt where the knee must carry more weight.
Experts usually refer to the precursor of this medical condition as "excess lateral pressure syndrome." This is defined by the condition where the tender knee cap tends to sit too far out to the side of the knee. This problem is usually predisposed by the shape of the bone and genetics. This is where the knee cap is most tender when pushing on its outside, or lateral, surface.
2.) Treatment Options
A.) Can Surgery Be The Answer ? - Many physicians agree that a tender knee cap that is caused by Chondromalacia should first be treated by conservative means. Surgery is not included in the primary options of treating the tender knee cap. However, each person may exhibit different conditions and the orthopedist may, in rare and severe cases, recommend surgery.
B.) Do Knee Braces Work ? - The use of a knee support to help control the patella can be extremely useful. Almost all of the braces are not heavy and offer the needed support to a tender knee cap while you participate in activities of daily living. They are not really expensive and will allow you to move very easily.
3.) Controlling the Pain due to a Tender Knee Cap
A. ) Ice, or cold therapy, is an effective way to relieve the pain caused by the disease. However, you should be careful in the manner in which you apply ice. If you apply it for more than 5 minutes at a time, it could cause problems. Use an appropriate device which can be used to cool your joint for longer periods.
B. ) Over the counter pain medications, in some cases, can be used to ease the discomfort you may be feeling. This type of drugs includes anti-inflammatory medications like ibuprofen and naproxen and pain medications like acetaminophen. The supplement glucosamine sulfate can also have some beneficial effects when used by patients suffering from the disease. However, you have to use glucosamine sulfate continuously for at least two months before it can manifest its full effect. - See your physician for details on your specific requirements.
C. ) Knee Support : As mentioned earlier in this article, one of the best ways to provide stability during treatment is by bracing. Special knee braces can provide pain relief by stimulating some of the nerve fibers making your joint more stable and secure.
Aside from being used as a supportive device in the treatment of chondromalacia, knee braces may help to better position your patella in its groove so that it "tracks" more centrally. This can greatly help at relieving the pain. Specially designed knee braces help your patella tracking and are exceptionally useful for people with excessive lateral pressure syndrome that causes intense pain on the outer and undersurface of the tender knee cap.
Andrew Sims has sinced written about articles on various topics from Fitness, Hemorrhoids Treatment and Fitness. If you would like to take your knee stability to the next level then visit us online today at
Caring For Indoor Plants Never feed these plants during their winter rest period.Now you know the basics, you can enjoy to the full these wonderful plants!