Patellar Tracking Disorder
Treatment Overview
Knee pain can be a slow and frustrating condition to heal. But most people with patella-related knee pain gain relief with a few months of nonsurgical treatment. Generally, the longer you have had a patellar tracking disorder, the longer you can expect to be in treatment.
Self-care
Unless your knee is swollen, dislocated, giving way, or causing you severe pain, try the measures described in the Home Treatment section for a week or two before deciding whether to see your doctor. With rest from aggravating activity, ice, and nonsteroidal anti-inflammatory drugs (NSAIDs), you can expect your pain to decrease. Do not give aspirin to anyone younger than 20 because of the risk of Reye's syndrome, a rare but serious disease.
As your pain starts to subside, begin stretching and strengthening exercises to loosen tight connective tissue that can pull the patella off track, and to help stabilize the patella in the femoral groove as you bend and straighten your knee.
Medical treatment
If home treatment isn't enough to reduce your knee problems, or if your knee is swollen, dislocated, giving way, or causing you severe pain, see your doctor for evaluation. Knee problems are often difficult to distinguish from one another, so a thorough exam and accurate diagnosis are essential for you to receive proper treatment.
After confirming that you have a patellar problem, your doctor will review your home treatment measures and make further recommendations. You may be advised to have physical therapy, use a custom brace or shoe inserts (orthotics), stabilize your knee with tape or a neoprene brace, or lose excess weight.
Surgery is not commonly done for patellar tracking disorders. But surgery is recommended in cases of repeated patellar dislocation, displaced or damaged cartilage following a dislocation, loose bodies (such as small pieces of bone or cartilage) in the knee following a dislocation, repeated subluxations caused by a structural deformity, or failed nonsurgical therapy.
What To Think About
Nonsurgical treatment—including stretching and strengthening exercises, temporary use of nonsteroidal anti-inflammatory drugs, and sometimes bracing or orthotics—usually eases the pain of a patellar tracking disorder and makes surgery unnecessary. Keeping your knee strong and flexible will help to prevent further problems. Staying at a healthy weight to decrease stress around your knees may also help.
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| Author: | Shannon Erstad, MBA/MPH | Last Updated: February 14, 2008 |
| Medical Review: | Adam Husney, MD - Family Medicine Kenneth J. Koval, MD - Orthopedic Surgery, Orthopedic Trauma | |
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