PRLog - Nov. 20, 2012 - Dr Les Bailey phd, DO, Acopm,Apta, looks at CHONDROMALACIA PATELLAE ( CMP )
About Dr Les Bailey phd,DO, acopm.apta(int part)
Author of the laymans guide to foot and heel pain
Email to drlesbailey@
phone number 07801418080
Dr Les Bailey started his career in physical therapies in 1981,qualifying at remedial massage,and later going on to qualify as an osteopath.
He earned his phd from OIUCM for a thesis on the treatment of plantar fasciitis by orthotics
He was awarded the teaching/lecturing diploma from the northern school of osteopaths 1993.
He also holds the diploma in foot biomechanics / orthotics.
Dr Les Bailey works from his clinic at Woodmansterne Banstead in surrey.
Chondromalacia patellae is caused by a scraping of the undersurface of the patella ( kneecap ) against the knee.
The patella is covered in a surface of slippery smooth cartilage which, in normal kneecaps, allows an uninterrupted gliding across the knee.
The term "chondramalacia"
This type of pain across the front of the kneecap is common amongst many types of sportspeople, particularly where there is great stress being placed on the knees.
One symptom of CMP is felt upon rising after sitting for any length of time, particularly, for example, when sitting at the cinema or theatre, where the same position is maintained for a while.
It may result from an acute injury to the patella, or more commonly from misalignment of the knee.
If misalignment of the knee is the causative factor, the practitioner should look to a tightened iliotibial band, or more likely faulty foot biomechanics, giving rise to faulty knee functioning.
If misalignment is the case ( and in my experience, it usually is! ), then prescription orthotics will give a satisfactory outcome.
My approach to general treatment is to use knee mobilisation, deep tissue massage to the leg to release iliotibial band tightness, and ultrasound / laser to reduce inflammation .
I may also advise hot / cold packs to be done at home. This also reduces inflammation and aids effective healing.
Surgery has become a less popular option due to unsatisfactory outcomes. However, if there is enough cartilage damage, surgery may offer an option in certain circumstances.
Dr Les Bailey phd,DO,Acopm, Apta ( int part )
Dr Les Bailey, Woodmansterne, Banstead, Surrey
A Dr Les Bailey orthotics article 2012