What is the first treatment for chondromalacia patellae?

Chondromalacia patellae can make the kneecap move in a way that increases pressure or irritation at the front of the knee. A physiotherapist assesses movement, muscle control, flexibility and the activities that bring on pain. Exercise therapy can build strength in the quadriceps, hip and trunk while improving control of the leg. The programme should be adjusted if swelling, catching or sharp pain appears.

Temporarily reduce activities that repeatedly load a bent knee, such as deep squats, kneeling or stairs, then reintroduce them gradually as symptoms settle. Low-impact movement may be more comfortable. Follow the prescribed exercise schedule and use steady technique rather than pushing through increasing pain. Supportive footwear and changes to training volume may also help, depending on the assessment.

Arrange a clinical review if pain persists despite a structured programme, limits normal walking, or comes with repeated swelling, locking or giving way. Seek urgent care after a major injury if the knee cannot bear weight, looks deformed, or becomes hot and very swollen with fever. Those features may point to a different problem requiring prompt assessment.

What is causing my kneecap pain? Which exercises should I start with? How much should I reduce stairs, squats or sport? What signs mean I should pause an exercise and return for review?