What to expect from exercise therapy for chondromalacia patellae

Chondromalacia patellae involves irritation or softening of cartilage beneath the kneecap. A physiotherapist may assess knee alignment, kneecap tracking, thigh and hip strength, ankle movement, walking and tasks such as stairs or squatting. These findings help identify which loads reproduce pain and which muscles need better control.

Treatment may use quadriceps and hip strengthening, controlled knee bends, step practice, balance work and flexibility exercises. The target is more comfortable loading and improved control, not forcing the knee through painful depth.

Follow the prescribed range and tempo, keeping the knee aligned with the foot during standing exercises. Build activity in small increments and use lower-impact options when running, jumping or deep squats aggravate symptoms. A brief increase in awareness can occur, but pain that lingers or changes your walking means the dose needs review.

Wear footwear that feels stable for the activity and tell the therapist about work, sport and stair demands. Progress can be measured by easier sitting-to-standing, stairs, walking or exercise tolerance.

Arrange medical review for a knee that becomes markedly swollen, hot or red, locks, gives way repeatedly, or cannot bear weight. Seek prompt advice after an injury with sudden pain or loss of movement. During therapy, report worsening pain, new numbness or a clear decline in function.

Ask which activities should be reduced temporarily, how deep your knee bends should be, and whether hip or foot mechanics affect your symptoms. Ask when to progress strengthening and what improvement should be tracked.