Specific Treatments for Knee Injuries
Chondromalacia
Many doctors recommend that patients with chondromalacia perform low-impact exercises that strengthen muscles,
without injuring joints (swimming, cycling, walking).
At times a physician may perform arthroscopic surgery to smooth the surface of the articular cartilage
and clean and smooth out cartilage fragments that rub on the surface of the femur.
Meniscus Tear
If the tear is minor and the pain and other symptoms go away, the doctor may recommend a visit to a Physical Therapist for
a muscle-strengthening program. If the tear to a meniscus is more extensive, arthroscopic surgery
may be performed. The meniscus can be repaired in some cases. If the tear is more extensive,
a small piece may be removed to even the surface. In some cases, the doctor removes the entire meniscus.
However, degenerative changes, such as osteoarthritis, are more likely to develop in the knee if the meniscus is removed.
Researchers are developing procedures that may replace a meniscus in the near future.
Cruciate Ligament Tears
For an incomplete CL tear, a doctor may recommend a visit to a Physical Therapist to
strengthen surrounding muscles. A knee brace may also be warranted. If the ACL is completely torn,
surgery may be indicated. The torn ends of the ligament may be reattached or completely reconstructed with a graft.
Medial Collateral Ligament
Most sprains of the collateral ligaments will heal if the patient follows a prescribed exercise program,
including R.I.C.E. and bracing.
Osteoarthritis
Most often osteoarthritis of the knee is treated with analgesics such as aspirin or acetaminophen, and
anti-inflammatories, such as ibuprofen (Motrin, Nuprin, Advil). Exercises may be warranted to strengthen the knee,
as well as encourage weight loss.
Knee Tendon Injuries
Tendonitis is typically treated with R.I.C.E.
and ibuprofen to relieve pain and decrease inflammation and swelling. If the tendon is completely ruptured,
surgery is necessary to reattach the tendon.
Iliotibial Band Syndrome
Usually, iliotibial band syndrome eases with reduced activity. Strengthening and stretching exercises
can also alleviate the IT band pain.
