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The patella is also known as the kneecap. When there is a problem
with this part of the knee it manifests as pain in the front
of the knee after strong exertion of the knee, by running,
skiing, or climbing stairs. Usually it hurts more to climb
up stairs than to walk flat. This may be due to erosion of
the cartilage on the under side of the patella, poor tracking
of the patella in its groove on the front of the knee, or
an inflamed tendon on the lower edge of the patella.
The patella is covered on its back side with the thickest layer of articular
cartilage of all the joints in the body. Erosion of this cartilage is called
chondromalacia patellae. On x-ray it is seen as a decrease in the amount of cartilage
underneath the kneecap. It may be caused by trauma or occur spontaneously. If
the patella is fractured, pain may still persist after the fracture heals.
Prolotherapy helps chondromalacia patellae or patellar tracking problems because
the pain-producing structure is generally the patellar tendon or the musculoskeletal
support around the patella. Prolotherapy for chondromalacia involves intra-articular
(inside) injections as well as injections on the outside of the knee, stimulating
the growth of many musculoskeletal structures around the patella. It is for this
reason the knee gets stronger and the pain of chondromalacia is relieved.
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