The Best Chronic Knee Treatments to Avoid Surgery and Prevent Early Arthritis

The most common cause of chronic knee pain is a medical condition called  Chondromalacia Patella also called P.F.S., Patellar Femoral Syndrome and Movie Goers Knee.

Yes this is all the same condition. I know it’s silly but doctors we do that.

This is the #1 mis-diagnosed knee problem because Chondromalacia fails to show MRI, X-ray or any other test.


Yes! Chondromalacia is a serious knee problem that always causes
early arthritis unless properly treated.

Main Symptoms

Chronic knee pain around knee cap

Pain on stairs, sitting, standing and after sports especially running

Mild swelling around kneecap.


Diagnosis is by history and proper knee exam.

MRI and X-ray do not show this knee condition.

What is Chondormalacia?

Your knee cap mal-tracks over the knee joint  causing the cartilage to shear off and breakdown.

Over time more and more cartilage breaks off until you get pre-mature old age knee arthritis.

The main reason your knee cap mal-tracks is because the lower limbs are mis-aligned from over-pronating feet.

The inner quad muscle called Vastus Medialis Obliquus gets weak, while Vastus Lateralis gets quite strong.

This makes the knee cap mal-tracking even worse.

Why is Chondromalacia so Serious?

Left untreated Chondromalacia will cause early knee arthritis.

Best Treatment for Chondromalacia

Treatment is divided into 3 steps :

Step 1- Stop Pain and Swelling

Step 2- Correct the underlying causes

Step 3 Strengthen for prevention

Step 1- Stop Pain and Swelling

Natural anti-inflammatories, ice with compression (limit time to 15 minutes put towel under ice pack to prevent frostbite),

Apply natural pain relief cream or spray 4- 6 time a day to stop your knee pain.

Warning! Avoid NSAID drugs, cortisone shots and surgery.

All three have been shown to damage your knee cartilage accelerating your knee osteoarthritis.

Exercise bike without any tension up to 30 minutes a day. This helps circulate synovial joint fluid to nourish the damage knee cartilage.

If you’re runner or athlete, apply ice and cream or spray to your knee after running or sports.

FInd a good physical therapist to help you with physical therapy.

Step 2 – Correct the Underlying Cause(s)

  • Proper foot wear
  • Foot Orthotics
  • Stretching for tight ITB, hamstrings and quads
  • Super-Joint Nutrients to support healthy cartilage growth.

Step 3  – Strengthen for Prevention

Knee Strengthening exercises to balance your quads. Specifically strengthen Vastus Medialis with knee extensions and quick drop squats.

Warning! Do not use straight leg raises as this makes your quad imbalance worse and does not strengthen vastus medialis.

Last Resort Treatments

If all the natural treatments fail, then try NSAID, cortisone injections or Hyaluronic acid.

There is no knee surgery that helps this type of chronic knee pain. NONE!

Hope this helps you.

Dr. Paul