Repetitive actions which stress the knee joints such as competitive jump roping or track and field events can cause chondromalacia patella. Injury such as a knee fracture or even a dislocation can be a contributing factor. Improperly aligned bones in the foot or knee are another cause of the anterior knee pain.

Pain behind the kneecap usually results from a direct blow or a fall, or it may result from maltracking, meaning that the kneecap is pulled off its normal path, usually to the outside (lateral side), and often because the VMO is weak and can't counteract the pull of the other three quadriceps. Usually, this is accompanied by tightening or contracture of the soft tissues on the outer side (lateral side) of the kneecap, which makes it much harder to treat and correct the problem.

Actual kneecap injuries are not the usual source of knee problems. The cartilage and ligaments are. Consequently patella surgery is not performed as a first line treatment of most knee injuries. Most knee problems are minor and can be effectively dealt with by simple home treatments such as rest and ice. Others may require advanced physical therapy under the care of a licensed therapist. And finally others may have to be dealt with by surgery or other major interventions.

Spinning on a stationary bike is a perfect exercise for those who want to tone and strengthen their leg muscles. The benefits of working only the leg muscles may not be as evident if one is using a normal bike because that involves the use of other muscle groups as well.

A 15 minute spin will help tone the calves, hamstrings and quads as well as improve joint flexibility. On occasions it can also reduce cellulite and fat. As an added benefit, it's also a very good cardiovascular exercise so that you get two for the price of one when you spin.

A traumatic rupture, detachment or other injury to the cartilage of the knees can occur and can be repaired through surgery or other treatments. But, the cartilage is not always involved in pain in the front of the knees. When trauma has caused damage to the cartilage, the pain is usually more severe than what occurs in runners knee.

Large joint effusion is noted, there is a tear of the posterior horn of the lateral meniscus while my medial meniscus is intact. Geez, something is intact! Apparently the anterior and posterior cruciate ligaments are intact but patella chondromalacia is seen. Otherwise, patella and patellar extensor mechanism are intact but additionally, there is a focal subchondral degenerative change noted in the anterior aspect of the lateral femoral condyle.

The first and most obvious course of action is to cut back on training or even stop completely. The human body is an amazing mechanism and given rest it will heal itself. If you insist on continuing training, then choose the flattest route you possibly can and avoid hills and kerbs. If you're a track athlete try and avoid bends as much as possible.

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