Chondromalacia, A Holistic Approach

I was working with a client in Italy named Ricardo. Ricardo is a Rugby player who suffered from Chondromalacia. He was constantly in pain because of the continuous deterioration of the cartilage behind his kneecap. Not to mention his ongoing desire to play rugby…

Chondromalacia is a condition in which the cartilage that is directly behind the kneecap softens and shreds due to a grating that occurs between the bones in the knee. There is too little space between the bones; it’s like they are pasted to the cartilage. It is difficult to get relief if you have Chondromalacia. Exercise and activity only make the condition and the pain much worse.

There are several different possible explanations as to why you may have this condition. Generally, there is an alignment issue in the knee such that the position of the knee in relation to the bones in the upper leg is slightly off. Sometimes, however, a tight IT Band can be the culprit. When the IT Band is tight, it creates a tension pattern in the knee that causes the cartilage and bone to rub together.

Whatever the reason, the bottom line is there’s not enough space in your knee for it to function properly. The first step to healing your Chondromalacia is to bring your knee to a place of comfort, let it relax, so that your body releases the built up tension in your knee. Once pressure is released, it’s possible to do several stretches that can create more space in your knee so the cartilage and bones can stop scraping each other.

This being said, it’s a good idea to get your knee checked by a doctor just to make sure that the shredded cartilage hasn’t separated and is floating around in your knee. If this is happens, those torn pieces can irritate your knee and continue to cause pain, even if you relieve the tension. So make sure this isn’t happening, and then you can begin a process to relax the tension and heal your knee pain.

Click here if you’re interested in Ricardo’s story and his resolved pain.

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I am 25 years old and I was diagnosed with avascular necrosis, about 3 years ago. A total Knee replacement is what my surgeon suggested. I am hesitant about such an extensive procedure. Is there an alternative solution to my problem? My knee is often feels like it is going to go out. I can’t walk long distances and my leg feels weak. I need a solution to the pain.

Knee Pain Support Team

Hi Divya!

Thank you for reaching out to us.

I’m sorry to hear what you are experiencing and I definitely want to help you with your concerns. I searched Bill’s website and found this link that may cover If this does not address your questions, please feel free to reach out to us at and we will be happy to assist you further.


Customer Support


Hello, I am new at this, could you explain what does Mild chondrosis medially patella means, will it heal ?


Thanks I’ll see what happen in a week.

I don’t seem find info about Marrow Edema in the internet, it would be good of you, if you explaine about Marrow edema pattern of osteopenia. Is it serious problem, how should it be treated.

It’s best website I found in the inet that you have Bill. You doing good job helping people with knee problems.


Hi, I am in knee pain for 6 month already, no injury at all, unless from running, I run on treadmill for 20 minutes. And then after month the pain started on both knee gradually coming and disappearing, later intense pain started couldn’t bend my knees or walk on it properly, did X-ray was normal, did MRI and they found “A subcortical pattern of marrow edema is seen involving the distal femur, proximal tibia and patella. This pattern that is often seen in diffuse osteopenia and a focal moderate chndrosis is seen involving the medial facet of the patella “.… Read more »


I had running injury and here my MRI. results. I have patellafemoral syndrom and Marrow Edema in both knees. The symptoms are very painful and miserable, it completely took me of my knees, feels like collapsing, can’t feel knees, burning sensation, simple walking is enough to irritate PS and ME.

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DR. James Stoxen, DC

Good article what I have found is that in running as you know there is simplistically the “take off” and the “landing” When you run with braces (shoes) your body has an artificial support and an artificial landing gear that most think will keep the foot centered. You know that is the job of the muscles to do that. Most runners strengthen the take off muscles thinking the artificial support and think that their artificial landing gear (shoe cushion) will do the trick. We all know the majority of injuries occur in the landings. The key is to strengthen the… Read more »

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