Question
Dear respectful doctor,
I walk up last week suddenly with knee pain, unable to use the stairs, walk for more than five minutes, or bend, and I was diagnosed with a condition called "Chondromalacia Patellae" on both knees, due to muscle weakness (of the vastus medialis)   , after I did MRI the doctor found fluids in both knees and the ASO titre was 223 " a bit high ". He gave me an anti biotic for three weeks after seeing the ASO titre results,  I am currently on a wheel chair because it is too paintful to walk due to pressure on the knee, am going through PhysioTherapy, done the fifth session today but without any signs of improvments yet. I am surprised that I walk up with this condition just like that! My question is:
Why did I develope fluids in both knees? And does the ASO titre has anything to do with it?
-Do I have to stop physiotherapy until the fluids are gone? or it just wouldn't matter?
- Can Chiropratic Help me or cure this condition???
- What kind of atlernative therapy can be helpful?
- Do I need to take glucoosline for the bones? cos the doctor did not give me anything but the antibiotic and an ice gel
- Last, what kind of excercies can I do at home to help me cure fast (images, links plz)

please let me know asap.

P.S: I am 24 - Slime/Slender - Healthy - Practice sports (Walking, Yoga, Pilates, Machines) + Blood tests didn't show any illnesses related to bones.

 Thank you very much & God blesses

  Love and Peace

Answer
Hi Annie,

I'm sorry that you're struggling to understand your problem.  Your doctor should explain most of this more thoroughly.

Without direct examination it is difficult to be precise. But I will try to clear up some of this.

Chondromalacia patellae is a somewhat general term for knee pain.  Sometimes there is wear and tear of the cartilage under the knee cap.  Yours, apparently, has something to do with an imbalance in muscle function pulling the patella unevenly causing inflammation.

It is unusual for it to come on so suddenly unless there is injury or overuse.  That is why the doc checked for infection (ASO).

Antibiotic plus physical therapy tells me that they are not positive of the cause.  If you don't see results this week they should perform more definitive tests.

How much Chiropractic or physical therapy will help depends on the root cause.  Without more information it is hard to comment on whether to continue the therapy or not.

Glucosamine sulfate is a good preventative measure but will not make much difference during this acute stage.

As to exercise, mainly don't do knee motions that require much knee flexion with weight (like deep knee bends).

A Chiropractic doctor would be a good resource to answer a lot of your questions more directly.  I suggest a consult ASAP.

Grace and peace, Dr Pendergraft